The Continuing Epidemics of Obesity and Diabetes in the United States

Abstract

Obesity and diabetes are major causes of morbidity and mortality in the United States.^1,2 Evidence from several studies indicates that obesity and weight gain are associated with an increased risk of diabetes.^3,4 Each year, an estimated 300 000 US adults die of causes related to obesity.⁵ Obesity also substantially increases morbidity and impairs quality of life.^6-8 Overall, the direct costs of obesity and physical inactivity account for approximately 9.4% of US health care expenditures.⁹ The direct and indirect costs of health care associated with diabetes in 1997 were an estimated $98 billion.¹⁰