Obesity in the Asia-Pacific Region: Current Perspectives

Author:

Lui David Tak Wai1ORCID,Ako Junya2ORCID,Dalal Jamshed3ORCID,Fong Alan4ORCID,Fujino Masashi5ORCID,Horton Ari6ORCID,Krittayaphong Rungroj7ORCID,Almahmeed Wael8ORCID,Matthias Anne Thushara9ORCID,Nelson Adam J5ORCID,Nicholls Stephen J5ORCID,O’Brien Richard10ORCID,Poh Kian Keong11ORCID,Soomro Khalida12ORCID,Yeo Khung Keong13ORCID,Tan Kathryn Choon Beng1ORCID

Affiliation:

1. Department of Medicine, The University of Hong Kong, Hong Kong, China

2. Department of Cardiovascular Medicine, Kitasato University, Sagamihara, Japan

3. Department of Cardiology, Kokilaben Hospital, Mumbai, India

4. Department of Cardiology, Sarawak Heart Centre, Malaysia; Clinical Research Centre, Institute for Clinical Research, Sarawak General Hospital, Malaysia

5. The Victorian Heart Institute, Monash University, Melbourne, Australia

6. The Victorian Heart Institute, Monash University, Melbourne, Australia; Monash Heart and Monash Children’s Hospital, Monash Health, Melbourne, Australia; Department of Paediatrics, Monash University, Melbourne, Australia; Department of Genomic Medicine, Royal Medicine Hospital, Parkville, Victoria, Australia

7. Division of Cardiology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

8. Heart and Vascular Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates

9. Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka

10. Austin Clinical School, University of Melbourne, Melbourne, Australia; Austin Health, Melbourne, Australia

11. Department of Cardiology, National University Heart Centre Singapore, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore

12. Department of Cardiology, Ziauddin University Hospital, Karachi, Pakistan

13. Department of Cardiology, National Heart Centre Singapore, Singapore; Duke−NUS Medical School, Singapore

Abstract

Obesity has become a pandemic in the Asia-Pacific region, with an alarming rate of increase in the prevalence of obesity. The impact of obesity and its associated comorbidities goes beyond the healthcare system, posing a substantial burden not only on the individual, but also on the society and the economy. In this review, we focus on the latest situation in the Asia-Pacific region, and review the diagnostic criteria of obesity, management strategies and access to treatment in the region. National guidelines on obesity management are available in some countries, reflecting the recognition of the problem of obesity by healthcare professionals and government bodies. Although a range of anti-obesity pharmacotherapies and bariatric surgeries are available, access remains restricted and reimbursement criteria vary in different parts of the Asia-Pacific. Prevention is key, as treatment alone cannot reverse the tide of obesity, and a sustained partnership between the patient and the clinician is necessary to manage the chronic disease of obesity.

Publisher

Radcliffe Media Media Ltd

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