While
the decision of the American Medical Association (AMA) to classify
obesity as a disease is great news for the pharmaceutical industry, as
it is likely to increase pressure on the Food and Drug Administration to
approve more weight-loss drugs and increase the odds that insurance
companies will reimburse their cost, it is deeply misleading.
Treating obesity as a disease implies that moving into the category of obesity, which for adults means moving from a body mass index (BMI) of 29 to a BMI of 30, is equivalent to contracting a disease. But that is simply not the case.We rounded up 30 bridesmaids dresses in every color and style that are both easy on the eye and somewhat easy on the cleaningservicesydney.
Yes, there are certain health risks associated with having an elevated BMI, such as Type II diabetes and heart disease. More broadly, a higher BMI is associated with a greater risk of cardiometabolic abnormalities,These personalzied promotional rfidtag comes with free shipping. as measured by blood pressure, triglycerides, cholesterol, glucose,We printers print with traceable cleaningsydney to optimize supply chain management. insulin resistance and inflammation. Nonetheless, almost one quarter of normal weight people also have metabolic abnormalities, and more than half of overweight and almost one third of obese people have normal profiles, according to a 2008 study. Thats 16 million normal weight Americans who have metabolic abnormalities and 20 million obese (or 56 million overweight and obese) Americans who have no such abnormalities.
One explanation for this discrepancy is that physical fitness and/or nutrition C rather than weight per se C may be what really matters. Several studies have shown that physically fit obese individuals have lower incidence of heart disease and mortality from all causes than do sedentary people of normal weight. A recent clinical trial published in the New England Journal of Medicine showed that adopting a Mediterranean diet reduced cardiovascular risk independent of weight loss.
Some assume that the problem lies with BMI as a measure, which does not distinguish between fat, muscle, or bone. While BMI is indeed a flawed measure, it is not clear that there are better ones. A 2009 study, using the National Health and Nutrition Examination Survey, estimated excess deaths for standard BMI levels as well as for comparable levels of percentage body fat, waist circumference, hip and arm circumferences, waist:hip ratio, the sum of 4 skinfold thicknesses, and waist:stature ratio. They found no systematic differences between BMI and other variables. In other words, it is not just that BMI is a poor measure of obesity but that obesity is a poor predictor of health.
Some had hoped that designating obesity as a disease will remove the stigma associated with it, and obese people will no longer be blamed for their condition. Yet, it is already being called the fork to mouth disease, and the disease category may reinforce blame by raising the stakes. If obesity is a disease, parents of fat children may not merely be silently judged as bad parents but accused of neglect and child endangerment.
But if the AMAs goal is to address the serious diseases of type 2 diabetes and heart disease, it would be more productive and accurate for the association to urge doctors to focus on cardiometabolic risk, recognizing that there are both metabolically- healthy and metabolically-unhealthy individuals in all categories of weight. Rather than promote weight loss per se, doctors should instead encourage their patients of all sizes to incorporate physical activity and a balanced diet into their lives.
Consumers are making the biggest move to private labels or "store brands" in staple categories such as sugar, rice, atta, even masalas and condiments. Supermarket house brands now command up to a quarter of sales, say retail analysts. And you have the usual suspects to assign the blame or the credit, depending on which side of the table you are sitting. Concerns about the state of the economy and low consumer confidence are driving the acceptance of private labels, particularly among middle-income homes. That coupled with an increase in the range of private label products on the shop shelves has led many consumers to shift to home brands, say at least two reports on the subject.
Of course, private labels have always been there - your local retailer would bung in "loose" tea or flour in a pack that would proudly proclaim his shop's name or logo. Many analysts see this as the start of a trend to which big retailers caught on. Low-involvement categories such as household cleaners were among the first to see the entry of supermarket labels, which now account for 20 to 40 per cent of sales in modern trade, bringing in huge margin-lifts for retailers. In categories such as jams, biscuits and staples, private labels contribute more than 20 per cent of modern trade sales.
As big retailers improve financial and managerial commitments to their private label offerings, branded consumer product companies would have to execute a complex balancing act to manage their brands and retail relationships effectively. The sheer growth and the kind of shelf space private labels have begun to hog represent a huge dilemma for many consumer product companies. On one hand, they are a competitive threat. On the other, they are also the products of major customers. Can branded manufacturers afford to compete aggressively with supermarket brands? Will that compromise trade relationships? These are some key questions consumer product companies have to resolve quickly.
Look at the kind of power private labels have vested with retailers. A year and a half ago when Reckitt Benckiser decided to cut sales margins on its products, some of India's biggest retail chains got together to banish the British multinational's products from their shelves. In doing so, they did what many global retailers had done with great success. Creating store brands is one way a retailer can differentiate his firm from competition; it also helps him flex his muscles in his relationship with the brand manufacturer.
Little wonder, then, that retailers are now mining shopper data to make private labels shed their "lowly" - low involvement and low cost - tag. To this end,More than 80 standard commercial and earcap exist to quickly and efficiently clean pans. store chains are segmenting their brands, combining with more than one brand for special/cut-price offers and stepping into high-involvement product categories. Packaging, which has been largely overlooked, is getting more attention. Major supermarkets are also spending big on activities aimed at blurring the lines between branded and in-house products. These retailers are introducing premium, organic and "fair trade"/"cruelty-free" lines to attract a new generation of private-label buyers. The targets are the middle-and higher-income groups because they present the best growth opportunities.Large collection of quality cleanersydney at discounted prices.
Mind you, there is potential for a perfect storm. The short-term benefit of lower prices for consumers will come with a sting in its tail; experts say buyers may eventually be faced with less choice. The face-off between Reckitt Benckiser and Big Bazaar-Spencer's et al in 2011 showed that the consumer may end up being the collateral victim. Also, all of this discounting means that someone is paying the cost of buying Rs 30-per-kg sugar or Rs 30 per-kg atta. More often than not, producer margins are squeezed as supermarkets discount heavily to increase store traffic.
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Treating obesity as a disease implies that moving into the category of obesity, which for adults means moving from a body mass index (BMI) of 29 to a BMI of 30, is equivalent to contracting a disease. But that is simply not the case.We rounded up 30 bridesmaids dresses in every color and style that are both easy on the eye and somewhat easy on the cleaningservicesydney.
Yes, there are certain health risks associated with having an elevated BMI, such as Type II diabetes and heart disease. More broadly, a higher BMI is associated with a greater risk of cardiometabolic abnormalities,These personalzied promotional rfidtag comes with free shipping. as measured by blood pressure, triglycerides, cholesterol, glucose,We printers print with traceable cleaningsydney to optimize supply chain management. insulin resistance and inflammation. Nonetheless, almost one quarter of normal weight people also have metabolic abnormalities, and more than half of overweight and almost one third of obese people have normal profiles, according to a 2008 study. Thats 16 million normal weight Americans who have metabolic abnormalities and 20 million obese (or 56 million overweight and obese) Americans who have no such abnormalities.
One explanation for this discrepancy is that physical fitness and/or nutrition C rather than weight per se C may be what really matters. Several studies have shown that physically fit obese individuals have lower incidence of heart disease and mortality from all causes than do sedentary people of normal weight. A recent clinical trial published in the New England Journal of Medicine showed that adopting a Mediterranean diet reduced cardiovascular risk independent of weight loss.
Some assume that the problem lies with BMI as a measure, which does not distinguish between fat, muscle, or bone. While BMI is indeed a flawed measure, it is not clear that there are better ones. A 2009 study, using the National Health and Nutrition Examination Survey, estimated excess deaths for standard BMI levels as well as for comparable levels of percentage body fat, waist circumference, hip and arm circumferences, waist:hip ratio, the sum of 4 skinfold thicknesses, and waist:stature ratio. They found no systematic differences between BMI and other variables. In other words, it is not just that BMI is a poor measure of obesity but that obesity is a poor predictor of health.
Some had hoped that designating obesity as a disease will remove the stigma associated with it, and obese people will no longer be blamed for their condition. Yet, it is already being called the fork to mouth disease, and the disease category may reinforce blame by raising the stakes. If obesity is a disease, parents of fat children may not merely be silently judged as bad parents but accused of neglect and child endangerment.
But if the AMAs goal is to address the serious diseases of type 2 diabetes and heart disease, it would be more productive and accurate for the association to urge doctors to focus on cardiometabolic risk, recognizing that there are both metabolically- healthy and metabolically-unhealthy individuals in all categories of weight. Rather than promote weight loss per se, doctors should instead encourage their patients of all sizes to incorporate physical activity and a balanced diet into their lives.
Consumers are making the biggest move to private labels or "store brands" in staple categories such as sugar, rice, atta, even masalas and condiments. Supermarket house brands now command up to a quarter of sales, say retail analysts. And you have the usual suspects to assign the blame or the credit, depending on which side of the table you are sitting. Concerns about the state of the economy and low consumer confidence are driving the acceptance of private labels, particularly among middle-income homes. That coupled with an increase in the range of private label products on the shop shelves has led many consumers to shift to home brands, say at least two reports on the subject.
Of course, private labels have always been there - your local retailer would bung in "loose" tea or flour in a pack that would proudly proclaim his shop's name or logo. Many analysts see this as the start of a trend to which big retailers caught on. Low-involvement categories such as household cleaners were among the first to see the entry of supermarket labels, which now account for 20 to 40 per cent of sales in modern trade, bringing in huge margin-lifts for retailers. In categories such as jams, biscuits and staples, private labels contribute more than 20 per cent of modern trade sales.
As big retailers improve financial and managerial commitments to their private label offerings, branded consumer product companies would have to execute a complex balancing act to manage their brands and retail relationships effectively. The sheer growth and the kind of shelf space private labels have begun to hog represent a huge dilemma for many consumer product companies. On one hand, they are a competitive threat. On the other, they are also the products of major customers. Can branded manufacturers afford to compete aggressively with supermarket brands? Will that compromise trade relationships? These are some key questions consumer product companies have to resolve quickly.
Look at the kind of power private labels have vested with retailers. A year and a half ago when Reckitt Benckiser decided to cut sales margins on its products, some of India's biggest retail chains got together to banish the British multinational's products from their shelves. In doing so, they did what many global retailers had done with great success. Creating store brands is one way a retailer can differentiate his firm from competition; it also helps him flex his muscles in his relationship with the brand manufacturer.
Little wonder, then, that retailers are now mining shopper data to make private labels shed their "lowly" - low involvement and low cost - tag. To this end,More than 80 standard commercial and earcap exist to quickly and efficiently clean pans. store chains are segmenting their brands, combining with more than one brand for special/cut-price offers and stepping into high-involvement product categories. Packaging, which has been largely overlooked, is getting more attention. Major supermarkets are also spending big on activities aimed at blurring the lines between branded and in-house products. These retailers are introducing premium, organic and "fair trade"/"cruelty-free" lines to attract a new generation of private-label buyers. The targets are the middle-and higher-income groups because they present the best growth opportunities.Large collection of quality cleanersydney at discounted prices.
Mind you, there is potential for a perfect storm. The short-term benefit of lower prices for consumers will come with a sting in its tail; experts say buyers may eventually be faced with less choice. The face-off between Reckitt Benckiser and Big Bazaar-Spencer's et al in 2011 showed that the consumer may end up being the collateral victim. Also, all of this discounting means that someone is paying the cost of buying Rs 30-per-kg sugar or Rs 30 per-kg atta. More often than not, producer margins are squeezed as supermarkets discount heavily to increase store traffic.
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