Obesity is now the largest social issue faced by the US population, more so than drugs, smoking, and other issues. It places an enormous strain on the healthcare system, is difficult to manage because it is highly lifestyle related, lives are at risk and there is no effective preventive setup.

1. The obesity numbers are startling – 50% non-Hispanic black women, 15% of the children in the age of 6-19, and an amazing 31% of American adults are obese. The figure for children is the most disturbing; the numbers have more than tripled since 1980. Maximum obesity is to be found in the age-group 50-59 years; ironically an age when the body’s natural defenses are deteriorating and obesity can open the doors to diseases like the dreaded diabetes and hypertension.

2. A study of behavioral risk factors shows that those with less education, i.e. up to high school made up 27.4% of the obese sample as against those with college education and higher who were around 15.7% of the obese population studied. Blacks and Hispanic communities have maximum cases of obese individuals. The above two facts imply that obesity has economic implications and the poor are more likely to suffer from what could be considered a rich man’s disease.

3. The East South Central (Alabama, Kentucky, Mississippi, and Tennessee) region of the US is the most obese region in the US; conversely the New England Region (Connecticut, Maine, New Hampshire, Massachusetts, Rhode Island, Vermont) is the least obese one.

4. Obesity is a cost to the society; annual costs related to obesity are in the region of $130 billion with more than half being direct costs such as visits to doctors, medications, and treatment for conditions such as hypertension, heart problems, and diabetes. Indirect costs include lost working hours and work stalled because of people unable to work due to illness or disability

5. Type 2 Diabetes and Osteoarthritis are two obesity-related conditions that are a major cost burden to society and the health industry. The total cost - direct and indirect – because of type 2 diabetes is more than $100 billion while it’s around $25 billion due to osteoarthritis.

6. The list of obesity-related ailments is a long one and obese Americans are at risk from Congestive heart failure, Angina pectoris, Cholecystitis, Cholelithiasis, Osteoarthritis, Gout, Fatty liver disease, Sleep apnea and other respiratory problems, Polycystic ovary syndrome (PCOS), Fertility complications, Pregnancy complications, Psychological disorders, Uric acid nephrolithiasis (kidney stones), Stress urinary incontinence, Cancer of the kidney, endometrium, breast, colon and rectum, esophagus, prostate and gall bladder, Death.

7. Surgical procedures that obese people undergo are more often than not traumatic experiences. Complications are not uncommon, ruptured blood vessels in the lungs, leaking and bleeding of the stomach and intestines, infections of the lungs, blood clotting in veins and infections of the small intestines are some of the complications that can arise.

8. Surgery for obesity results in a follow-up surgery for more than 20% of the patients for corrections to remove obstructive complications such as abdominal hernias; gallstones occur in almost a third of the patients who lose weight quickly. Nutrition deficiencies, anemia, and osteoporosis can happen due to long-term loss of absorptive function. One in two hundred cases can result in death.