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Recommended Prevention Strategies



Greater attention should be given to strategies aimed at preventing weight gain and obesity. These are likely to be more cost effective and have a greater positive impact on the long- term control of body weight than strategies designed to deal with obesity once it has fully developed. 

The Committee adapted relevant strategies recommended by WHO (1998) and the Surgeon General’s Report (US DHHS 2001) for this section.


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Childhood Obesity


The prevalence of child obesity is increasing rapidly worldwide (WHO 1998). It is associated with several risk factors for later heart disease and other chronic diseases including hyperlipidaemia, hyperinsulinaemia, hypertension and early artherosclerosis (Berenson et al. 1998). In view of its public health importance, the trends in child obesity should be closely monitored. Trends are, however, difficult to quantify or to compare locally and internationally, as a wide variety of definitions of child obesity are in use, and no commonly accepted standard has yet emerged (Cole et al. 2000).


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Why the concern?

Prevalence of Obesity

The global burden of overweight (BMI 25.0 – 29.9) and obesity (BMI≥30.0) is estimated at more than 1.1 billion. There is evidence that the risk of obesity related diseases among Asians rises from a lower BMI of 23.0 (James et al. 2002). If this were adopted as a new benchmark for overweight Asians, it would require a major revision of approaches in the Asian sub- regions, where a significant proportion of the 3.6 billion population already has a mean BMI of 23.4. In the Asia Pacific region, the prevalence of obesity in men is between less than 1% in China to about 58% in urban Samoa. In women, obesity prevalence is between less than 2% in China to about 77% in urban Samoa. Available local data on prevalence of obesity reveals that the problem faced in Malaysia is more serious than those reported in other Asian countries (Figure 3).


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Introduction Strategy for the Prevention of Obesity - Malaysia




This document describes recommendations to affect a combined approach to prevent overweight and obesity. It was initiated by the Malaysian Association for the Study of Obesity (MASO) in collaboration with the Ministry of Health, Malaysia.



The terms of reference are as follows:


To provide a detailed overview of the problem of obesity including its definition,causes and consequences

To provide an overview of the severity of the problem of obesity in Malaysia.


To recommend appropriate strategies for the prevention of obesity focussing on the whole population as well as specific target groups.


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