Intended for healthcare professionals

Practice ABC of obesity

Obesity—time to wake up

BMJ 2006; 333 doi: (Published 21 September 2006) Cite this as: BMJ 2006;333:640

Obesity on the menu!

I work with a lot of immigrants from the Pacific Islands - big
people, everyone
knows that, but Darwinianly healthy. For many, though, their weight soars
they come to California. A patient recently explained to me that the
culture on
the Islands is a food-based one - "there's fruit on the trees and fish in
the sea"
she said. However, that healthy, readily available sustenance is not so
easy to
get in an industrial society, and all-you-can-eat buffets become social

So my initial advice, when asked for help with regaining healthy
weight, is
threefold: Eat at home with your friends and family (like your
grandparents did,
as the brilliant Michael Pollan suggests), throw away the bathroom scales
let me weigh you monthly), and buy a very long tape measure!

Competing interests:
None declared

Competing interests: No competing interests

26 September 2006
Margaret Allen
Physician Assistant