Overweight, Obesity and Diabetes: Global Trends and a Better Future?

The related overweight, obesity and diabetes epidemics are more than five decades old and have progressed inexorably. A billion people in the world are now obese, and nearly a billion are diabetic. The belief that diabetes is caused by overweight and obesity has led to public health advice focused o...

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Main Author: Barbara McPake
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Health Systems & Reform
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Online Access:https://www.tandfonline.com/doi/10.1080/23288604.2025.2518797
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author Barbara McPake
author_facet Barbara McPake
author_sort Barbara McPake
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description The related overweight, obesity and diabetes epidemics are more than five decades old and have progressed inexorably. A billion people in the world are now obese, and nearly a billion are diabetic. The belief that diabetes is caused by overweight and obesity has led to public health advice focused on lifestyle change as the main preventive approach. This advice has shifted over time, and some parts of the public health community have started to switch from a lifestyle to an environmental perspective. There is a growing but not yet conclusive evidence base that rather than diabetes being caused by overweight and obesity, the three conditions have a common third cause, and difficulties in controlling weight and blood glucose emerge in tandem. New classes of medications, including semaglutides and tirzepatides, effectively address these processes. They are in the early stages of development but have accumulated a safety record over the last decade. They are largely currently available only to those who can afford their relatively high cost, but new generations of related medications are capable of becoming lower cost, and wider access to them could transform the overweight, obesity and diabetes pandemics. There is a marked absence of enthusiasm for their potential role in the public health community. This appears to reflect stigmatized attitudes to overweight and obesity, which contrast with attitudes to diabetes. A successful medical treatment may be the key to resolving that stigma and reversing the three pandemics.
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spelling doaj-art-c1bf1059bf744fbbb4e2bab47f003acb2025-08-20T03:23:52ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202025-12-0111110.1080/23288604.2025.2518797Overweight, Obesity and Diabetes: Global Trends and a Better Future?Barbara McPake0Nossal Institute for Global Health, School of Population and Global Health, University of Melbourne, Melbourne, Victoria, AustraliaThe related overweight, obesity and diabetes epidemics are more than five decades old and have progressed inexorably. A billion people in the world are now obese, and nearly a billion are diabetic. The belief that diabetes is caused by overweight and obesity has led to public health advice focused on lifestyle change as the main preventive approach. This advice has shifted over time, and some parts of the public health community have started to switch from a lifestyle to an environmental perspective. There is a growing but not yet conclusive evidence base that rather than diabetes being caused by overweight and obesity, the three conditions have a common third cause, and difficulties in controlling weight and blood glucose emerge in tandem. New classes of medications, including semaglutides and tirzepatides, effectively address these processes. They are in the early stages of development but have accumulated a safety record over the last decade. They are largely currently available only to those who can afford their relatively high cost, but new generations of related medications are capable of becoming lower cost, and wider access to them could transform the overweight, obesity and diabetes pandemics. There is a marked absence of enthusiasm for their potential role in the public health community. This appears to reflect stigmatized attitudes to overweight and obesity, which contrast with attitudes to diabetes. A successful medical treatment may be the key to resolving that stigma and reversing the three pandemics.https://www.tandfonline.com/doi/10.1080/23288604.2025.2518797Diabetesmedicinesobesityoverweightpublic health
spellingShingle Barbara McPake
Overweight, Obesity and Diabetes: Global Trends and a Better Future?
Health Systems & Reform
Diabetes
medicines
obesity
overweight
public health
title Overweight, Obesity and Diabetes: Global Trends and a Better Future?
title_full Overweight, Obesity and Diabetes: Global Trends and a Better Future?
title_fullStr Overweight, Obesity and Diabetes: Global Trends and a Better Future?
title_full_unstemmed Overweight, Obesity and Diabetes: Global Trends and a Better Future?
title_short Overweight, Obesity and Diabetes: Global Trends and a Better Future?
title_sort overweight obesity and diabetes global trends and a better future
topic Diabetes
medicines
obesity
overweight
public health
url https://www.tandfonline.com/doi/10.1080/23288604.2025.2518797
work_keys_str_mv AT barbaramcpake overweightobesityanddiabetesglobaltrendsandabetterfuture