Person’s medical costs rise with increasing obesity

Overweight and obese individuals incur up to $1,500 more in annual medical costs than healthy-weight individuals, according to a two-year study of nearly 200,000 employees of General Motors. Average annual medical costs for normal weight individuals in the study were $2,225, while costs for overweight and obese individuals rose steadily, from $2,388 for overweight individuals to $3,753 for the most severely obese persons. The study, by Dee W. Edington, Ph.D., of the University of Michigan and colleagues, is the first to examine the relationship between medical costs and the six weight groups defined by the National Heart, Lung and Blood Institute’s weight guidelines. The guidelines separate individuals into categories of underweight, healthy-weight, overweight and three different obesity designations, based on average body mass index.

Portion size matters: Given too much, we eat it

Almost nobody can stop eating at just one normal serving if there’s extra food on their plate, Penn State researchers have shown, and this tendency coupled with the spread of megaportions may be contributing to the American obesity epidemic. In the first systematic, controlled study of the response to portion size in adults, the researchers found that the bigger the portion, the more the participants ate. On average, they ate 30 percent more from a five-cup portion of macaroni and cheese than from one half its size ? without reporting feeling any fuller after eating. Dr. Barbara Rolls, who holds the Guthrie Chair of Nutrition in Penn State’s College of Health and Human Development, led the study. She says, “Men and women, normal-weight and overweight individuals, restrained and unrestrained eaters, all responded to larger portion size by eating more.”