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Law as a Tool to Facilitate Healthier Lifestyles and Prevent Obesity
Lawrence O. Gostin, JD
JAMA. 2007;297:87-90.
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Public health agencies face considerable challenges trying to prevent overweight and obesity in society, primarily because a person's own behavior is often the root cause of the disease. Individuals make personal choices about their diet, exercise, and lifestyle, so disease is often thought of as a matter of personal, not governmental, responsibility.
Obesity, one of the 10 leading US health indicators,1 is associated with increased risk of death from type 2 diabetes, hypertension, coronary heart disease, stroke, and certain cancers.2 Yet the proportion of overweight and obese children and adults is alarmingly high and continues to increase. In 2005, 60.5% of adults in the United States were overweight (body mass index, 25-30), 23.9% were obese (body mass index, 31-40), and 3% were extremely obese (body mass index >40). African Americans have the highest obesity prevalence at 33.9%.3 The prevalence of adult obesity increased significantly in every . . . [Full Text of this Article] Disclosure
Author Affiliation: ONeill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC; and Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.
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