Obesity treatment is being neglected in favour of prevention, doctor saysBMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c1716 (Published 26 March 2010) Cite this as: BMJ 2010;340:c1716
All rapid responses
Emotive opinions by the National Obesity Forum (NOF) public relations
machine gain prestigious BMJ publication via the ‘News’ section without
peer review. (1) The NOF is a charitable organisation fed by big pharma,
negative stigma regarding obesity, poor diet and a pandemic lack of
understanding about physical activity.
The CMO has acknowledged with good reason, in his final 2009 Annual
Report, that physical activity provides the prevention and treatment of
numerous diseases. (2) This includes the symptom of obesity and occurs
regardless of individual obesity state. Obesity is a symptom of physical
inactivity and poor diet, which are at much higher pandemic levels than
Besides, a recent bariatric surgery systematic review and economic
evaluation suggested that the evidence base for the clinical effectiveness
of bariatric surgery for adults and young people is not quite so clear-
cut. (3) It is extremely unlikely that any drugs and bariatric surgery (4)
have the significant collateral but very important public health benefits
of physical activity alone.
Sadly this is not such big news and lacks big pharma funding with
1 White C. Obesity treatment is being neglected in favour of
prevention, doctor says. BMJ 2010;340:c1716.
2 2009 Annual report of the Chief Medical Officer. Department of
Health. March 15, 2010.
3 Picot J, Jones J, Colquitt JL, Gospodarevskaya E, Loveman E, Baxter
L, Clegg AJ. The clinical effectiveness and cost-effectiveness of
bariatric (weight loss) surgery for obesity: a systematic review and
economic evaluation. Health Technol Assess. 2009 Sep;13(41):1-190, 215-
4 Arterburn D, Livingston EH, Schifftner T, Kahwati LC, Henderson WG,
Maciejewski ML. Predictors of long-term mortality after bariatric surgery
performed in Veterans Affairs medical centers. Arch Surg. 2009
Competing interests: No competing interests