Robert Lustig - Fat Chance

The United Kingdom, Australia, and Canada are right behind us. Also, in the past ten years, obese children have increased in France from 5 to 10 percent, in Japan from 6 to 12 percent, and in South Korea from 7 to 18 percent. [16] S. Yoo et al., “Obesity in Korean Pre-Adolescent School Children: Comparison of Various Anthropometric Measurements Based on Bioelectrical Impedance Analysis,” Int. J. Obes. 30 (2006): 1086–90. In fact, obesity and chronic metabolic diseases are occurring in underdeveloped countries that have never had such problems before. [17] N. Gupta et al., “Childhood Obesity in Developing Countries: Epidemiology, Determinants, and Prevention,” Endocr. Rev. 33 (2012): 48–70. Previously, poorer countries such as Malaysia had problems with malnutrition. Now Malaysia has the highest prevalence of type 2 diabetes on the planet. China has an epidemic of childhood obesity, at 8 percent in urban areas. Brazil’s rate of increase in obesity is predicted to reach that of the United States by 2020. Even India, which continues to have an enormous problem with malnutrition, is not immune – since 2004, the number of overweight children increased from 17 percent to 27 percent. Sienna is not a rarity; her obese peers are being born everywhere. The areas experiencing the greatest rise in obesity and type 2 diabetes include Asia (especially the Pacific Rim) and Africa, which are not wealthy areas. [18] A. Ramachandran et al., “Diabetes in Asia,” Lancet 375 (2010): 408–18. No corner of the globe is spared.

This is not an American problem, an Australian problem, a British problem, or a Japanese problem. This is a global problem. Could each of these countries be experiencing the same cultural shifts toward gluttony and sloth that we are? Childhood obesity knows no intellect, class, or continent.

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