Helping a Nation Struggling Under the Weight of an Epidemic

WASHINGTON, Jan. 23

As the nation anticipates the president's annual State of the Union address, which will undoubtedly focus on issues ranging from the economy, to national security, to healthcare, the Strategies to Overcome and Prevent (STOP) Obesity Alliance today released new policy recommendations regarding an issue that relates to each of these topics: America's obesity epidemic. The Alliance is a collaboration of consumer, provider, business, labor, government, health insurance, and quality of care organizations.

 "Obesity is no longer an isolated problem," said Richard H. Carmona, M.D., M.P.H., FACS, 17th Surgeon General of the United States (2002-2006),vice chairman of Canyon Ranch, president of the non-profit Canyon Ranch Institute, distinguished professor at the Mel and Enid Zuckerman College of Public Health at the University of Arizona, and Health and Wellness Chairperson for the Alliance Steering Committee. "Obesity impacts every aspect of our lives, including business productivity, national security, and the future of our healthcare system. Today, the obesity epidemic is exacting an enormous financial and human toll. We must focus critical thinking and innovative, multi-sector approaches on addressing the obesity epidemic. Only then will we improve our nation's overall health and prevent diseases such as diabetes and heart disease that cause tremendous suffering and early death throughout our nation."

    Dr. Carmona noted that the Alliance's new recommendations provide an important perspective about combating adult obesity and reflect input from a diverse Steering Committee representing many sectors of American society. With the focus:

    1. Redefining Success: A growing body of evidence suggests that losing between five to 10 percent of current weight leads to major health improvements, including decreasing risks for diabetes and heart disease. However, there is no shared, evidence-based definition of what constitutes successful fast weight loss, leaving the field open to interpretation. The STOP Obesity Alliance recommends promoting the use of a sustained loss of five to 10 percent of current weight as a key measure to judge the effectiveness

of weight-reduction interventions.

    2. Encouraging Innovation and Best Practices in Obesity Treatment: The  recommends innovative approaches for obesity treatment, intervention, and disease management for patients who have been unsuccessful with traditional nutrition and exercise only programs. Currently, individual programs rarely leverage possible best practice models that combine multiple interventions, such as diet, exercise, medication, and behavioral treatment.

    3. Addressing and Reducing Stigma as a Barrier to Obesity Treatment: No evidence suggests that stigmatizing overweight and obese individuals is a motivator for losing weight. The Alliance recommends that healthcare professionals, government, and private entities address the issue in a way that promotes open discussion rather than isolating those who are affected. The Alliance recognizes the broader societal barriers to fast weight loss and promotes programs that go beyond recognizing the single role of personal responsibility.

    4. Broadening the Research Agenda for Obesity: Healthcare decision makers need reliable information to assess the relative value of preventing and reducing obesity. The Alliance recommends a broadened research agenda that examines all of the important factors contributing to the obesity epidemic and how they interact with each other, as well as applied research to address the immediate needs of payers, providers, individuals and others on the front lines.

    For a full copy of the STOP Obesity Alliance policy recommendations and

additional information, visit http://www.stopobesityalliance.org/.

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