Health Effects of Overweight and Obesity in 195 Countries over 25 Years Medical surgical 2 Student name:Ahmad Sawalha Instructor: suhair issa :About article Effects of Overweight and .Obesity in 195 Countries over 25 Years □ Journal:The New England journal of .medicine .Date accepted:6July ,2018 .Author: Murray □ Title:Health :BACKGROUND and AIM Several epidemic logic studies demonstrated in association in high body mass index or BMI and chronic conditions , such as a cardiovascular disease , Diabetes mellitus , chronic liver disease .and many cancers Aim:clarify the relationship between high BMI and .diseases METHODS Since prevalence of all of obesity and overweight is increasing in world wide.The overtness and in impact prevalence global burden of .diseases are uncertain In this study , if 68.5 million of people from 195 countries trend in the prevalence of overweight and obesity among children and adults between 1990 and 2015. Using the Global Burden of Disease study data and .methods Investigators are quantified between the burden of disease related to high body-mass index (BMI), according to age, sex, cause, and BMI in 195 .countries between 1990 and 2015 :RESULTS Amount of children and adults between 1990-2015 , standard body mass index curve point to define overweight and obesity among children . and adult In 2015 , they over global prevalence of obesity in children is 5% and in .adult is 12% Global prevalence of obesity , 2015 Among two most popular countries , the high prevalence of obesity in 2015 is subservient in Egypt is 35.5% and the lowest in Vietnam is 1.6% . The highest prevalence of childhood obesity in the united state had 12.7% , and the lowest in Bangledash had 1.2% Excess way contributed to 4 million deaths globally,newly 4% of which according to BMI in .the<30 Other global mortality to high BMI increased from 41.9% over 100.000 in 1990 to 53.7% over 100.000 in 2015 .is 11.3 More than two thirds of deaths related to high BMI due to cardiovascular disease Global High-BMI Death Rate :Discussion In our systematic evaluation of the health effects of high BMI, we found that excess body weight accounted for about 4 million deaths in 2015. Nearly 70% of the deaths that were related to high BMI were due to cardiovascular disease, and more than 60% of those deaths occurred among obese persons. The prevalence of obesity has increased during the past three decades and at a faster pace than the related disease burden. However, both the trend and magnitude of the .BMI-related disease burden vary widely across countries CONCLUSIONS The rapid increase in the prevalence and disease burden of elevated BMI highlights the need for continued focus on surveillance of BMI and identification, implementation, and evaluation of evidence-based .interventions to resolve this problem References: Roberto CA, Swinburn B, Hawkes C, et al. Patchy progress on obesity.1 prevention: emerging examples, entrenched barriers, and new .thinking. Lancet 2015;385:2400-2409 Singh GM, Danaei G, Farzadfar F, et al. The age-specific quantitative.2 effects of metabolic risk factors on cardiovascular diseases and .diabetes: a pooled analysis. PLoS One 2013;8:e65174-e65174 Emerging Risk Factors Collaboration, Wormser D, Kaptoge S, et al..3 Separate and combined associations of body-mass index and abdominal adiposity with cardiovascular disease: collaborative analysis .of 58 prospective studies. Lancet 2011;377:1085-1095 Lauby-Secretan B, Scoccianti C, Loomis D, Grosse Y, Bianchini F,.4 Straif K. Body fatness and cancer — viewpoint of the IARC Working .Group. N Engl J Med 2016;375:794-798