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Home / Rotorua Daily Post

Education key to fighting obesity

By Rebecca Malcolm
Rotorua Daily Post·
10 May, 2014 06:00 PM4 mins to read

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As a nation we're getting fatter - and in our region one in three are obese. Rebecca Malcolm finds out more about how big the problem is locally, and what's being done to try and curb the problem

Nic Crook is "hugely" worried about the obesity epidemic - and he thinks we should be too.

The Lakes District Health Board consultant physician and diabetologist knows the impact of local statistics which show one in three in our area are now classed as obese, and even more overweight.

Dr Crook said not only were more of us now classed as obese and overweight, those that were in that category were getting fatter.

The biggest person he's seen in clinic in recent times tipped the scales at more than 300kg.

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While in the past that might have been seen as "spectacularly" overweight, it doesn't shock clinicians the way it once might have.

In fact, Dr Crook said studies have shown doctors had a harder time recognising who was overweight just by looking at them. Heavier is now being seen as the norm.

"Generally speaking we are getting fatter and fatter."

As a region, Lakes District Health Board tips the scales as having one of the highest proportion of obese adults - with 33.8 per cent of adults now falling into the obese category.

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Dr Crook said that carried with it the associated health effects of diabetes, high blood pressure, heart conditions, sleep problems and increased cancer risks.

But he said the effects were far wider.

Anesthetic procedures become more risky, hospitals need to invest in equipment to be able to cope with heavier patients like stronger operating tables and wheelchairs, and it even impacts on the treatment they can receive.

The average tables for a CT scanner are designed for people up to 150kg - if you're heavier it's not only more difficult to fit through the machine, but also for the machine to do its job.

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Dr Crook admitted his view was slightly skewed as in his practice he dealt with more overweight and obese people.

"I'm hugely concerned about it in terms of the health impacts and what it means for the future."

It's a significant problem and one that's likely to grow - especially with figures showing the children are following in the footsteps with 12 per cent of kids also falling into the obese category.

He believed the key areas of focus should be on that generation - young people and pregnant women. Dr Crook said there was good evidence to show women who were overweight when pregnant increased the risk of having bigger babies, which in turn increased the risk of them later becoming overweight or obese.

While there was some merit in working on an individual basis, Dr Crook said it needed to be wider.

"Humans weren't designed to spend their time in offices, they were designed to be tracking down moas or woolly mammoths never sure where their next meal would come from."

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He said a message from Billy Connolly "eat less, move more" was a strong message.

"Family education is the way to go, targeting the children to change the whole whanau."

It's that younger generation where Toi Te Ora Public Health is also focusing its message.

The organisation's goal is to reduce childhood obesity by a third by 2023, according to Dr Neil de Wet.

"The figures are really concerning because being overweight and obese has really long-term implications."

He said one of the main drivers was the food environment - one where cheap foods were laden with more energy and sugars, while the better foods were more pricey.

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Fizzy drinks, energy drinks and sugary drinks were a real area of concern, he said.

"They don't give you any nutrients."

Sugar levels in items like breakfast cereals and children's snacks, as well as some common food items like tomato sauce were often surprisingly high, he said.

Dr de Wet said not smoking during pregnancy and while breastfeeding helped to reduce the risk of obesity in later life.

While exercise and physical activity was important, it wasn't enough on its own, he said.

HOW BIG ARE WE?

Adults:
Lakes DHB: 33.8 per cent obese
National rate: 29.9 per cent

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Children:
Lakes DHB: 12.2 per cent obese
National rate: 10.8 per cent

* Ministry of Health

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