Obesity can occur in any age group but it tends to increase with age " infants with excessive weight gain have an increased incidence of obesity in later life (Charney etal 1976)4. It has a female preponderance and certain genetic component in its causation as evidenced by twin studies, which show a close relation between the weights of identical twins even when they are reared in dissimilar environments (Falkner 1980)5. Physical activity and fitness's are important modifiers of mortality and morbidity related to over weight and obesity (WHO 2003)6 but according to Falkner it is the reduced energy output that is the main etiological factor behind obesity. Food habits play important role in weight gain and obesity, the composition of the food, the periodicity at which it is consumed and the amount of energy derived from it are the factors, which modulate body weight. A diet containing more energy than needed may lead to prolonged postprandial hyperlipidemia and to deposition of triglycerides in the adipose tissue resulting in obesity (Oliver 1981)7. Other factors include psychosocial, familial tendency, endocrine, ethnicity and drugs like corticosteroids etc.
Its is a positive risk factor for hypertension, diabetes, gall bladder diseases, congestive heart disease and certain cancers (hormonal and large bowel). It also predisposes to other conditions like varicose veins, abdominal hernia, osteoarthritis of knees and hips. Flat feet; sleep apnea and respiratory problems etc. the Framingham Heart Study in United States of America reveals that there is a dramatic increase (20%) in sudden death among overweight adults as compared to those with normal weight.
Healthy People 2010 are a comprehensive set of disease prevention and health promotion objectives for the Nation to achieve over the first decade of the new century and one of the objective is to reduce obesity up to 15% in adults by 2010.the objectives are
19-1: - increase the proportion of adults who are at a healthy weight from 42 % to 60% by 2010.
19-2: - Reduce the proportion of adults who are obese from 23% to 15% by 2010.
19-3: - Reduce the proportion of children and adolescents who are overweight or obese from 11% to 5% by 2010.
In order to achieve this objective health care planning has to be done and an obesity policy has to be made which has to be implemented at various health care levels, the work done has to be evaluated and depending upon the results relevant modification should be made in the policy to achieve better results.
The policy is to educate the American public on the dangers and medical quandaries that obesity causes and to help eradicate this epidemic from our nation.
PLAN: Health education is planned in connection with a health service for proper implementation.
This health service provides health education about hazards of obesity in the following three methods
Individual approach: by personal interviews in hospitals, consultation rooms, and health care centers or peoples houses. Health education is given at every interaction with the patient about the etiology, risk, prevention and control of obesity. It will be the principal duty of the physician and nursing staff to