Figure 1 shows the findings of their study.
Figure 1. Increased Numbers of Overweight and Obese Children in Canada, 1981-1996
As can be seen from viewing Figure 1, the rates of obesity for boys are higher than for girls at these early ages. Tremblay and Willms suggest that "environmental" factors such as diet and leisure lifestyles are largely the culprit, and they hint that perhaps at these early ages boys have a less healthy lifestyle than girls, especially in light of the prevalence of video-game play among boys. In any event, the discrepancy seems significant, since Tjepkema (2005) finds that, by adulthood, the relationship has reversed. Figure 2 presents his findings, taken from the national Canada Community Health survey. By age 35, women have caught men in terms of the prevalence of obesity, with about 1 in 5 women suffering from obesity. With each advancing age group, women increase their rates more quickly than men.
Figure 2. Obesity Rates for Canadian Men and Women, by age
These findings suggest that something occurs between mid-adolescence and adulthood that causes women to have more sedentary lives or worse diets, or both, leading to increased obesity. The rate at which women lose ground to men gains over time, with each advancing age. Tjepkema argues that increases in obesity among women occurs even for moderately active women. While this suggests that physiological factors may be at play, based on the difference between men and women's body chemistry and lifestyle choices, the essential point is that in early life girls are less likely to be obese than boys, while in later life women are more likely to be obese than men.
In the above discussion, the basic rates of obesity themselves should not be discounted on the way to making the point about gender differences. Over the 15-year gap in the Tremblay and Willms (2001) study, the rate of overweight children went from under 15% to over 25%, while the rate of obese children went from an average of 5% to an average rate of about 12%. These rates are alarming because youth obesity has been linked to many diverse factors which negatively impact upon health, including diabetes, hypertension, and poor body image in youth, and increased morbidity and mortality in adulthood. In fact Finkelstein, Fiebelkorn, and Wang (2003) calculated the additional monetary costs that overweight and obese people incur for their healthcare due to their condition. Table 1 presents these findings. Viewing the table, it become clear that the aggregated numbers for increased costs due to obesity are significant. In total, overweight and obese people spend between $52 billion and $79 billion more in healthcare, while obese people alone spend between $27 billion and $48 billion. The physical health problems caused by obesity are therefore met with significantly social and economic costs.
Table 1, Aggregate Medical Spending, in Billions of Dollars, Attributable to Overweight and Obesity, by Insurance Status and Data Source, 1996 -- 1998
Insurance Category
Overweight and Obesity
Obesity
MEPS (1998)
NHA (1998)
MEPS (1998)
NHA (1998)
Out-of-pocket
$7.1
$12.8
$3.8
$6.9
Private
$19.8
$28.1
$9.5
$16.1
Medicaid
$3.7
$14.1
$2.7
$10.7
Medicare
$20.9
$23.5
$10.8
$13.8
Total
$51.5
$78.5
$26.8
$47.5
Note: Calculations based on data from the 1998 Medical Expenditure Panel Survey merged with the 1996 and 1997 National Health Interview Surveys, and health care expenditures data from National Health Accounts (NHA). MEPS estimates do not include spending for institutionalized populations, including nursing home residents.
Source: Finkelstein, Fiebelkorn, and Wang, 2003
Other studies have echoed these findings, including one conducted by Troiano et al. (1995). The conclusion many of these studies reach rings true with the need for increased physical education. Troiano et al. argue that "primary prevention" is needed to improve youth health. This argument gains particular significance when it is pointed out that young people establish habits that carry over throughout life and that, therefore, improvements made at early ages in lifestyle and physical activity are more likely to endure (Thompson, Humbert, and Mirwald, 2003). Tremblay and Willms (2001) claim that what is needed is "effective health promotion planning and policy and legislation development." School-based curriculum revolving around physical education is one particular place where such prevention and programming can take place. In fact, McKenzie (1999) reviewed a variety of definitions concerning how much exercise is enough in order to control such concerns as obesity and to promote health, and found that student participation in physical education classes is the best hope many children have for achieving this goal. When this suggestion is coupled...
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