Prevalence of overweight and obesity in countries in

Prevalence of overweight and obesity in countries in Asia compared to USA Yoon KH, Lee JH, Kim JW, et al. Lancet 2006; 368: 1681– 8 Overweight = BMI 25. 0 -29. 9 Obesity = BMI ≥ 30. 0 Wannee

WHt. R is Better than WC & BMI for Cardiometabolic Risk Factors: Systematic Review (WC = Ht ÷ 2) 31 studies (26 cross-sectional, 5 prospective studies) Between 1985 -2008 Longest follow-up 17 y 18 different countries Asia 6 Diabetes Middle East 2 Australia 2 Europe 4 South America 2 Carribean 1 Total subjects 123, 231 men 182, 620 women Age 18 -100 years Hypertension Ashwell M, et al. Obesity Reviews 2012; 13: 275 -86

WHt. R is Better than WC & BMI for Cardiometabolic Risk Factors: Systematic Review (WC = Ht ÷ 2) Dyslipidemia/Hypertriglyceride Metabolic syndrome Ashwell M, et al. Obesity Reviews 2012; 13: 275 -86

WHt. R is Better than WC & BMI for Cardiometabolic Risk Factors: Systematic Review (WC = Ht ÷ 2) Cardiovascular Disease All outcomes (mean of measured outcomes for each study Ashwell M, et al. Obesity Reviews 2012; 13: 275 -86

Abdominal Obesity and Coronary Heart Disease in Thai Men Aekplakorn W, et al. Obesity 2007; 15: 1036

Loss of Skeletal Muscle Mass in Older Adults 6 years follow-up study in 2, 675 elderly adults, 70 -79 year old Park SW, et al. Diabetes Care 2009; 32 1993 -7

Loss of Skeletal Muscle Mass in Older Adults Annual change of body composition by DEXA compared to baseline p<0. 05 compared to non-DM Mass (gm/year) Non-DM Undiag-DM Diag-DM Park SW, et al. Diabetes Care 2009; 32 1993 -7

Loss of Skeletal Muscle Mass in Older Adults Longitudinal change in thigh muscle cross-sectional area by CT scan compared to baseline Women cm 2 Men p<0. 01 compared to non-DM Park SW, et al. Diabetes Care 2009; 32 1993 -7

Thai Burden of disease 2009 Male Female 1 Alcohol dependence 2 Road traffic injuries Stroke 3 Stroke Depression 4 HIV/AIDS Myocardial Infarction 5 Myocardial Infarction Osteoarthritis Diseases Diabetes Risks Dr. Thaksaphon Thamarangsi

In 2006 Tackle on Obesity

by Eating Exercise Emotion Wannee

Opening Event: Dec 23, 2006 Get Together for Slimming Down

Partners for Fatless Belly Thais 64 Provinces 1, 722 Oraganizations 2, 807, 054 Participants

1. Nationwide effective campaign and raising awareness of obesity and NCD prevention 2. Creating teams for management 3. Networking and partnership

Resolution on the health issue of overweight and obesity Four Strategies approved by the Government’s Cabinet • Promote healthy diet in daily life • Promote adequate daily physical activity • Develop an accessible and effective medical service for management of obesity with continuous support • Develop national plan, policies and support to prevent and control overweight and obesity

Strategic Framework Vision: “Focusing on population strong potentials on control of risk factors and environmental management relating to lifestyle diseases, inter-sectoral collaborations should be well integrated, mobilized, sustainable and well balanced based on the principle of sufficient economy” Goal: “Prevention and control of 5 lifestyle diseases: 1. diabetes 2. hypertension 3. ischemic heart diseases 4. strokes 5. cancers, in order to reduce incidence, complications, mortality and financial burden through changing of lifestyles particularly better nutrition and proper exercise” Strategy 1. Healthy Public Policy 2. Social Mobilization & Public Communicatio 3. Communit y Building 4. Surveillance & Care 5. Capacity Building

on H e Fo alt un h da Pro ti m on o ti ai co c a b To l ho t co Al en of m ns se ern io l U ov zat fu m n G ani ar H No rg O Th se U Chronic Respiratory Cancer Non Communicable Diseases ea y lth Diabetes or ld t D ie O rg H ea U nh lth Cardiovasclar h n tio za an i t lt en ea nm c H er bli ity ov u tiv G P ac ai of l In Th try ica is ys in Ph M W Thai Non-Communicable Diseases Network

and other Partners