Volume 378, Issue 9793, Pages (August 2011)

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Volume 378, Issue 9793, Pages 815-825 (August 2011) Health and economic burden of the projected obesity trends in the USA and the UK Y Claire Wang, MD, Prof Klim McPherson, PhD, Tim Marsh, PG Dip, Steven L Gortmaker, PhD, Martin Brown, PhD The Lancet Volume 378, Issue 9793, Pages 815-825 (August 2011) DOI: 10.1016/S0140-6736(11)60814-3 Copyright © 2011 Elsevier Ltd Terms and Conditions

Figure 1 Past and projected prevalence of overweight (BMI ≥25 kg/m2) Reproduced from the Organisation for Economic Co-operation and Development.7 The Lancet 2011 378, 815-825DOI: (10.1016/S0140-6736(11)60814-3) Copyright © 2011 Elsevier Ltd Terms and Conditions

Figure 2 Relative index of inequality in obesity by education level The relative index of inequality provides a measure of how many times more likely to be obese are those at the lower end of the education spectrum relative to those at the upper end. Reproduced from the Organisation for Economic Co-operation and Development.7 The Lancet 2011 378, 815-825DOI: (10.1016/S0140-6736(11)60814-3) Copyright © 2011 Elsevier Ltd Terms and Conditions

Figure 3 Adult prevalence of obesity by ethnicity in USA and UK Reproduced from the Organisation for Economic Co-operation and Development.7 The Lancet 2011 378, 815-825DOI: (10.1016/S0140-6736(11)60814-3) Copyright © 2011 Elsevier Ltd Terms and Conditions

Figure 4 Historic and recent trends in adult obesity prevalence in men and women in USA and UK A=US men; B=US women; C=UK men; D=UK women. Black dots (bars=95% CI) show recorded prevalence from national surveys; each dot=one data point. Historic trend used all data points; recent trend used data points after 2000. The Lancet 2011 378, 815-825DOI: (10.1016/S0140-6736(11)60814-3) Copyright © 2011 Elsevier Ltd Terms and Conditions

Figure 5 US and UK population projections 2010 vs 2030, by overweight or obesity status, assuming historic trend in BMI A=USA, 2010; B=USA, 2030; C=UK, 2010; D= UK, 2030. Population pyramid. Size of bars shows the size of projected census population (×100 000) by BMI status, sex, and age category in USA and UK. The Lancet 2011 378, 815-825DOI: (10.1016/S0140-6736(11)60814-3) Copyright © 2011 Elsevier Ltd Terms and Conditions

Figure 6 Projected health-care costs from obesity-related diseases in USA and UK, 2010–30 A=USA, historic trend; B=USA, recent trend; C=UK, historic trend; D=UK, recent trend. Dashed lines=95% CI. Costs are $ for USA and £ for UK. The Lancet 2011 378, 815-825DOI: (10.1016/S0140-6736(11)60814-3) Copyright © 2011 Elsevier Ltd Terms and Conditions