Example of informative speech outline Essay

I. Introduction A. Attention Getter:Today, just about everyone depends on information and communication to keep their lives moving through daily activities like work, education, health care, leisure activities, entertainment, travelling, personal relationships, and the other stuff with which we are involved. So what? We need to be aware that the values we hold, the beliefs we harbour and the decisions we make are based on our assumptions, our experiences, our education and what we know for a fact. We rely on mass media for the current news and facts about what is important and what we should be aware of. B. Reason to Listen:Media Effects and Society provides an in-depth look at media effects and is one of the most unresolved issues in our society, and it is necessary to be knowledgeable to its effect. C. Thesis Statement:Social media websites are some of the most popular haunts on the Internet. They have revolutionized the way people communicate and socialize on the Web. D. Credibility Statement:1. I have been seen the related issues of mass media in the news. 2. I have read and studied about the effects of mass media in a related book news paper and, and have done research on the Internet. E. Preview of Main Points:1. First, I will discuss the influence of social media in the society. 2. Finally, I will discuss the effects of social media and the impact to the society and to the individual. II. Social media websites are some of the most popular haunts on the Internet. They have revolutionized the way people communicate and socialize on the Web. A. Social Media is one of the most influential issues in the society. 1. There are three basic functions of mass media. a. Providing news and information b. Entertainment c. Education 2. How media influence us a. According to Victoria Sherrow, in her book Violence the question of cause and effect and the Media: There are positive and negative influences of mass media, which we must understand as a responsible person of a society. b. New and influential media-distribution channels have appeared in the 21st century. Delivered via the World Wide Web across the Internet, we are influenced daily by blogs, wikis, social networks, virtual worlds and myriad forms of content sharing. c. Radio and then television were very influential. As the 20th century closed, TV exposed us to untold numbers of images of advertising and marketing, suffering and relief, sexuality and violence, celebrity, and much more. Transition: Now that I have discussed the influence of social media, I will now discuss the effects of social media and the impact to the society and to the individual. B. The impact of Media on the society 1. Social impact a. Couldry states that â€Å"Mass media generally are considered a prime candidate given the on-line profusion of information and entertainment services. This article compares the daily mass media habits of heavy, light, and nonusers of personal computers and on-line services based on 1994 and 1995 national surveys conducted by the Times-Mirror Center for the People and the Press.† b. On a social level, media has its greatest impact. Viewpoints have been shaped due to the representation of different cultures, races, genders, religions, and sexual orientations. c. Graham noted that social media usage by teens and younger kids sparks a greater fear for some in society. d. Social media has made it possible for like minded individuals to discuss important topics, widen their personal knowledge and discover things they never knew before. 2. Political impact a. The rise of a â€Å"networked information economy† (Benkler, 2006) has revolutionized the media political economy. b. As the Internet plays a larger role in governance, campaigns and activism, the debate continues about how social and digital media are changing politics. c. Social media therefore introduce new informational capabilities for producing, recording and spreading information through networks (Norris, 2002). III. Conclusion A. Review Main Points: 1. Today I discussed the influence of social media in the society. 2. Finally, I discussed the effects of social media and the impact to the society and to the individual. B. Research thesis:Social media websites are some of the most popular haunts on the Internet. They have revolutionized the way people communicate and socialize on the Web. C. Closure:In conclusion, social media has politically and socially made an impact to our society. Each individual have there negative and positive effects; thus we must knowledgeably know the basic elements and it’s fundamentals to avoid violence. References Sherr, V. (2005).Violence the question of cause and effect anAlcoholics Anonymous Meeting Experiencd the Media. Article Kohut, A. (2007). Social Impact Research Personal Computer, Man Made, Use of Time Journal, 243-248 Couldry, N. (2000).Media, Society World: Social Theory and Digital Media Practice. uPublish.com Graham, R. (2014). Social Media Causing a Distancing Phenomena To Take Place. New York, New York: Reader’s Digest. http://journalistsresource.org/studies/politics/citizen-action/research-internet-effects-politics-key-studies#sthash.nuKv68tq.dpuf

Ansoff’s Matrix Explanation Essay

Using the same product in the same market, however altering the looks or the style of the product to make is look new to encourage higher sales. E.g. Coca-Cola using different styles of coke and using different advertising campaigns to sell the same coke product. Product development When a new product is used in the same market. For example if coke sold juice, it would still be in the same drinks market however it would be a different product. New market Market development Selling the same product to a new market. It has a higher risk because it is a different set of customers. An example of this is Tesco’s expansion into petrol sales. Diversification A new product to be sold in a completely new market. This has a higher risk because it is a completely new idea and may not catch-up quickly which may lead to the company making a loss. A good example of the unrelated diversification is Richard Branson. He took advantage of the virgin brand and diversified into various fields such as entertainment, air and rail travel foods etc. Ansoff’s Matrix Main Definition: â€Å"The Ansoff Matrix is a strategic planning tool that provides a framework to help executives, senior managers and marketers devise strategies for future growth. It was created by Russian American, applied mathematician and business manager, Igor Ansoff† The Ansoff Growth matrix is a marketing planning tool that helps a business determine its product and market growth strategy

Poverty in the UK Essay

In 1886, Charles Booth investigated the extent of poverty in London. His was the first systematic sociological study of poverty in the UK. The results, presented in 1902-3, documented the living and working condition of the London poor. Adopting a relative approach to poverty — which was defined as the inability to meet the usual standard of life — Booth estimated that the level at which poverty set in for a family of two adults and three children was 21 shillings per week (? 1. 05 today). Booth estimated that 30. 7 per cent of London’s total population were in poverty. Around the same time, adopting an absolute perspective on poverty, Seebohm Rowntree investigated the state of the poor in the city of York in 1899. He highlighted the minimum standard of living which fulfilled people’s biological needs for food, water, clothing and shelter. This is also referred to as the subsistence level. Rowntree subsequently drew up a list of those minimum personal and household necessities required for survival and established two categories of poverty. Primary poverty is when the person is unable to acquire the minimum necessitates, secondary poverty is when a portion of the person’s total earnings is absorbed by other useful or wasteful expenditure such that it is not possible to maintain the minimum standard. Poverty can be defined in several ways, Booth took a relative approach and Rowntree took an absolute approach. In the post-war era, there has been a more pronounced shift from viewing poverty as predominantly a monetary and economic phenomenon to regarding and acknowledging its more qualitative and subjective aspects. By the end of the 1950s, the period of rationing and shortages was over and, with almost full employment, the UK seemed ‘never to have had it so good’. Yet, by the 1960s, a number of social policy academics close to the Labour Party (such as Tawney and Townsend) raised the issue of the continuing existence of poverty in a period of greater prosperity. Townsend questioned absolute definitions of poverty (such as those of Rowntree) which were outdated and failed to take account of the problems some people had in fully participating in society. Townsend’s definitive work on poverty in the UK in 1979 (Townsend 1992) went beyond an absolute definition based on physical needs, to view poverty in relation to a generally accepted standard of living, in a specific society, at a particular time. Individuals can be said to be in poverty when they lack the resources to obtain the types of diet, participate in the activities and have the living conditions and amenities which are customary, or at least widely encouraged and approved, in the societies which they belong. (p. 31) Townsend suggested a definition that was closer in tune to the concept of citizenship — poverty constituted a lack of resources that would enable a person to able to participate in the normal expectations and customs of a society. This kind of definition also would imply that the indicators of poverty can change over time in order to embrace changes in society. In the 1960’s, Townsend used the example of not being able to afford a proper Sunday lunch as an indicator of poverty. The idea of a Sunday roast meal might not be so relevant today because of changes in family life and the way people gather together, and therefore is not so much an integral aspect of what people can be expected to do normally. On the other hand, Townsend’s indicator of giving presents to near members of the family for birthdays or Christmas still holds. In his 1979 work, Townsend identified twelve items he believed were be relevant to the whole population, and gave each household surveyed a score on a deprivation index. The higher the score, the more deprived was the household. Townsend calculated that 22. 9 per cent of the population fell under the threshold of deprivation (Giddens 2006). When talking about poverty, researchers usually base their work on measures of deprivation rather than the identification of poverty by itself. The existence of deprivation is taken as a surrogate for the existence of poverty. People are said to be deprived materially and socially if they lack the material standards (diet, housing ad clothing) and the services and amenities (recreational, educational, environmental, social) which would allow them to participate in commonly accepted roles and relationship within society. The compass of poverty is complex, embracing the unemployed, those on low pay or in insecure work, the sick, the elderly, and the unskilled. Some minority ethnic groups also come into the picture, for example, Pakistanis and Bangladeshis in the UK have, in general, high rates of poverty compared to other groups (Giddens 2006). Absolute poverty assumes that it is possible to define a minimum standard of living based on a person’s biological needs for food, water, clothing and shelter. The emphasis is on basic physical needs and not on broader social and cultural needs. Rowntree’s studies of poverty in York in 1901, 1936, and 1951 used such an approach to poverty. But another way of viewing poverty is of relative poverty, which goes beyond biological needs, and is not simply about a lack of money but also about exclusion form the customs of society. Relative poverty is about social exclusion imposed by an inadequate income. Social exclusion is a broader concept than poverty encompassing not only low material means but the inability to participate effectively in economic, social, political and cultural life, implying alienation and distance from the mainstream society (Giddens 2006). Social exclusion may both be a precursor to poverty and an important consequence of it. In 1984, Mack and Lansley study established that the poverty threshold covered not only the basic essentials for survival (such as food and shelter) but also the ability to participate in society and play a social role: for the first time ever, a majority of people see the necessities of life in Britain in the 1980s as covering a wide range of goods and activities, and†¦ people judge a minimum standard of living on socially established criteria and not just the criteria of survival or subsistence. (Mack & Lansley 1985 : 55) In the 1980s, the discussion of poverty turned increasingly to the notion of polarisation and to the shrinking portion of the UK cake held by the poorest. Poverty and wealth are not simply the ‘bottom’ and ‘top’ of the income distribution, they are polarised social conditions (Scott 1994). Income polarisation was also compounded by a number of policy measure introduced in the 1980s, such as a reduction in the level of income tax for high earners and increasing use of indirect taxes. Academics showed that polarisation and social disparities were growing between those who had benefited from the measures of the successive Thatcher administrations and those who had lost out, while the Thatcher government as the time tried to deny the excesses of Thatcherism. According to an analysis of the Child Poverty Action Group, in the regime of Margaret Thatcher, more than 63 billion has been transferred in subsidies from the poor to the rich (Oppenheim and Harker 1996) Research in the 1990’s on the distribution of wealth and poverty in the UK has been produced under a Joseph Rowntree Foundation research initiative. This research highlighted that the number of people living in households with under half the national average income fell between the early 1960s and 1970s from five million to three million, but then rose to eleven million in 1991, to a point where one in five households were living on under half the national average income. The number of individuals under 60 living in households without paid work has more than doubled – from 4.1. million, or 8 per cent, in 1979, to 9. 4 million, or 19 per cent by the mid 1990s. This has been accompanied by a widening gap in the incomes of households in paid work and those out of paid work. In 1997, 12 million people in the UK (almost 25% of the population) lived below the poverty line, defined as under half the average wage, and two out of five children were born poor. Today, according to OECD (Organisation for Economic cooperation and Development), Britain has one of the worst poverty records in the developed world (Giddens 2006). According to the latest available statistics, nearly 1 in 4 people in the UK – amounting to 13 million people – live in poverty. This includes nearly 4 million children – signifying a shocking 1 in 3 ratio (Oxfam GB 2003). The explanations that have been offered as causes of poverty fall under two categories, individualistic theories and structural theories. Here we will focus on the former. Individualistic theories identify the main causes of poverty within individuals themselves. Social and cultural factors are not entirely discounted, but more emphasis is place on inappropirated individual behaviours. There are three main types of individualistic theories. Orthodox economic theory: This theory proposes that poverty can be explained by the economic deficiency of the individual . Harold Lydall argues that the general abilities of men in the labour force determine the distribution of incomes. These abilities are assumed to be created by genetic, environmental and educational factors. To reduce poverty, policies need to target individuals’ own value systems, to develop their own personal qualities in a manner that makes them more capable and efficient. The individual is poor because he has not maximised his true potential in the labour market. Minority group theory: Minority group theory originate from the earliest studies of poverty based on the findings of Booth and Rowntree. These pioneering social scientists did not attempt to discover the causes of poverty, merely the characteristics of certain groups of poor people. Minority group theory has largely constructed its explanation for poverty through examining the characteristics of the poor – for example, being old, being married with dependent children. Going beyond such demographic indicators, the theory implicates alleged ‘faulty’ characteristics. The classification of ‘ar-risk’ groups has prompted policy makers to implement a benefit system to ensure that the most basic of needs are met, without encouraging idleness or apathy. The poverty policies of successive governments have often informed by minority group theory. Subculture of poverty theory: Subculture of poverty theory is derived form a number of anthropological and sociological studies, particularly, the work of Oscar Lewis. It was Lewis who in 1959 introduced the term ‘the culture of poverty’ in an effort to draw an analogy between the Mexican lower class families and those in other parts of the world. He attempted to explain the phenomenon of the persistence of poverty in different countries. The basic idea has its roots in the Chicago School of Sociology and the work of Robert E. Park. According to Park the patterns of the neighbourhood, and the slum in particular, once they come into being, take on a life of their own and are to a great extent self-generating and self-perpetuating. A sociological process known as labeling also underpins this phenomenon. Labelling somebody negatively may also lead to increased surveillance or segregation from the wider community which further increases (and even creates) the predicted behaviour (Fulcher and Scott 2001). These processes, whereby people tend to live up to the expectation of others are known to be self-fulfilling. Oscar Lewis implies a similar understanding in his formulation of the notion of the culture of poverty. Lewis claimed that poverty affected the very personality of slum dwellers. The poor tend to be at once apathetic yet alienated, happy-go-lucky yet miserable. Other negative characteristics that mark the psychological orientation of poor people include laziness, being unambitious, being disorganised, and fatalistic. To fight poverty at its roots, such psychological tendencies need to be gradually eroded, with more positive attitudes taking their place. Much work also needs to be done on making the destitute people more attractive to their potential employers, in terms of skills and educational qualifications. Substantial and sustained reductions in poverty depend on raising the level of qualifications among older teenagers and young adults in the bottom quarter of educational achievement. Lack of progress here is a major concern for longer term progress on reducing poverty. (Joseph Rowntree Foundation 2006) References: Giddens, A. (2006). Sociology. Cambridge : Polity Press Fulcher, J. & Scott J. (2001). Sociology. Oxford : Oxford University Press Joseph Rowntree Foundation. (2006). Monitoring poverty and social exclusion in the UK 2006. Retrieved 20 March 2007 from http://www.poverty. org. uk/reports/mpse%202006%20findings. pdf Mack, J. & Lansley, S. (1985). Poor Britain. London : Unwin Hyman Oppenheim,C. & Harker, L. (1996). Poverty: the Facts, 3rd ed. London : Child Poverty Action Oxfam GB. (2003). The facts about poverty in the UK. Retrieved 20 March 2007 from http://www. oxfamgb. org/ukpp/poverty/thefacts. htm Scott, J. (1994). Poverty and Wealth: Citizenship, Deprivation and Privilege (Longman Sociology Series). London : Longman Group United Kingdom Townsend, P. (1992). Poverty in the UK. Berkeley : University of California Press

Autobiography- personal narrative Essay Example | Topics and Well Written Essays - 500 words

Autobiography- personal narrative - Essay Example Getting into ESL class in middle school was quite fruitful for me as I started speaking in English with the help of this class. I think it was during the high school years that I did get to have actual conversation with people with this new language. The high school I went to was Clark Magnet High School in La Crescenta. The school paid great emphasis on computer science and technology. The first turning point of my life I experienced was due to the Animation class offered in the school’s curriculum. I chose to go to CSUN as soon as I graduated high school since it was close by my house and also had Animation courses to offer which I was most interested in. For tuition, I decided to work on a part time job. My friend assisted me in finding a job at the same place where he was working. I was hired as replacement to my friend as my friend had to discontinue working there due to his class schedule. The job was to teach students in after school program. Spending time studying for animation and hanging around in Game Club and Animation Club at school with friends who shared mutual interests along with teaching students on the other hand as a part time job were the most precious experience I had in my life. It was my father who advised me to take double major in Art education while I was majoring in Arts. This was because he observed the enjoyment I experienced while working with children. I was of the idea that it would be better to concentrate on one subject rather than chasing two hares. The next turning point I experienced happened almost unexpectedly. During the internship at Universal Studio and Cartoon Network in my senior years I was offered a job opportunity as a production assistant. That was the most brilliant opportunity I could have ever had at that time. I declined the offer and I could not understand at that time why I declined the offer. I was still unsure regarding which majors I should pursue

Building a trusting nurse-patient relationship Essay

Building a trusting nurse-patient relationship - Essay Example As disclosed, there are various methods of collecting data pertinent to the patients’ history and current health condition; such as â€Å"interviews, observations, physical examinations, laboratory and diagnostic tests† (Cape Fear Community College, n.d., p. 74). There are explicitly identified subjective data that can only be solicited from interviewing the patients, such as: sensations or symptoms, feelings, perceptions, desires, preferences, beliefs, ideas, values, and personal information (Nursing Data Collection, Documentation, and Analysis, n.d.). In this regard, the current discourse aims to present interviewing techniques that seek to effectively develop trust during the complete nursing assessment and history taking process. Interviewing Techniques It was acknowledged that there are two main focuses of the nursing interview process: (1) to develop trust and rapport with the patients and (2) enable the nurses to solicit relevant and accurate information, as requ ired (Nursing Data Collection, Documentation, and Analysis, n.d.). ... It was explicitly cited that â€Å"to continue to build rapport with patients, nurses should introduce themselves, discuss the purpose of the interview and explain the nurse’s role to the patient (Jarvis, 2012; Kennedy-Sheldon, 2009). As emphasized, â€Å"your appearance, demeanor, posture, facial expressions, and attitude strongly in?uence how the client perceives the questions you ask† (Nursing Data Collection, Documentation, and Analysis, n.d., p. 30). From among the most appropriate behavior, the following are noteworthy: focus one’s attention completely to the patient; be aware of cultural disparities regarding distance and touch; apply the most appropriate facial expression; assume a non-judgmental stance in attitude; apply silence as needed to enable both the interviewer and the patient to recollect thoughts; and listen intently. b. Verbal Communication Techniques During Interview It was explicitly cited that â€Å"to continue to build rapport with patie nts, nurses should introduce themselves, discuss the purpose of the interview and explain the nurse’s role to the patient (Jarvis, 2012; Kennedy-Sheldon, 2009; cited by Victor, 2013, par. 7). During the application of verbal communication patterns, the interviewer should be able to ask the needed questions: open- or close-ended questions, depending on the information that needs to be responded to. For instance, open-ended questions are typically used when the nurse or interviewer needs to pry on subjective data, as noted above. Close-ended questions typically solicit facts and quick yes or no responses. Likewise, there are types of questions that list or enumerate the expected responses. This type of questioning is

Dances With Wolves Essay Example | Topics and Well Written Essays - 500 words

Dances With Wolves - Essay Example shows a deep understanding and appreciation for the cultures he comes into contact with and goes so far as to adopt their way of life as superior to that of his own previous way of life. When the film opens, Lieutenant Dunbar is faced with the unpleasant choice of either having his wounded leg amputated or choosing to die with it still attached; as did so many other soldiers of his time. However, rather than choosing the amputation, Dunbar decides he will commit suicide by charging the lines of the enemy and dying in a hail of bullets. However, his plan does not go according to planned as his action has the effect of rallying the troops behind him and winning the battle. As a reward for his actions, Dunbar is offered a transfer to any unit or regiment he can choose. Dunbar chooses to move West away from the horrors of the Civil War and into the mystery of the frontier (Costner 1990). His frontier life is far from what he expected as he soon finds himself all alone at an abandoned base; completely cut off from the outside world. It is at this point that the film develops into the story of how Dunbar begins to come into contact with the Native Americans in the surrounding regions to that of the base in which he alone guards. Rather than being hostile to these natives, Dunbar seeks to strike up a relationship with them and engage them in a form of conversation (although his language skills are non-existent). Rather than viewing the Native Americans around the fort as natural born enemies, Dunbar is intrigued by their lifestyle, their curiosity, and the means by which they have sought to survive even in the face of continuous attacks from white frontiersmen. Dunbar becomes so taken by the culture and lifestyle of these Native Americans that he abandons his post and seeks to live a life among them. The story further develops as Dunbar returns to the fort to retrieve a notebook of valuable information he encounters his former colleagues who capture and beat

The Issue and Challenge of E-commerce in B2C Business Essay

The Issue and Challenge of E-commerce in B2C Business - Essay Example The example of B2C can be the selling of the shoes to an end customer. Though, buying those shoes from a retailer or buying leather for the shoes refers to B2B. When suppliers cooperate with a business, or wholesalers sell to retailers – these are all the examples of business-to-business activity. We are living in the era of high technologies as well as computerization. No wonder, that approximately 50% of the B2C world turnover can be ascribed to e-commerce. The term refers to any commercial operation that is carried out in the Web. It also pertains to â€Å"any form of business transaction in which the parties interact electronically rather than by physical exchanges or direct physical contact† (Allen, 2001). The procedure of trading on-line is not as easy as it may seem – it covers many rules, activities, laws and creativity. To put it another way e-commerce is a kind of science that is to be studied in order to be effective and bring results. Despite the grow ing popularity of the Internet sales and therefore of e-commerce, the latter has many pitfalls and bottlenecks that can lead to the reduction of the customers’ number. This essay aims to analyse the challenges of e-commerce in B2C. It is very important to investigate this problem since 80% of all operations on-line belong to the B2C ones. The rest 20% make up the wholesale, some financial services, and operations at a Stock Exchange. This topic was chosen because of its importance nowadays and because of its ‘under-research’. It means that not many scientists penetrated into this problem. The first cause for this is the relative youth of the Internet and e-commerce itself. The second reason is that trading on-line, as mentioned above is not considered to be a kind of science in a business world. It is considered to be the way to earn money, or the way to gain new customers. Studying this topic will empower anyone in future to apply this knowledge on practice and carry out the profitable e-commerce. It must be emphasized that e-commerce has become an essential part of B2C, though there are many challenges that are to be taken into account. Notion of B2C â€Å"Business-to-consumer (B2C, sometimes also called Business-to-Customer) describes activities of businesses serving end consumers with products and/or services† (Baker 2010). Speaking about selling through the Internet it is to be mentioned that here B2C means selling goods that are bought by a customer for his own use. The brightest example of e-commerce B2C in the Internet is the site of Amazon. It is the electronic bookstore that was founded in 1995 and since that time became the world main book retailers. Others examples of B2C on-line can include traveling services, web-money, real-estates services and any information that can be used by a customer. Such sites as Facebook, Tweeter and others also represent the example of B2C. They do not sell anything but suggest communication on-line that is also consumed by a customer. E-commerce has not always been as effective as it is now. In 2000 when the company Nasdaq, that maintained the majority of on-line operations failed, the most of the e-commerce firms had to do away with their selling on-line. They had to shift to a more traditional way of carrying out B2C activity. That year some experts claimed that e-commerce would never restore its reputation since it endangered the private information about the clients. Despite the

Ethical Dilemma Paper Essay Example | Topics and Well Written Essays - 500 words - 1

Ethical Dilemma Paper - Essay Example This conclusion has been drawn from the fact that the parties which are involved in this situation which are that of the young child, her biological parents and foster parents are likely to experience either pain or pleasure as a consequence of the court’s decision. Such that the law’s decision in favor of the biological parents would indeed grant them with happiness however, the child who has been raised by her foster parents since infancy would not appreciate being handed over to her biological parents as this action is being taken against her will, nor would the foster parents who have showered the child with love and affection experience pleasure as a consequence of the court’s decision. On the other hand, the implementation of rule based thinking in this scenario would recommend that by adopting a reckless approach towards parenting, the child’s parents have forgone their right to establish an association with their daughter if she does not intend to do so willingly. In the given case, the young girl has accepted her foster parents as her natural parents and demanding her to change this perception would be considered unfair because her natural parent’s incompetence in failing to responsibly raise her cannot be deemed as her fault. The court’s decision in this case can be negated by relating to the case 14-year-old, Kimberly Mays who was awarded the right to choose between her biological and adoptive family (Konstan, 1994). Therefore, as the child has been returned to her natural parents against her will, then it can be stated that ethics do not support law in the given scenario as per the foundations of rule based ethics. The similarities and differences of the ethical schools which have been applied in this case are based upon their evaluation of the matter and the identification of the parties which are involved in the case. The distinction between the theoretical models however, lies in the reason behind the court’s

The affect of characteristics of destinations to appeal to Assignment

The affect of characteristics of destinations to appeal to tourists.(London Scotland) - Assignment Example Furthermore, the report will also discuss the possibility for enhancing the selection as tourists’ destinations. Tourist destinations with multiple characteristics are vital for individual attraction. The characteristics help to develop a mental image in the mind of tourists through manifold sources of information. The mental image determines the selection of destination for tourists in order to spend holiday or leisure time. London is regarded as one of the leading tourism destinations. London receives considerable leisure tourists every year mostly because of its heritage characteristics. It has exclusive attractions and natural legacy with iconic buildings acknowledged all over the world. There are presently four designated heritage sites in London namely Palace of Westminster, Tower of London, Maritime Greenwich and Royal Botanic Garden. These four sites have exceptional universal worth and are acknowledged to be of global significance. These characteristics of London are regarded as vital part of London’s identity and character (Greater London Authority, 2012). The tourism of London is geared toward bestowing numerous features of the city. It is a venue of important occasions in world history, comprising ancient castles, museums and other landmarks. Furthermore, entertainment is also regarded as a key attraction in London. Drama, film and music are admired forms of art in London. Apart from that, the other key feature of London is shopping. The city is characterised by shopping experience, having numerous destinations such as Tate Modern, London Eye, National Gallery and Albert Museum among others. In comparison with London, Scotland is regarded as a developing tourist destination. Compared to London, the appeals of Scotland is largely attributed into four groups namely heritage, destination towns, events and business. Concerning the nature, Scotland has theatrical landscapes along with rich and vibrant history imbibed within its culture. Scotland

THE NATURE OF ORGANIZATIONS AND THE CONTEMPORARY ENVIRONMENT Assignment

THE NATURE OF ORGANIZATIONS AND THE CONTEMPORARY ENVIRONMENT - Assignment Example nt of the differing cultures within the organization in order to determine an appropriate way of managing the organization in order to enhance the profitability of such organizations. My score did not surprise, I had adequate understanding of the varied cultures interviewed. The United States is a cosmopolitan society. This implies that the society experiences some of the cultural conflicts quizzed in the interview. As such, I have interacted with people from varied cultural settings and therefore understood the differences in cultures in the different societies. Among the strengths I exhibit in intercultural awareness is the fact that I have interacted with people from varied cultural backgrounds. Through such interactions, I understood the intricate features of the culture besides understanding the dynamic nature of cultures. Through our interactions, we trade cultural values as people abandon specific cultural features they feel retrogressive and adopt new cultural values. The dynamic feature of culture has helped integrate the society, as the world became a global village. The weaknesses I portrayed in the quiz was lack of knowledge of African cultures among other cultures of far flung areas such the minority societies in east Asia and the enclosed areas such as Northern Korea. Understanding culture is often relative depending on the interactions that people have with each other. My lack of knowledge of such cultures is therefore a portrayal of the enclosed nature of the societies a feature that therefore limits their interactions with the rest of the world. However, I must improve my weaknesses and build my strengths in order to enhance my understanding of the cultural differences in the different societies. In order to do this, I plan to undertake studies on cultures. I plan to read different books that address the cultural diversity in the society. Existing literatures provide appropriate information about different cultures including cultural practices

Discuss in Scholarly Detail the Benefits and Risks Associated with Strategic Management Essay Example for Free

Discuss in Scholarly Detail the Benefits and Risks Associated with Strategic Management Essay Strategic management allows organizations to be more proactive than reactive and to initiate and influence internal and external activities to gain control over its own destiny. It allows executives at all levels to participate in analyzing a firms current practices in order to formulate and implement shorter and longer term strategies for growth and development. Historically, this participative approach has produced better results. Another benefit of strategic management has been to formulate better strategies through the use of the more systematic and proven methodologies. Organizations of all sizes have recognized and realized the benefits of strategic management. While financial benefits include increased sales, profitability and productivity, non-Financial benefits include, better understanding of competitor’s strategies and reduced resistance to change across the organization. Strategic planning with risk awareness has always been difficult. According to Rick Funston Bob Ruprecht (http://bpmmag.net), Success demands excellent risk management as a core competency. Risk intelligence enables an organization to respond to rapidly changing circumstances with greater agility and resilience. Risk handled well becomes a source of competitive advantage; handled poorly it can severely hamper a companys prospects. The greater the risk, the less complacent organization can afford to be. More often executives who are responsible for strategic planning lack an integrated view of risk due to the unavailability of business intelligence when needed. Many organizations fail to consider a range of time horizons when incorporating risk considerations into the planning process resulting in uncertainty down the chain-of-command with each expanding time horizon. Unavailability of an integrated decision-support framework that links key performance metrics with business and risk intelligence multiplies the risks exponentially.

Analysis of as new park case study Essay Example for Free

Analysis of as new park case study Essay Analysis of as new park case study Introduction                   The planning process involves developers, communities, engineers, planners, and government. The involvement of all the stakeholders in planning process ensures that a project is positively implemented in the public interests (Carmona, 2010). The new project would commence as an improvement the old city. The old city was widely used by women and children. Although it was developed 30 years ago, it still remained as the best choice for the people living at its vicinity. It formed the best recreation centre for people during warm winter season. The new park would replace the old trees, grass, and build new shades and buildings that would be used to shade people during hot weather. The case involved closed down of the old city for 2 years and relocation of people living around the city to place where there were no social amenities such as schools and recreation centre. The case represents of unethical issues that pertains to urban planning evident through the developers.                   The ethical issues include closure of the city and denying people their recreational facility. The new park development would deny people a chance to enjoy their recreational facilities, which is professionally unethical to a developer. In addition, the developer would be destroying people’s heritage on old trees and grass. The modern buildings would destroy the old trees and grass heritage in the new park. Moreover, it is not ethical to transfer people from their own comfort zone where they enjoyed social amenities such as schools, parks and other infrastructures such other shopping malls to a place where they no longer enjoy the amenities. The act is believed to on self- interests that do not care about other community. In planning process, it is important for planners and developers to consider professional ethics while executing their city planning so that respect between communities and the affected people is maintained (Allen, 2009).                   In this case, the most probable solution would be first to develop the area where the two communities would be relocated before relocating them. It would be most appropriate if the government could start by developing infrastructures such as roads, schools, hospitals, and recreational centres before displacing people in towns if the new park would not be avoidable. On the other hand, a new park could be developed elsewhere and the old one be renovated to maintain national heritage. Moreover, the old park renovation should not be closed for a long period and should developers should allow people to access the park even under constructions. The renovation of the park would ensure that the national heritage on traditional trees and grass would not be destroyed thus maintain it as way of protecting the countries indigenous species. This would ensure that people are not relocated from their original comfort zone. Consequently, development of area that the two communities were transferred would ensure that the communities’ living standards would not be affected except their geographical shift. The move would maintain the respect between the communities, planners, developers and engineers as their lives will not be affected.                   The solution approach where the planners would ensure that all the social amenities are developed before relocation would ensure that the professional code of ethics on the conscious on the right of a third party would be upheld (American Planning Association, 2009). In addition, the code of ethics on fairly dealing with all the people involved in the process will be highly upheld. However, the value of professional code of ethics on heritage will be violated through electing a new park and indigenous trees will be destroyed. The planners will have made sure that the decision making process involves all the party and thus no one would be negatively affected by the new project. Similarly, the second approach of electing the new park elsewhere would ensure professional code of ethics for planners to ensure social justice and responsibility not to disadvantage people would be upheld. This solution would ensure that people are not relocated and at the same t ime the national heritage is maintained. The value of heritage that is attributed to indigenous trees will be upheld while that of excellence design and updated design will be violated (American Planning Association, 2009).                   Both solutions would minimize the negative impacts of the planning in the city. However, the best solution will be to design and construct the new park elsewhere near the old park. The solutions to planning dispute safeguard the rights of the people and the professional ethics of the planners (Staatskoerant, 2011).The old park can only be renovated so that the heritage of the city will be upheld. Similarly, there would be relocation of people to new areas and thus they will be fairly treated and their lives will not be affected. In addition, the solution will ensure that people are not denied their rights to enjoy themselves during winter. Renovation for the old park could be done during summer when people are not using the park so that they would not be limited access during winter. The move will impact positively to people living there and would retain the respect of communities to developers.                   The solution would limit the planners, developers and engineers from implementing their own design and planning of the city. In addition, the people would not have a chance to enjoy a modern facility. However, there would still be a chance for them to construct a new park elsewhere in the city and increase the number of parks. One that would be rich in heritage and there other one would be modern. Although space and area allocation may be a problem, a new park elsewhere would stand out for this case. Conclusion                   In conclusion, it can be noted that planners, developers and engineers should highly consider professional ethics when carrying out new projects that would impact negatively to the public. All planning processes should involve all stakeholders and fair implementation of the project should be considered to avoid unethical issues that are evidenced in the case of new park development. References Allen, J. (2009).  Event planning: Ethics and etiquette : a principled approach to the business of special event management. Mississauga, Ont: Wiley. American Planning Association,. (2009). AICP Code of Ethics and Professional Conduct. Planning.org. Retrieved 13 May 2014, from http://www.planning.org/ethics/ethicscode.htm Carmona, M. (2010). Public places, urban spaces: the dimension of urban design. Oxon: Routledge. Staatskoerant,. (2011). Code of ethics and professional conduct for the urban and regional planning profession. Gov.za. Retrieved 13 May 2014, from http://www.gov.za/documents/download.php?f=147400 Source document

Obesity: History, BMI Classification, Determinants and Effects

Obesity: History, BMI Classification, Determinants and Effects OBESITY Obesity is fast becoming a serious epidemic in the United States due partly to eating habits and physical inactivity amongst Americans. According to the Centre for Disease Control, Seventy-three percent of adults and 43 percent of all children in the United States are overweight or obese. Among African-Americans 20 years and over, more than two-thirds are overweight or obese (Gaines, 2010). Generally, the rate of overweight and obesity are higher for African-American and Hispanic women than Caucasian women, higher in the south and Midwest and increases with age (Ogden et al., 2014; Gregg et al., 2009; Sherry et al., 2010). According to the World Health Organization, body mass index (BMI) of an obese person has a value greater than or equal to thirty. Type 2 diabetes and high blood pressure are two diseases that ultimately affect African Americans and this is predominantly caused by an increase in weight as those extra pounds predisposes a person to these diseases (Gaines, 2010). Obes ity is one of the primary risk factor for heart diseases, diabetes and a number of cancers and these are major causes of death in American today. The health implication of obesity and the complications associated with it is increasingly becoming more detrimental than cigarette smoking and has therefore become one of the major preventable causes of death worldwide. This investigation paper focuses on the brief history of obesity; this will take obesity from its discovery over 2000 years to this present day. An understanding of the BMI classification, aetiological determinants, pathophysiology and health effects is important if obesity prevalence will be curtailed. Furthermore, the socio economic impact of obesity management on the United States economy will be looked into. Finally, its treatment options, prevention and trends of the disease will be discussed. HISTORY OF OBESITY The Ancient Greeks were the first to acknowledge obesity as a health disorder and this was further recognized by the Ancient Egyptians in a similar way. According to Hippocrates, corpulence is not only a disease itself, but the harbinger of other diseases (Haslam & James, 2005). Hippocrates which was the Ancient Greek Father of Western medicine acknowledged obesity in his work and details of various diseases including diabetes was first given by him. Another Indian surgeon Sushruta, also discovered the association between obesity, diabetes and heart diseases and he was the first person to find out the significant signs, symptoms, causes and health implications. In the Ancient days, man always strived for food due to scarcity or famine and this resulted in obesity being regarded as a sign of wealth and good fortune in the middle age. However, all this changed when the scientific society of the 20th century revealed the medical implications of obesity (Caballero B., 2007) With the inception of the industrial revolution, body size and strength of soldiers and workers became pertinent as this was attributed to the military and economic power of Nations (Caballero, 2007). The increase in the average body mass index from underweight to the normal on the BMI charts played an important role in the development of industrialized societies (Caballero, 2007).   Therefore in the 19th century, there was an increase in weight and height generally. However, during the 20th century, the genetic potentials for height was reached and this resulted to weight increasing more than height in this century and thus resulted in the average increase in BMI (Caballero, 2007). In human evolution, for the first time, the number of adults with excess weight exceeded the number of those who were underweight which further led to obesity (Caballero, 2007). The perceptions of the public as regards healthy body weight varied from those regarded as normal in the western society, but this perception was changed in the beginning of the 20th century. There was a reduction in the weight seen as normal since 1920s and this was evident by the 2% increase in average height of the Miss America pageant winners and a 12% decrease in weight between year 1922 and 1999 (Rubinstein & Caballero, 2000). Also, the perception of most people as regards healthy weight has changed, for example in Britain the weight at which people regarded themselves to be overweight was considerably higher in 2007 than in 1999 (Johnson & Wardle, 2008). Obesity is still regarded as an indication of wealth and well-being in many parts of Africa and this has become more widespread since the HIV epidemic began (Haslam & James, 2005). BODY MASS INDEX (BMI) CLASSIFICATION According to the World Health Organization, Body Mass Index (BMI) is a simple index of weight-for-height that is commonly used to classify underweight, normal weight, overweight and obesity in adults. It is defined as the weight in kilograms divided by the square of the height in metres (kg/m2) (W.H.O. 2004). For example, an adult who weighs 60kg and whose height is 1.65m will have a BMI of 22.0. BMI = 60 kg / (1.65 m2) = 60 / 2.72 = 22.04 LEAN BODY MASS Lean Body Mass is a component of body composition, it is calculated by subtracting body fat weight from total body weight. Total body weight is lean plus fat. In equations: LBM = BW − BF Lean Body Mass equals Body Weight minus Body Fat LBM + BF = BW Lean Body Mass plus Body Fat equals Body Weight Lean Body Weight (men) = (1.10 x Weight(kg)) 128 ( Weight2/(100 x Height(m))2) Lean Body Weight (women) = (1.07 x Weight(kg)) 148 ( Weight2/(100 x Height(m))2) Ideal Body Weight (men) = 50 + 2.3 ( Height(in) 60 ) Ideal Body Weight (women) = 45.5 + 2.3 ( Height(in) 60 ) Body Mass Index = Weight(kg) / Height(m)2 The table below further explains the classification of BMI in relation to the weight and height of an individual. Table 1: The International Classification of adult underweight, overweight and obesity according to BMI Source: Adapted from WHO, 1995, WHO, 2000 and WHO 2004. BMI values are age dependent and are the same for both males and females (WHO, 2000). The health risks associated with increasing BMI are many and the interpretation of BMI values in relation to risk may vary for different populations in different geographical locations (WHO, 2004). AETIOLOGY DETERMINANTS OF OBESITY Obesity is a heterogeneous group of conditions with numerous causes, it is not merely a single disorder and it is predominantly expressed phenotypically (Susan A.J, 1997). Obesity is hereditary, but the genetic component does not follow simple Mendelian principles and the effect of the genotype on the aetiology of obesity may be decreased or increased by factors that are non-genetic (Susan A.J, 1997). Several factors determine the body weight, and these are interactions of genetic, environmental and psychosocial factors which are in relation to the amount of energy consumed and the amount of energy expended and the resulting acting through the physiological mediators Table 1: The International Classification of adult underweight, overweight and obesity according to BMI of energy intake and energy expenditure and the resulting equilibrium between both (Susan A.J, 1997). ENDOCRINE AND HYPOTHALAMIC DISORDERS Certain endocrinological disorders may lead to obesity, but this applies to a very small percentage of the total number of cases (Susan A.J, 1997). The endocrinological determinants of obesity have been reviewed recently (Bouchard C., Perusse L., Leblanc C., Tremblay A, & Theriault, 1988). The single disorder that causes obesity in this group is hypothyroidism in which increased weight occurs largely as a result of reduced energy expenditure (Susan A.J, 1997). Other endocrinological factors contributing to obesity include Cushing’s syndrome and disorders of corticosteroid metabolism, where weight gain is typically accompanied by a distinctive prototype of fat deposition in the trunk, sex hormone disorders including hypogonadism in men and ovariectomy in women, insulinoma and growth hormone deficiency (Susan A.J, 1997). The key causes of weight gain in these cases are the amount of energy intake. Certain hypothalamic tumors or damage to the hypothalamic part of the brain as a result of excessive exposure to radiation, infectious agents or head trauma can also lead to obesity with defect in appetite control and hyperphagia (Susan A.J, 1997). A hypothalamic disorder is also believed to be the foundation of a number of congenital abnormalities which could also result in obesity, e.g. Prader-Willi syndrome, which is an abnormality that could be a primary cause of obesity (Susan A.J, 1997). GENETIC INFLUENCE At a population level, the genetic influence of obesity is expressed in terms of heritability (Susan A.J, 1997). This refers to the percentage of the total difference in a character which is attributable to genetic factors (Susan A.J, 1997). The heritability of obesity may be considered either in terms of the total fatness of an individual or the distribution of body fat in an individual (Susan A.J, 1997). Several discoveries have been made over the years regarding the influence of genetics on chronic diseases like cardiovascular disease and obesity (R. C. Whitaker, J.A. Wright, M.S. Pepe, K.D. Seidel, &W.H. Dietz., 1997). Recent reports indicate that at least 32 genes contribute to common forms of obesity. Many of these genes are thought to be related to the development of obesity through the deregulation metabolic hormones in the body (Susan A J, 1997).   The obesity related variant in the fat mass and obesity-associated protein also known as alpha-ketoglutarate-dependent dioxygenase FTO, has aroused interest in pediatrics due to its relationship with increased weight and ponderal index at 2 weeks of age (A. Lopez-Bermejo, C.J. Petry, M. Diaz, et al., 2008). FTO is located on the long arm of the chromosome 16 and is expressed in the brain, specifically the hypothalamic nuclei (Khung E. Rhee et al. 2012). Those who are homogenous for the at-risk allele have been found to be 3kg heavier than those who do not have the allele (T.M. Frayling, N. J. Timpson, M. N. Weedon et al. 2007). This weight gain is likely due to the gene’s involvement in the regulation of energy intake (Khung E. Rhee et al. 2012). According to recent studies, individuals carrying the at-risk allele prefer dense energy foods (J.E Cecil, R. Tavendale, P. Watt, M. M. Hetherington, & C.N.A Palmer, 2008), have reduced feeling of satiety (J. Wardle, S. Carnell, C.M.A. Haworth, I.S. Farooqi, S. O’Rahilly, & R. Plomin, 2008), display loss of control over eating (M. Tanofsky-Kraff, J.C. Han, K. Anandalingam et al. 2009), consume more fat and calories (even after adjusting for BMI) (N. J. Timpson, P.M. Emmett, T.M. Frayling, et al. 2008) and display a greater tendency towards consuming palatable foods after eating a meal (J. Wardle, C.Llewellyn, S. Sanderson, & R. Plomin, 2009). Therefore, FTO isn’t associated with energy expenditure, but it increases the susceptibility of individuals to higher calorie consumption and decreased satisfaction. A meta- analysis of 45 studies found that adults who were physically active attenuate the odds of obesity associated with FTO by almost 30% (T.O. Kilpelainen, L. Qi, S. Brage, et al. 2011). Thus carrying a gene for obesity does not necessarily predestine one to be obese (D. Meyre, K. Proulx, H. Kawagoe-Takaki et al. 2010), but rather increases the risk in the face of an obesogenic environment (Khung E. Rhee et al. 2012). Numerous studies in different ethnic groups suggest that the familial correlation in the total body fatness, expressed as body mass index, (BMI; kg/m2) from parent to offspring is about 0.2 and for sibling-sibling relationships about 0.25 (Bouchard C, Perusse L, Leblanc C, Tremblay A, Theriault G. 1988). As would be expected, studies of twins show a much higher concentration, particularly in monozygotic pairs (Susan A.J, 1997). However, these findings do not segregate the independent effects of genetic transmission and a shared environment (Susan A.J, 1997). Further studies of twins reared apart attribute 50-70% of the difference in BMI in later life to genetic factors (Stunkard A, Harris J, Pedersen N, McClearn G. 1990). Adoption studies, where an individual is compared both to their biological parent and their adopted parents, have also demonstrated the importance of genetic influences (Susan A.J, 1997). There is a strong relationship between the BMI of the adoptee and their biological parents across the entire range of fatness, but no relationship between the adoptee and their adoptive parents (Stunkard A, Sorensen T, Hanis C. et al. 1986). Studies of fat distribution have considered both the ratio of subcutaneous to total fat mass and the distribution of subcutaneous fat in the trunk relative to the limbs (Susan A.J, 1997). Data from the Quebec Family Study, suggest that the size of the internal fat stores are more strongly influenced by genetic factors than subcutaneous depots (Bouchard C., Perusse L., Leblanc C., Tremblay A, Theriault, 1988). Familial clustering suggests that genetic factors may account for 37% of the variance in the trunk to extremity skin fold thickness ratio (Rice T, Bouchard C, Perusse L, Rao D. 1995). These combined evidence from these genetic analysis suggests that obesity is a polygenic disorder and that a considerable proportion of the variance is non-additive (Susan A.J, 1997). This would explain the higher correlations between siblings than those between parent and offspring, and the 2-fold greater correlation between monozygotic than dizygotic twins (Susan A.J, 1997). These genetic influences seem to operate through susceptible genes; the occurrence of the gene increases the risk of developing a characteristic but not essential for its expression nor is it, in itself, sufficient to explain the development of the disease (Susan A.J, 1997). Unlike animal models, where a number of single genes can lead to obesity, no human obesity gene has yet been characterized, but the heterogeneous nature of human obesity does not preclude the identification of small number of individuals with a single defect which leads to obesity (Susan A.J, 1997). In man, a number of genetically determined conditions result in excess body weight or fatness (e.g Prader-Willi syndrome or Bardet-Biedl syndrome), but these account for only a very small proportion of the obese population (Susan A.J, 1997). PHYSIOLOGICAL MEDIATORS Energy expenditure Studies in animals have postulated that at the time of overfeeding, a remarkable increase in metabolic rate may deplete the excess energy thus reducing the rate of weight gain below theoretical values (Rothwell N., Stock M., 1983). Genetically obese animals tend to gain more weight than their lean controls even when they are pair-fed, thus implying a greater metabolic rate (Thurby P., Trayhurn P., 1979). One possible explanation for this effect is the decrease in diet-induced thermogenesis which is lessened in animal models of obesity due to a decrease in the sympathetic activation of brown adipose tissue (Rothwell N., Stock M., 1983). These unequivocal effects on energy expenditure in obese animals contrast with the paucity of evidence in humans (Susan A Jebb, 1997). Susan A.J (1997) stated that in obese humans, there have been constant reports of abnormally low energy intake which indirectly imply that there must be a defect in energy expenditure. There are three basic elements to energy expenditure which have each been the focus of extensive research. Basal Metabolic Rate In 1997, Susan A Jebb defined basal or resting metabolic rate as the energy expended by an individual at rest, following an overnight fast and at a comfortable environmental temperature in the thermo neutral range. Several studies of basal metabolic rate have concluded that obese subjects have a higher BMR compared to their lean counterparts. Researchers like Swinburn B. & Ravussin E, reported that approximately 80% of the inter- individual variance in BMR can be accounted for by age, fat-free mass, fat mass and gender. Nevertheless, this still gives room for some likelihood that inter-individual difference in BMR which may influence individuals with a relatively low BMR to become obese (Susan A. Jebb, 1997). Diet induced thermogenesis A number of studies have suggested that the post-prandial increase in energy expenditure is attenuated in obese subjects, perhaps due to decreased Sympathetic Nervous System activity (Astrup A. 1996). Similar effects have also been demonstrated in the post-obese. However this is not a consistent finding, even among studies from the same laboratory. A recent review by Ravussin E. & Swinburn B. (1993) identified 28 studies in favour of a defect in thermogenesis in humans and 17 against. However, since thermogenesis accounts for only a fraction of total energy expenditure (approximately 10%), the potential for a significant effect on total energy expenditure is insufficient (Susan A. Jebb 1997). Physical activity The most significant component of energy expenditure is physical activity which may represent 20-50% of total energy expenditure. Studies of fidgeting movements in Pima Indians within a whole-body calorimeter have shown significant inter-individual variations in the daily energy cost of these actions from 400-3000 kJ/day, with low levels predictive of subsequent weight gain at least in males but not females (Zurlo F., Ferraro R., Fontvielle A. et. al. 1988). However, in free-living conditions, the freedom to undertake conscious physical activity or exercise increases the inter-individual variability even further (Susan A Jebb). Research in this area has been hampered by imprecision in the methods to measure physical activities which have included various actometers, heart rate monitoring, activity diaries and direct observation (Susan A. Jebb, 1997). The energy requirements of an individual encompass the summation of basal expenditure, thermogenesis and physical activity. A whole-body calorimeter can be used to measure the total energy expenditure of an individual. The analysis of total energy expenditure in 319 obese subjects clearly demonstrates a significant increase in energy expenditure with increasing body weight such that individuals with a BMI in excess of 35 kg/m2 have energy expenditure approximately 30% higher than those with BMI less than 25 kg/m2 (Susan A Jebb, 1997). The outstanding difficulty with these studies , as stated by Susan A. Jebb in 1997 is that the increase in energy expenditure seen in obese subjects as a result of their increased body size may mask pre-existing metabolic defects in the pre-obese state which exposes the individual to excessive weight gain. However, in experimental overfeeding researches, there is no remarkable difference in the degree of weight gain between lean and obese subjects when matched for their excess energy intake (Diaz E. Prentice A. M et. al. 1992).   Studies of total energy expenditure in post-obese subjects have not arrived at a definite conclusion; some studies show no difference in energy expenditure in the post-obese relative to never-obese controls (Goldberg G.R., et. al. 1991), whilst others show a modest suppression of energy expenditure (Geissler C. Miller D., Shah M. 1987). In general, there is little evidence to support the hypothesis that human obesity may be due to a specific defect in energy expenditure in predisposed individuals (Susan A Jebb, 1997). Susan A Jebb further stated that advocates of a metabolic basis to obesity, argue that only very small differences in energy expenditure are neccessary to produce significant weight gain over many years, and this difference may be lower than the limits of precision of even the most advanced methodology. Energy Intake The failure to identify a defect in the metabolic control of energy expenditure and the contrary observation of high levels of energy expenditure, and the contrary observation of high levels of energy expenditure in obese subjects has led to a focus on food intake to explain the aetiology of obesity (Susan A Jebb, 1997). The increase in energy expenditure associated with the development of obesity should automatically help to prevent continued weight gain; hence the failure of this auto-regulatory system suggests that there must be a considerable error in the regulation of food intake (Susan A Jebb, 1997). Furthermore, habitually lean individuals are able to regulate intake to match energy requirements over a wide range of energy requirements yet those who become obese seem unable to achieve this balance (Susan A Jebb, 1997).   Breakthrough in discerning the role of energy intake in the aetiology of obesity has been critically disconcerted by under-reporting which is now largely recognized as a feature of obesity (Susan A Jebb, 1997). Comparisons of energy intake and energy expenditure indicate consistent shortfalls in self-reported intake, averaging approximately 30% of energy requirements in obese subjects (Prentice A.M., Black A.E., Coward W.A., 1986; Lichtman S., Pisarska K., Berman E., et al., 1993). This phenomenon also extends to post-obese subjects and to others who may be very weight conscious (Susan A Jebb, 1997). Under-reporting may be cause by several factors and it is natural for individuals to change their eating pattern when they are to record their food intake.   This is usually associated with a reduction in intake as subjects consciously or sub-consciously adopt a self-imposed ‘diet’. (Susan A Jebb, 1997). Therefore they might give accurate results about their intake for that duration, but it may not be a true representation of their habitual pattern. Forgetfulness, underestimation of meal size and lack of basic knowledge of food consumption can also lead to under-reporting. Although, it is possible to have falsification and fabrication of dietary records, there are also instances of self-deception or deliberate manipulation of dietary records. Recent research into the appetite control system by Blundell J.; Bouchard C., Bray G. (1996), has identified a network of synchronous interactions which govern eating behavior. These effects are mediated through the central nervous system particularly the hypothalamus, where a number of neuropeptides appear to regulate feeding behavior via effects on hunger and satiety (Susan A Jebb, 1997). Laboratory studies of feeding behavior by Spiegel T., et al., in 1989, proposed that, following a convert energy preload, obese subject may be less able to accurately compensate for the energy content of the preload at a subsequent meal than lean subjects. However, these studies are usually of short duration in laboratory settings and may not accurately reflect eating behavior in a naturalistic setting, where knowledge of foods consumed and conditioned learning may invoke other regulatory processes (Susan A Jebb, 1997). There is also significant evidence that the individual macronutrients (protein, fat, carbohydrate and alcohol) have different influences on eating behavior, majorly due to their effects on satiety (Stubbs R., 1995). Experimental studies of manipulated foods and retrospective analyses of dietary records suggest that protein is the most satiating (DeCastro J., 1987; Hill A., Blundell J., 1990). Carbohydrate is also an efficient inhibitor of later food consumption, at least in the short terms, meal-to-meal context (Rolls B., et al. 1994). Fat seems to have a satiating capacity (Lawton C., Burley V., 1993). Fat hyperphagia occurs during a single meal due to subjects overeating high fat foods and is also known as passive over consumption. In 1994, Poppitt S., stated that fat has two times the energy per gram of carbohydrate or protein which may be due to the level of energy density and not necessarily a characteristic of dietary fat. Appetite is said to be stimulated by alcohol and according to DeCastro J & Orozco (1990), in free living circumstances, alcohol consumption with meals is associated with higher energy intakes, but this may also reflect that alcohol is more likely to be consumed on special occasions which in themselves are associated with increased food intake. Basically, taste preference can have an effect on the amount of food consumed and the kind of food.   The individual preference for certain meals would make them more likely to consume more of that meal. Therefore, sensory preferences plays a role on energy balance since is it associated with energy intake. According to Witherley S, Pangborn R & Stern J (1980), several reports of sensory preferences for particular food groups in association with obesity, but inter-subject variability is so great as to obscure any underlying obese-lean differences. The relationship between sensory preference for fat versus sugar and BMI was pinpointed by Drewnowski in 1992. Obese women had preference for foods with high fat to sugar ratio while women with low BMI had preference for high sugar to fat ratio, therefore increase in weight is closely related to increase for fatty foods. Eating frequency has effect on weight gain, because people who eat several small meals at intervals have less weight than those that eat fewer meals in larger quantity and therefore large quantity of food consumed at a time may be a risk factor for obesity, however, studies as regards this, showed no remarkable relationship (Bellisle F, McDevitt R, Prentice A.M. 1997). Research in this area is contradicted by under-reporting of food consumption in obese subjects and by post-hoc variations in eating patterns as a result of obesity and efforts to control weight (Susan A Jebb, 1997). Eating frequency in obese subjects is however an unreliable blueprint to the eating patterns involved in the aetiology of obesity (Susan A Jebb, 1997). ENVIRONMENTAL INFLUENCE Obesogenic environment which was first coined in the 1990s, in a bid to explain the present obesity epidermic. According to King D (2007), obesogenic environment is the sum of the influences that the surroundings, opportunities or conditions of life have on promoting obesity in individuals and populations. This encompasses the cultural, social and infrastructural conditions that affect the ability of a person to embrace a healthy lifestyle. Individuals in a population respond to unhealthy environment and the more urbanized the environment, the more individuals are pressurized to adopt unhealthy habits. The pressure from the surrounding makes it difficult for individuals to change their lifestyle and practice healthy habits when the environment itself is unhealthy. Environmental factors may have a critical effect in the development of obesity by unmasking genetic or metabolic susceptibilities (Susan A.J, 1997). Environmental influences on diet involve a wide range of factors including accessibility to food and high calorie drinks. Eating habits are commonly influenced by the availability and accessibility of unhealthy food, which is an important consideration in the effect on obesity. Studies in the United States recommend that the availability of high quality, affordable ‘healthy’ food is limited for people who reside in low-income communities and such scarcity is associated with unhealthy diet and obesity (White 2007) .However despite several epidemiological studies that shows environmental influences play an important role in the aetiology of obesity, it is a fact that some people within the same ‘unhealthy environment’ still managed to maintain a healthy weight (Susan A.J, 1997). PSYCHO-SOCIAL INFLUENCES Food is sometimes used as a coping mechanism by individuals with weight issues, especially when they are unhappy, nervous, stressed, bored and depressed. In many obese individuals there seems to be a perpetual cycle of mood disturbance, overeating, and weight gain (Jennifer C. Collins & Jon E. Bentz 2009). When they feel frustrated, they rely on food for comfort, even though this coping mechanism may pacify their mood, the resultant weight gain that results may cause a dysphoric mood due to their inability to control their stress (Jennifer C. Collins & Jon E. Bentz, 2009). Eventually a guilty feeling may restart the cycle and might steer a habitual pattern of eating food to get comfort. This habitual pattern is specifically significant if there is a genetic risk factor for obesity or an ‘obesogenic’ environment where foods high in calorie & density are readily accessible and sedentary lifestyle is present. Regrettably, these situations are popular in America. In addition to depression and anxiety, other risk factors include problematic eating behaviors such as â€Å"mindless eating,† frequent snacking on high calories foods, overeating, and night eating (Glinski J., Wetzler S., Goodman E.2001). American Psychiatric Association has currently included Binge eating disorder (BED) in an appendix of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) and is characterized by: recurrent episodes of eating during a discrete period of time (at least 2 days a week over a 6 month period); eating large quantity of food than majority of the people would eat at the same time; a feeling of loss of control during the episodes; and guilt or distress following the episodes (Jennifer C. Collins & Jon E. Bentz, 2009). According to Wadden T.A., Sarwer D. B., Fabricatore A. N., Jones L., Stack R., & Williams N.S (2007), BED is estimated to occur in approximately 2% of the general population and between 10% and 25% of the bariatric population. An important differentiation pointed out by the American Psychiatric Association, between BED and bulimia/anorexia is that BED is not associated with any regular compensatory behaviors, such as purging, fasting, or excessive exercise. It can therefore be implied that the majority of individuals with BED are overweight. Night eating, which was first identified in 1955 as another disorder that can lead to remarkable weight gain, though night eating syndrome (NES) is not currently recognized by the American Psychiatric Association as a distinct diagnosis in the DSM-IV-TR. Night eating syndrome is characterized by excessive late night consumption (> 35% of daily calories after the evening meal), unhealthy eating patterns, â€Å"morning anorexia,† insomnia, and distress (Stunkard A. J., Grace W. J. & Wolff H. G. 1955). NES occurs in approximately 1% of the general population and an estimated 5-20% of the bariatric population (Wadden T.A., Sarwer D. B., Fabricatore A. N., Jones L., Stack R., & Williams N.S. 2007). More recently, NES has been seen as a disorder of circadian rhythm that includes a delay of appetite in the mornings and the continuation of appetite and over consumption of food during the night (Jennifer C. Collins & Jon E. Bentz, 2009). PATHOPHYSIOLOGY OF OBESITY There are several possible pathophysiological mechanisms involved in the advancement and prolongation of obesity. This field of research had been almost unapproached until the leptin gene was discovered in 1994 by J. M. Friedman’s laboratory (Zhang, Y., Proenca, R., Maffei, M., Barone, M., Leopold, L., Friedman, J.M., 1994). These researchers proposed that leptin was a satiety element. However, soon after J. F. Caro’s laboratory could not ascertain any mutations in the leptin gene in humans with obesity. In 1995, Considine, RV; Considine, EL; Williams, CJ; Nyce, MR; Magosin, SA; Bauer, TL; Rosato, EL; Colberg, J., & Caro, J.F. proposed a contrary view that Leptin expression was increased, postulating the possibility of Leptin-resistance in human obesity. Since the discovery of leptin, insulin, ghrelin, orexin, cholecystokinin, adipokines, peptide tyrosine tyrosine, as well as many other mediators have been researched. The adipokines are intermediators produced by adipose tissue; their action is thought to revise many obesity-related diseases. Leptin and ghrelin are considered to be interrelated in their effect on appetite, with ghrelin produced by the stomach regulating short-term appetitive control (i.e. hunger pangs when the stomach is empty and satiety when the stomach is stretched). Leptin is created by adipose tissue to signal fat storage reservoirs in the body, and mediates long-term appetitive controls (i.e. to eat more when fat storages are low and less when fat storages are high). Although administration of leptin may be effective in a small subset of obese humans who have deficiency in leptin, most obese humans are considered to be leptin resistant and have been found to have high levels of leptin (Hamann A., & Matthaei S. 1996). This resistance is thought to explain in part why administration of leptin has not been shown to be effective in suppressing appetite in most obese people (Flier J.S. 2004). Leptin and ghrelin act on the hypothalamus and are produced peripherally. They control appetite through their actions on the central nervous system. They act on the hypothalamus, a region of the brain central to the coordination of food consumption and energy expenditure. There are several circuits within the hypothalamus that contribute to its performance in integrating appetite, the melanocortin pathway being the most well understood (Flier J.S. 2004). The circuit starts with an region of the hypothalamus, the arcuate nucleus, that has outputs to the lateral hypothalamus (LH) and ventromedial hypothalamus (VMH), the brains feeding and satiety centers, respectively (Boulpaep, Emile L., Boron, & Walter F. 2003). According to Flier J.S. (2004), the arcuate nucleus contains two distinct groups of neurons; the first group co expresses neuropeptide Y (NPY) and agouti-related peptide (AgRP) and has stimulatory inputs to the LH and inhibitory inputs to the VMH and the second group coexpresses pro-opiomelanocortin (POMC) and cocaine- and amphetamine-regulated transcript (CART) and has stimulatory inputs to the VMH and inhibitory inputs to the LH (Flier J.S. 2004). Consequently, NPY/AgRP neurons stimulate feeding and inhibit satiety, while POMC/CART neurons stimulate satiety and inhibit feeding (Flier J.S. 2004). Both groups of arcuate nucleus neurons are regulated in part by leptin. Leptin inhibits the NPY/AgRP group while stimulating the POMC/CART group (Flier J.S. 2004).   Researches done by Flier J.S., 2004, thus concluded that a deficiency in leptin signaling, either via leptin deficiency or leptin resistance, leads to overfeeding and may account for some genetic and acquired forms of obesity. EFFECT ON HEALTH Obesity is a severe medical condition and a chronic health issue worldwide. The association between body weight and mortality is a subject of concern, especially in regards to the optimal weight for longevity (JoAnn E. Manson, M.D., Walter C. Willett, M.D., et al, 1995). The significance of understanding the true relationship between weight and mortality is underlined by the increasing prevalence of obesity in the United States (Kuczmarski RJ, et al, 1994) especially women (Harlen WR, et al, 1988). Obesity is a major risk factor for cardiovascular diseases (e.g., heart disease, stroke and high blood pressure), diabetes (e.g. type 2 diabetes), musculoskeletal disorders (e.g., osteoarthritis), some cancers (e.g., endometrial, breast, and colon cancer), high total cholesterol or high levels of triglycerides, liver and gallbladder diseases, sleep apnea and respiratory problems, reproductive health complications such as infertility and mental health conditions (WHO, 2012). Obesity and Cancer Obese people are more vulnerable to cancer and their prognosis is extremely worse when diagnosed. Men that are obese are 33% more likely to die from cancer and obese women also have a 50% higher likelihood of dying from breast cancer (Weight Management Centre, 2010). Additional to obesity, cancer has recently been linked to diet and physical activity status (Bray 2004, Barnard 2004, Wiseman 2008). The cancers most significantly associated with obesity in women are cervical, uterine, kidney, breast and endometrial cancer and in men are colon, pancreatic and liver cancer (Calle, Rodriguez, Walker-Thurmond & Thun 2003). One study, using National Cancer Institute Surveillance, Epidemiology, and End Results data, estimated that in 2007 in the United States, about 34,000 new cases of cancer in men (4 percent) and 50,500 in women (7 percent) were due to obesity. The percentage of cases attributed to obesity varied widely for different cancer types but was as high as 40 percent for some cancers, particularly endometrial cancer and esophageal adenocarcinoma (National Cancer Institute, 2012). Obesity and cardiovascular disorders Cardiovascular disease (CVD) is one of the major cause of death in U.S. Obese people are more liable to die from CVD largely due to accelerated atherosclerosis, hyperlipidaemia, loss of glyceamic control and hypertension. Until recently the relationship between obesity and coronary heart disease was viewed as indirect, i.e., through covariates related to both obesity and coronary heart disease risk (Lew E.A., Garfinkel L., 1979) including hypertension; dyslipidemia, particularly reductions in HDL cholesterol; and impaired glucose tolerance or non–insulin-dependent diabetes mellitus. Insulin resistance and accompanying hyperinsulinemia are typically associated with these comorbidities (Reaven G.M., 1988). Although most of the comorbidities linking obesity to coronary artery disease increase as BMI increases, they also relate to the total distribution of body fat. Long-term longitudinal studies, however, indicate that obesity as such not only relates to but independently predicts coronary atherosclerosis (Manson J.E., et al., 1995; Garrison R. J., et al. 1985; Rabkin S.W., 1977). Messerli F. H. (1982) stated that left ventricular hypertrophy is mostly seen in patients with obesity and is related to systemic hypertension and may be related to the severity of obesity. Hypertension is approximately three times more commonly found in obese individuals than normal-weight persons (Van Itallie T.B., 1985). This relationship may be directly related such that when weight increases, there is an increase in blood pressure (Kannel W.B., Brand N., et al., 1967) and when weight decreases, blood pressure also decreases (Reisin E., Frohlich E.D., et al., 1983). Obesity and mental health Individuals diagnosed with obesity tend to be less favorable on all levels of the psychological assessment and may exhibit several symptoms ranging from mere sadness to chronic depression. Evident are more episodes of mood swings, anxiety, personality and eating disorders, basically related to or associated with obesity experienced by individuals with obesity (Pickering, Grant, Chou, Compton 2007). Obesity may be an inception of psychiatric manifestations and vice versa and is related to psychosocial deterioration and bias based on weight. This comprises of loss of self-worth, and reduced self-esteem associated with stigmatization. Stigmatization can further lead to desolation and withdrawal and thus many obese individuals seek solace in binge eating, thereby gaining more weight. Based on reports from Roberts, Deleger, Strawbridge & Kaplan 2003; Herva, Laitinen, Miettunen, Veijola, Karvonen & Lasky 2006; Kasen, Cohen, Chen &Must 2008, concern, shame and guilt associated with low self-worth, which is finally related to excessive food consumption completes the obesity-mental disorder circle. There is bias and discrimination associated with obesity. They generally report reduced quality of life and functional wellbeing, collectively called Health-related quality of life (HRQOL) (Puhl & Brownell 2001; Wadden & Phelan 2002). This relationships is majorly expressed by women (Fontaine 2001) and for people with severe obesity (Hudson, Hiripi, Pope & Kessler 2007; Scott, Bruffaerts, Siomn, Alonso, Angermeyer, de Girolamo et al. 2008). Obesity and diabetes Diabetes is usually a terminal illness. i.e. it is a lifelong chronic disease characterized by high levels of sugar in the blood. One of the major risk factors for diabetes is obesity. Obesity is directly associated with Diabetes 2. The association between obesity and type 2 diabetes are firmly established and without the intervention of a healthy diet and proper exercise, obesity can lead to type 2 diabetes over a very short period of time.   In fact, obesity is believed to account for 80-85% of the risk of developing type 2 diabetes, while recent research suggests that obese people are up to 80 times more likely to develop type 2 diabetes than those with a BMI of less than 22 (National Health Service, 2014). It is a known fact that obesity carries a greater risk of developing type 2 diabetes, especially if you have excess weight around your abdomen. Studies postulates that abdominal fat causes fat cells to releases ‘pro-inflammatory’ chemicals, which can reduce the body’s sensitivity to the insulin, this can also disrupt the function of insulin responsive cells and their ability to react to insulin. This is known as insulin resistance   which is a primary activator for type 2 diabetes. Excess abdominal fat is a major high-risk form of obesity. SOCIO-ECOMOMIC/ FINANCIAL COST OF OBESITY In 1999-2000, nearly 65 percent of U.S. adults were either obese or overweight. Obesity accounts for $117 billion a year in direct and indirect economic costs. Obesity is associated with 300,000 deaths per year, and is fast becoming the leading cause of preventable deaths† (Mancino, Lin, and Ballenger, 2004). Certainly, obesity has become a large problem in America. Recent increase in meal portions and reduction in availability of natural food production may propose why people find it challenging to maintain a healthy diet. Although, certain People have been successful at maintaining a healthy nutritional status and avoiding this unhealthy situation. Gary Becker’s human capital theory is a groundwork that helps to clarify the effect of weight status on the economy in terms of the labor market outcomes for the individual. Human capital is the educational qualification, job experience/training, and the health condition that workers devote their time in to boost their capacity and skills to be â€Å"rented out† to employers (Ehrenberg and Smith, 2005). Healthy weight status in relation to labour is a type of human capital investment. According to Robert Pindyck and Daniel Rubinfeld (2004), â€Å"When an investment decision is made, the investor commits to a current outlay of expenses in return for a   stream of expected future benefits.† These stated costs for a healthy weight may include buying of food with high nutritional values and creating time for physical activities. As an investment, the individual sacrifices money, time and other resources to attain a healthy weight to become more productive in the future and, hence, earn higher income. Obese workers miss more days of work and inflict more cost on employers especially in medical and disability claims and also workers compensation claims. As a result, firms end up with extra costs associated with obesity, this is one of the economic effects of obesity. Obesity places significant burden on the society through health care expenditures and disability payments combined through group health insurance and public programs. The estimated annual medical cost of obesity in the U.S. was $147 billion in 2008 U.S. dollars; the medical costs for people who are obese were $1,429 higher than those of normal weight (CDC, 2011). Obesity there has direct and indirect effect on the Nation’s resources, as more money is spent on the obese due to the high risk of comorbidity with other life threatening diseases like type 2 diabetes, osteoarthritis and cardiovascular diseases. TREATMENT There are several weight-loss schemes available but many are ineffectual and short-term, especially for those who are morbidly obese. The strategies for weight loss with non-surgical programs usually involve a combination of diet modification, behavior modification therapy and appropriate exercise. Dietary Modification Dietary modifications for obesity are designed to create a negative energy intake-energy expenditure balance (i.e., calories consumed < calories expended) by reducing daily energy intake below the required level. The required energy varies by weight, sex and level of physical exercise such individuals with higher weights, more activity have greater energy needs, including men (Melanson K. & Dwyer J. 2002). Uniformly, higher energy deficits results in higher weight losses. Low calorie diet is recommended for obese individuals and they are advised to check calorie content of meals before consumption. Very low calorie diet is recommended for morbidly obese individuals with little or no success in low diet consumption. Behaviour Therapy The oldest report of the use of behavioral therapy in the management of obesity occurred in 1967. Since then, it has been widely used in the management of obesity (Gupta R. & Misra A. 2007). Behavior therapy involves setting out goals and principles to patients to aid their adherence to the diet modification and activity goals for weight loss. Conventional tactics include self-monitoring of food intake and exercise, reduced portion of meals and number of times of food intake, intellective restructuring, problem solving, and prevention of regression. The primary aim of behavior modification therapy is to change eating pattern and exercise practices to promote weight loss (CDC, 2011). Components of behavioral therapy Self-monitoring: This is one of the main elements of behavior therapy in obesity. Self-monitoring includes maintaining food dairies and activity logs (Guare J.C., et. Al., 1989).Stimulus Control: This is the second key element in behavior therapy. In this element, focus is placed on altering the environment that initiates eating and modifying it to help prevent overeating. Stimulus control includes proper purchase of food items, excluding energy-dense processed food and introducing more fruits and vegetables (Wing R.R., 2004) Slower eating: Reducing the speed of eating so as to allow signals for fullness come into play.Goal setting: Setting realistic goals for one’s self or setting goals for patients as appropriate (Bandura A. & Simon K.M., 1977). Behavioral contracting: Reinforcing of successful outcomes or rewarding good behaviors plays a key role (Volpp K. G., et. al., 2008).Education: Nutritional education is a necessary component of a successful behavior therapy for obesi ty. A structured meal plan in conjunction with consultation with a dietician will be helpful (Pedersen S. D., et. al., 2007).Social support: Behavioral modification is more sustainable in the long term when there is social support. Enhancing social support is essential for behavioral therapy (Avenell A. et. al., 2004). Physical activity Physical activity is the third component of non-surgical weight loss interventions and lifestyle modification. The advantages of physical activities include promoting negative energy balance by maximizing calorie expenditure, preserving fat-free part during weight loss, and improving cardiovascular fitness. Physical activity, however, is ineffective in weight loss in the absence of diet modification. The greatest benefit of physical activity is in facilitating the maintenance of weight loss (Pronk N.P & Wing R.R. 1992). Case studies have shown that people who exercise regularly are more successful in maintaining weight losses than are those who do not exercise. Kayman S., Bruvold W., Stern J.S. 1990; Klem M.L., Wing R.R., McGuire M.T., Seagle H.M., Hill J.O.1997). Additional evidence comes from randomized trials. Participants who receive diet plus exercise maintain greater weight losses 1 year after treatment than do those who receive diet alone, although the differences are not always statistically significant (Wing, R.R. 1999). PREVENTION Obesity is a long-lasting medical condition, which is linked with several debilitating and life-threatening conditions. The increasing rate of obesity globally is a public health concern (Srinivas N., et. al., 2004). Hence an effective way to control obesity requires strategies that would tackle the major issues relating to prevention (Srinivas N., et. al., 2004). The treatment and prevention of obesity are interrelated. The prevention of obesity involves several levels i) Primary ii) Secondary iii) Tertiary (Timothy P.G., 1997). Primary prevention: The goal of primary prevention is to reduce the number of new cases. Diet modification/ healthy diet habits is a primary way of preventing obesity. Sedentary life style which is one of the causes of obesity can be prevented by appropriate exercises and activities that help burn out excess calories in the body and also prevent accumulation of fat. Simple habits ranging from 30 minutes walk in a day to weekly work out at the gymnasium can go a long way in maintaining a healthy weight. Health education is also very important in this aspect because some individuals in the community are unaware of the health implications of their habits. Appropriate health education programs should be organized to increase awareness. Accessibility to healthy food is also an important factor in the prevention of obesity. Formulations of policies that would facilitate healthy eating habit should be adopted by the Government; this would go a long way in reducing the economic effects of ob esity and the burden on the Nation’s resources. Policy and environmental approaches that make healthy choices available, affordable and easy can be used to extend the propagation of strategies designed to raise awareness and support people who would like to make healthy lifestyle changes (CDC, 2011).Secondary prevention: Secondary prevention is to lower the rate of established cases in the community (Srinivas N., et. al., 2004). Secondary prevention includes strategies to diagnose and treat an existing medical condition in its early stage to avoid complications. (Jeffery G.K., 2014). Tertiary prevention: Tertiary prevention is to stabilize or reduce the amount of disability related to obesity ((Srinivas N., et. al., 2004). For those who are already obese and showing signs and symptoms of complications, there are clinical preventive maintenance and treatment regimes (Srinivas N., et. al., 2004). These treatment includes medications and increase in fruit and vegetable consumpti on. Some extreme cases may include surgery and this is used usually when BMI exceeds 30kg/m2 or 40 kg/m2 and when other treatment options have failed. Examples of surgical procedures to treat obesity and its complications includes gastric partitioning and gastric by-pass (Srinivas N., et. al., 2004). REFERENCES Allison, B. D., Fontaine, R. K., Manson, E. J., & VanItallie, B. T. (1999). Annual deaths attributable to obesity in the United States. Journal of American Medical Association , 282 (16), 1530-8. Barness, A. L., Opitz, M. J., & Gilbert, E. (2007). 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