1. The overweight epidemic How can General Practitioners contribute to fight it?

2. Lancet 2009:373:1083-96

3. Which one is the bigger challenge? SmokingOverweight Higher morbidity/mortalityYes CausalityRelatively simpleComplex Prevalence?

4. Aarhus Birth cohort 1990-2007 %

5. Which one is the bigger challenge? SmokingOverweight Higher morbidity/mortalityYes CausalityRelatively simpleComplex PrevalenceProbably decreasingIncreasing? Structural initiativesEasyControversial Individual treatmentRelatively easyComplex Benefit of treatmentHighMaybe, may depends on how

6. How do GPs influence the obesity epidemic today? Extreme overweight – Admission to surgery Moderate overweight/metabolic syndrom – Perform weight controls – Offer dietary consulting Prevention?

7. Are we measuring the right thing?

8. Should we develop our advising?

9. In fighting the obesity epidemic We have so far advised to – Lose weight – Eat less and more healthy – Be more physical active Maybe we need to give priority to – Prevention – Interdisciplinary collaboration

10. Program Thorkild IA Sørensen – Institute of Preventive Medicine, Copenhagen University Hospital, Denmark Maria Koch Aabel/Thomas Skovgaard – Danish National Board of Health/Rambøl Management, Denmark Carsten Obel – Department of General Medicine, Aarhus University Carl Erik Flodmark – Childhood Obesity Unit, Malmø University Hospital, Sweden