Obesity in America:
The prevalence of obesity and related health problems has increased dramatically in the past few decades to an extent that it's now regarded as one of the most pressing public health issue in the United States. Generally, obesity and overweight are usually brought by various factors such as socioeconomic, behavioral, cultural, metabolic, environmental, and inherited effects. This health issue contributes to the increase of the risk of several illnesses like heart disease, breathing problems, high blood pressure, high blood cholesterol, and various kinds of arthritis and cancer. The main reason for the increased risk is that the prevalence of health risks enhances as a person's weight increases. Due to its prevalence in the United States, obesity has been identified as a national health objective by the Department of Health and Human Services. This health issue is among the 10 leading health indicators in the national health objectives as stated in Healthy People 2020 report. One of the reasons attributed to this consideration is the fact that reduction in obesity has numerous potential benefits that of public health importance.
Obesity as a National Health Issue:
As previously mentioned, the United States has experienced a rapid increase of obesity and overweight-related problems in the past few decades that has made the issue one of the major health problems in the country. Actually, there are over one third of adults beyond 20 years who are obese or people with a body mass index of 30 or more (Kirby et al., 2012, 1572). The problem of obesity has not only contributed to risk factors for various chronic conditions but has also developed to become one of the leading causes of lost years of life and premature mortality. According to statistics, the number of deaths attributed to obesity in America is only second to cigarette smoking. Consequently, if the obesity endemic continues to increase in the United States, the current generation will have a shorter life expectancy.
The major contributing factors to overweight and obesity include genes, the environment, behavior, and metabolism. The American environment is considered as one of the main factor in the problem of obesity within the country. As a result of the numerous changes in the American environment, people have experienced several difficulties to engage in healthy behavior. For example, the current environment is characterized by prevalence of food and associated messages everywhere, increase in food portions at home and restaurants, and little involvement in physical activity.
In both the previous and current version of Healthy People, physical activity is one of the main indicators of health. Actually, the objectives of Healthy People 2010 for preventing and controlling childhood obesity identified five general goals towards addressing the problem of obesity in the country. These general goals include increasing daily physical activity among various people, lessening the amount of time spent on activities like watching television, and decreasing the consumption of foods that enhance the risk of obesity. The other goals are enhancing the consumption of nutritious foods and promote initiatives that enforce behavioral and environmental change ("Action Plan -- Healthy People 2010," n.d.).
Addressing and Managing the Problem of Obesity:
Since obesity has developed to become a major health problem in the United States, there are various efforts that have been taken to address and manage this public health issue. These efforts have included the establishment of various federal, state, and local agencies that are mandated with the task of addressing and managing obesity. Generally, the U.S. Department of Health and Human Services was mandated with the task of reporting on the status of obesity prevention programs in Medicaid program to the Congress as part of healthcare reforms. Addressing and managing the problem of obesity has also included the incorporation of community organizations, food industry, schools, and the medical community since this issue requires a comprehensive and strong approach.
Some of the major federal agencies that have taken various approaches towards obesity prevention include The American Academy of Pediatrics, The American Heart Association, Center for Disease Control, The Food and Drug Administration, and Department of Health and Human Services. State agencies have also been involved in addressing the issue through developing initiatives to promote healthy behavior and lifestyles as well as prevent illness through nutrition and exercise programs. Examples of the state agencies involved in this process are Washington's State Department of Health and Colorado's Department of Public Health and Environment. From these examples, it can be concluded that the major state agencies mandated with these tasks are those that deal with health services. In contrast, the main local agencies with the task of addressing and managing the problem of obesity...
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