David Lister, Scotland Correspondent
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Scotland is the second-fattest nation in the developed world, with only the United States having higher obesity levels, a report revealed yesterday.
Figures show for the first time the full extent of the link between obesity and serious illness in Scotland, with obese people 18 per cent more likely to receive hospital treatment than those of normal weight.
The figures, which also confirm alarmingly high levels of obesity in children, paint the most comprehensive and depressing picture to date of Scotland’s obesity “epidemic” and the extent to which this is affecting health. Obesity and its consequences cost the NHS in Scotland £171 million in 2001, the most recent year for which such figures are available.
Women are particularly likely to develop serious health problems from being obese, according to the report by the Scottish Public Health Observatory, a collaboration of public health information bodies in Scotland.
Obese women are nearly 13 times more likely to develop type 2 diabetes than women of normal weight, more than four times as likely to suffer from high blood pressure, and about three times as likely to develop cancer of the colon. They are nearly 30 per cent more likely to suffer a stroke.
Obese men are more than five times as likely to develop type 2 diabetes than those of normal weight, 2.6 times as likely to suffer from high blood pressure and about twice as likely to develop osteoarthritis. Their chances of suffering a stroke are also 30 per cent higher.
Based on 2003, the most recent year for which figures are available, nearly 500,000 cases of high blood pressure – 36 per cent of the total – and more than 50,000 cases of coronary heart disease were a direct result of obesity, according to the report. About 900 cases of cancer, mostly of the colon, were also attributed to obesity.
The report prompted concern yesterday, and threatened to overshadow plans by the Scottish Executive to help to tackle childhood obesity by removing sweets and fizzy drinks from schools.
Under new rules, at least two portions of fruit and vegetables will be served every lunchtime, oily fish will be served once every three weeks, while deep-fried food will be limited to three items a week. Sweets and fizzy drinks will be removed from schools and chips will be served only as part of a balanced meal.
Adam Ingram, the Children’s Minister of the Scottish Executive, said: “By targeting our youngest citizens we can make a lasting difference. Putting healthy options on a plate for pupils every day will develop their taste for the food that’s good for them and stop unhealthy habits from taking hold.”
However, Mary Scanlon, of the Scottish Conservatives, questioned whether enough was being done. She described the figures on obesity as horrific.
Ross Finnie, health spokesman for the Liberal Democrats in the Scottish Parliament, said: “I urge the Scottish Government to invest more in improving school meals . . . Childhood obesity rates are a ticking timebomb that the Scottish government must address as a matter of urgency.”
The report’s authors yesterday sounded a dire warning for the future of Scotland’s health. They concluded: “Obesity levels in adults and children have risen steadily over the past ten years, with marked increases in men aged 35-64 and in women aged 35-44. These figures provide little evidence that current approaches to obesity are having any impact.”

From fat to thin
Top of the table (per cent)
United States - 32.2
Scotland - 25.5
Mexico - 24.2
UK (as a whole) - 23
England - 22.5
Canada - 22.4
Greece - 21.9
Australia - 21.7
New Zealand - 20.9
Hungary - 18.8
Czech Republic - 14.8
And at the bottom Germany - 12.9
France - 9.5
Italy - 9
Norway - 8.3
Source: OECD
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The UK as a whole has to find an effective solution to this problem. My hospital Trust, in the south of England, is about to restructure services to meet the increased demand for gastric banding. One consultant told me that the number of young people (under 18) requesting this procedure is growing.
It seems that a great many people are simply unable or unwilling to regulate for themselves the amount that they eat.
JP, London,
Where is Ireland? They are the largest per capita consumers of sugar in the world.
Henry Barth, Dublin, Ireland
I m stunned that Wales isn t right at the top of the list The amount of ambulant surplus fat on display in my town is frightening - and ugly. If Scotland is worse than this, there must be truly horrific sights on display.
dhr, cardiff,
Susan,
Get over it.
Sally, london,
For all those that think that obesity is a 'rich nation' fixture, Mexico is 3rd. I wouldn't categorise it as a rich nation by far. There is a lot of fresh food available in Mexican street markets which makes the base of a typical family diet. On the same venue, Mexico is the no. 1 consumer of pop/fizzy/soda drinks. I believe that it has to do more with food culture than with wealth.
We pay more for food in the UK because it is mostly imported and the taxes it has to pay.
Looking at some history books, the ration years that started during WW II and continued for a decade, the diets that people had made them quite healthy. We live in days of over-indulgence. If we had a 'rationed' diet, the level of obesity would drop significantly. But who would like now to have sweets, bread, eggs, meat rationed?
Alex, Loughborough,
Dear John
Are the english paying for our two dinners with the oil revenue originating in Scotland? Most probably.
Susan , Edinburgh, scotland
One of the reasons in Singapore may be it is so hard to own a car. Unless you are rich and you have noticed rich people in Singapore are fat. I have noticed the same of people in most Asian Countries. I have been shopping the last month on my bike the effort to go shopping and I can only carry a small amount in my back pack means my cupboards are empty and I have lost 2.5 killos in 2 weeks I have done some more exercise and I was a bit overweight due to a gourmet holiday but being unable to load up the trolley and just drive to the shops at any time the same effect could be with walking and lets face it you will not go to a drive though without a car when your kids say they are hungry late at night. I will have my car back at the end of the month and temptation will return but perhaps I will write a book on the bike diet.
James Hendry, Adelaide, Australia
Scotland needs independence. At first, like the student who finally flies the coup, they'll face some hardships; they'll flog their valuables (Royal estates to the Saudis); then they'll borrow; and when there's nothing left to sell and nobody left to borrow from, they'll lose weight.
Lawrence, Liverpool, Englan
I suppose that when they become independent they will therefore have to increase their health budget from half the remaining North Sea oil revenue then?
Pete Balchin, Solicitor , Bristol, UK
Maria, Cardiff
Wales is not a country it is a principality of England, I would have thought living in Wales you would be aware of that.
Derek, Edinburgh, Scotland
Maybe before implementing these ideas, the government should ask the teenagers whose lives they have already affected by doing these things.
I've left school now, but it's an absolute nightmare. I know you parents are looking out for your kids, but so will i be soon enough...
Anyway, my point is... When i was at school, the only things in the vending machines was fruit (not fresh fruit, and generally bruised by the time it hit the bottom), milkshakes and water. In canteens the food became ridiculous, there was nothing anybody enjoyed... It was all salads or fruit salads. Nobody actually wanted to eat at schools, as a result of this the Year 11's (the only group allowed off school grounds at lunch times) were being begged to buy food from the coop for the younger children to avoid them going hungry.
Why do people not realise that you cannot force foods onto someone?!
The ironic thing is, it was the overweight pupils that ate fruit & veg all the time and avoided fatty food!!
Kay, Lincolnshire,
If the Scots are having two dinners, remember it's the English who are paying for them.
John Ledbury, Kings Lynn, England
interesting choice of countries-no asian ones.
vast range here-along poverty lines,but opposite to UK.
fat folk are rich,thin ones poor in asia generally
singapore is however developed,and generally little obesity.
no cheap freezer shops as well,markets still used,and a huge choice of cheap fresh food.
my wife cant understand why we pay so much in UK for food or meals when we visit ,and neither can I.
fraser kelly, singapore, singapore
Where is Wales? They would surely beat Scotland for fatness?
maria, cardiff, UK
Hold on a minute! Looking at your chart there is an 8.2 gap between Scotland and the US, but only a 2.5 or 3 point gap between the UK and Scotland depending on how you look at it.
Isn't that just as embarrassing for us? Call that a good news story? Get a grip!
Lee, Dorset,