Obesity epidemic: new figures very alarming

Implementing education and prevention programs is one of the proposed solutions to combat the exponentially growing obesity epidemic. © depositphotos_monkeybusiness

As we know, obesity and excess weight represent a global health crisis with severe consequences. However, a study published on March 4 in the medical journal The Lancet presents even more alarming projections, indicating a significant acceleration in the epidemic. According to these new findings, more than half of adults and nearly a third of children and adolescents are expected to be overweight or obese by 2050. This troubling trend necessitates urgent actions from government authorities.

The statistics regarding the global obesity epidemic are already chilling. However, what is even more concerning is the rapid acceleration of this trend, as confirmed by the alarming figures published on March 4 in the British medical journal The Lancet: without urgent intervention, over half of adults and nearly one-third of children and adolescents will be overweight or obese within the next 25 years.

Since the 1990s, the prevalence of obesity has risen dramatically. By 2022, it was estimated that 1 in 8 people worldwide was obese, totaling more than one billion individuals. Additionally, 43% of adults aged 18 and older were classified as overweight, which accounts for around 2.5 billion people. This increase also affects younger populations, with a fourfold rise in adolescent obesity since 1990.

Projections for 2050 are even more alarming. The study published in The Lancet draws on research from an international program known as the Global Burden of Disease, spearheaded by an American institute based in Seattle. The findings reveal that 60% of adults and a third of children and adolescents are predicted to be overweight or obese by that year. This rapid growth underscores the urgency of implementing effective prevention policies and promoting healthier lifestyles to counter this alarming trend.

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Certain regions are notably more affected. For instance, Oceania and the Middle East are particularly impacted, with obesity rates projected to reach staggering levels, with nearly 90% of adults in some Pacific Islands and 94% in the Middle East expected to be affected by 2050.

France is not exempt from this epidemic. A 2023 study by Inserm reports that nearly one in two French individuals is overweight or obese, with a weight excess prevalence (including overweight and obesity) of 47.3%. Even more concerning, the proportion of obese individuals rose from 8.5% in 1997 to 17% in 2020, effectively doubling in just over two decades.

Among children, around 16% are classified as overweight and 4% as obese, indicating a troubling trend for the decades ahead. It is known that much of this development is influenced by circumstances before a child reaches the age of 8.

This increase is particularly pronounced in younger generations and also affects severe obesity forms as well as women, who are the primary victims of this epidemic.

Social disparities also play a significant role: lower socio-economic groups are disproportionately affected, with a weight excess prevalence of 51.1% among manual workers, compared to 35% among executives.

The reasons behind the global rise in obesity and overweight conditions are unfortunately well identified. The shift from traditional diets rich in fibers and nutrients to industrial diets high in sugars, saturated fats, and ultra-processed foods is the primary factor. This trend is particularly evident in developing countries, where rapid urbanization and globalization have transformed eating habits.

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Another crucial factor is growing sedentary lifestyles. With the advent of new technologies, living habits have become increasingly inactive, diminishing daily physical activity. Screen time—both for work and leisure—has dramatically increased, limiting opportunities for regular exercise.

Furthermore, socio-economic and environmental factors also influence dietary habits and physical activity levels. Limited access to healthy foods, insufficient infrastructure for physical activity, and inadequate public policies contribute to the growing rates of obesity. Low-income populations are often the most affected, as they have limited access to nutritious and affordable food options and environments conducive to physical activity.

Obesity is linked to numerous health complications. It significantly raises the risk of developing chronic conditions such as type 2 diabetes, cardiovascular diseases, hypertension, and certain cancer types.

These conditions diminish quality of life and increase premature mortality. According to the World Health Organization (WHO), overweight and obesity account for 2.8 million deaths annually worldwide.

In children, obesity can lead to early complications, such as respiratory issues, hypertension, and psychological disorders related to social stigma. Furthermore, an obese child is more likely to remain obese into adulthood, perpetuating the cycle of obesity and heightening the risk of chronic diseases at a young age.

From fatphobia to low self-esteem and discomfort, the psychological consequences are profound, which is especially concerning given the current mental health challenges faced by the French population.

In light of this situation, several strategies should be explored to limit the rise of obesity and overweight conditions. Nutritional education plays a central role: teaching children and adults to adopt balanced diets, rich in fruits and vegetables while limiting ultra-processed foods, is crucial. Strong public policies, such as taxes on sugary beverages and improvements in food labeling (like the Nutri-Score), could also prove effective.

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Encouraging physical activity at all ages is equally important. As inactivity is one of the primary drivers of weight gain, promoting sports from a young age, designing urban environments conducive to walking and cycling, and implementing workplace health programs are all measures that can help reverse this trend.

Finally, tailored medical care is essential for individuals already facing obesity. This involves regular medical follow-ups, psychological support, and in certain situations, surgical options like bariatric surgery.

The obesity and overweight epidemic has understandably become a significant public health challenge worldwide, both due to its severe effects on individual health and the burden it places on healthcare systems. To halt this trend, a collective mobilization is essential: education, prevention, environmental adaptation, and medical support should be at the forefront of strategies implemented. Taking action now will help mitigate the impact of this health crisis and enhance the quality of life for future generations.

IMPORTANT TO NOTE

The economic repercussions of the obesity epidemic are also significant. If no action is taken, the global cost of overweight and obesity is expected to reach €2,850 billion annually by 2030 and over €17,000 billion by 2060. These costs encompass healthcare expenditures linked to the treatment of obesity-related diseases, as well as productivity losses stemming from absenteeism and premature mortality.