The obesity epidemic: both energy intake and  physical activity contribute

Stubbs, Christina O; Lee, Amanda J

doi:10.5694/j.1326-5377.2004.tb06406.x

Topics

Recent data from Australia, the United States and Europe show increased self-reported energy intake associated with obesity, in contrast to earlier suggestions that the obesity epidemic has occurred despite minimal or no increase in per capita energy intake from food. The effect of increased energy intake is compounded by sedentary lifestyles. Both physical activity and nutrition must be addressed to reduce the prevalence of obesity and improve the health of Australians.

Statewide Health Promotion Unit, Queensland Health, Brisbane, QLD.

Correspondence:

Competing interests:

None identified.

1. Prentice AM, Jebb SA. Obesity in Britain: gluttony or sloth? BMJ 1995; 311: 437-439.
2. Heini A, Weinsier R. Divergent trends in obesity and fat intake patterns: the American paradox. Am J Med 1997; 102: 259-264.
3. Phillips G. Heart exercise [transcript]. Catalyst. 4 Mar 2004. Available at: www.abc.net.au/catalyst/stories/s1058752.htm (accessed Sep 2004).
4. International Obesity TaskForce and European Association for the Study of Obesity. Obesity in Europe. The case for action. London: International Obesity Task Force and European Association for the Study of Obesity, 2002. Available at: www.iotf.org/media/euobesity.pdf (accessed Sep 2004).
5. Raines S. McDonald’s criticised for AFL-schools promotion [transcript]. Lateline. Australian Broadcasting Corporation, 24 June 2004. Available at: www.abc.net.au/lateline/content/2004/s1139922.htm (accessed Sep 2004).
6. Heitmann BL, Lissner L. Dietary underreporting by obese individuals — is it specific or non-specific? BMJ 1995; 311: 986-989.
7. Cook T, Rutishauser IHE, Seelig M. Comparable data on food and nutrient intake and physical measurements from the 1983, 1985 and 1995 national nutrition surveys. Canberra: Commonwealth Department of Health and Aged Care, 2001.
8. Centers for Disease Control and Prevention. Trends in intake of energy and macronutrients — United States, 1971–2000. MMWR Morb Mortal Wkly Rep 2004; 53: 80-82.
9. Harnack LJ, Jeffery RW, Boutelle KN. Temporal trends in energy intake in the United States: an ecologic perspective. Am J Clin Nutr 2000; 71: 1478-1484.
10. Silventoinen K, Sans S, Tolonen H, et al. Trends in obesity and energy supply in the WHO MONICA Project. Int J Obes 2004; 28: 710-718.
11. Chou S-Y, Grossman M, Saffer H. An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System. J Health Economics 2004; 23: 565-587.
12. United Kingdom Department of Health. At least five a week. Evidence on the impact of physical activity and its relationship to health. A report from the Chief Medical Officer. London: UK Department of Health, 2004. Available at: www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/fs/en (accessed Sep 2004).
13. Prentice AM, Black AE, Coward WA, Cole TJ. Energy expenditure in overweight and obese adults in affluent societies: an analysis of 319 doubly-labelled water measurements. Eur J Clin Nutr 1996; 50: 93-97.
14. Centers for Disease Control and Prevention. Physical activity and health. A report of the Surgeon General: US Department of Health and Human Services, 1996. Available at: www.cdc.gov/nccdphp/sgr/sgr.htm (accessed Sep 2004).
15. Saris WHM, Blair SN, van Baak MA, et al. How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev 2003; 4: 101-114.
16. Petersen L, Schnohr P, Sørensen TIA. Longitudinal study of the long-term relation between physical activity and obesity in adults. Int J Obes 2004; 28: 105-112.
17. Blair SN, LaMonte MJ, Nichaman MZ. The evolution of physical activity recommendations: how much is enough? Am J Clin Nutr 2004; 79: 913S-920S.
18. Robinson TN. Television viewing and childhood obesity. Pediatr Clin North Am 2001; 48: 1017-1025.
19. James W. A public health approach to the problem of obesity. Int J Obesity 1995; 19(Suppl. 3): S37-S45.
20. Bauman A, Bellew B, Vita P, et al. Getting Australia active: towards better practice for the promotion of physical activity. Melbourne: National Public Health Partnership, 2002. Available at: www.nphp.gov.au/publications/sigpah/gaa.pdf (accessed Sep 2004).
21. Stunkard AJ, Berkowitz RI, Stallings VA, Schoeller DA. Energy intake, not energy output, is a determinant of body size in infants. Am J Clin Nutr 1999; 69: 524-530.
22. Tataranni PA, Harper IT, Snitker S, et al. Body weight gain in free-living Pima Indians: effect of energy intake vs expenditure. Int J Obes Relat Metab Disord 2003; 27: 1578-1583.
23. National Obesity Taskforce. Healthy weight 2008 — Australia’s future. The National Action Agenda for Children and Young People and Their Families. Canberra: Commonwealth Department of Health and Ageing, 2003. Available at: www.healthyactive.gov.au/docs/healthy_weight08.pdf (accessed Sep 2004).

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