we know without a doubt is that obesity rates continue to increase in almost all locations. Low-SDI and middle-SDI countries generally have little financial resources for nutrition programs and mostly rely on external donors whose programmes often preferentially target undernutrition.37 The increase in exposure to high BMI is greater than the increase in attributable burden largely because cardiovascular disease death rates continue to decline because of other changes, particularly improvements in treatment and declines in smoking and high cholesterol. Proposed policies, even if fully implemented, are unlikely to rapidly reduce the prevalence of obesity. While not a solution to the rise of overweight and obesity, clinical interventions that control high SBP, cholesterol, and FPG (the major risk factors for cardiovascular disease) can be used to mitigate some of the cardiovascular ill-effects.20 Expanded use of such interventions among obese people could effectively reduce the disease burden of high BMI. Sustained progress, however, will require policies that effectively control weight in childhood and in young and middle-aged adults.
