GOING BEYOND the ideal weight isn’t an indication of being healthy. In tipping the scales, one should not go over what is deemed ideal, taking into consideration the age and height of an individual.
But in the Philippines, many don’t seem aware that being overweight translates to poor health, especially for the 41 percent of the adult population classified as “obese.”
In the Philippine Congress, House Deputy Speaker Janette Garin said that healthcare services cost the government P1.9 trillion which represents 7.3 percent of the country’s gross national product (GNP). The figure, however, does not include expenses incurred to address obesity.
EXTREMELY ALARMING
Garin said the cost could rise to over P2.7 trillion if overweight-related expenses are included.
These cover direct medical costs such as hospital confinement, based on normative estimates assuming patients are diagnosed and treated according to medical guidelines. Non-medical costs were also taken into account, reaching P165.39 billion, including expenses such as transportation.
“Forty-one percent is very alarming. I was surprised because I never expected it to be that high,” exclaimed Garin in reaction to the findings of the study by a team led by Dr. Madeleine de Rosas-Valera for Novo Nordisk Pharmaceutical (Philippines) Inc.
The same study noted that over four in 10 Filipino adults are already at increased risk of obesity-related health problems, Business World reported.
PREVENTIVE APPROACH
Garin said the findings “are a sound of alarm and a red flag for our country,” as Filipinos currently face high out-of-pocket healthcare expenses, while public healthcare spending is largely directed toward curative care rather than preventive approach.
She said the government must work together to address the problem of obesity by providing the right information to the level of schools and communities.
Garin committed to pushing for health programs and budget allocations to curb the number of obese Filipinos to about 10% from 41%, noting that such a persistently high figure would be “a bad legacy for the country.”
OBESITY IN CURRICULUM
Garin is also looking into the possibility of pushing a legislative bill seeking to include lessons about misleading marketing of food that contributes to obesity in the school curriculum.
The lady legislator also finds it rather imperative for Congress to use its oversight powers if only to ensure that people are made aware of what they’ve been eating.
“It can be included in the curriculum. We have to start orienting parents and teachers because that is where it begins. We have to let them know what they are feeding their children or what they themselves are eating,” Garin averred.
AMENDING TRAIN LAW
On the recent push to amend the Tax Reform for Acceleration and Inclusion (TRAIN) Law to raise taxes on sweetened beverages and include previously exempted sweetened and flavored milk, Garin said discussions on taxation are difficult to pursue amid ongoing global economic challenges.
“It is very difficult to directly raise taxes, especially when it relates to food.”
“Maybe we can discuss taxation in the future because for now, if we talk about that, it might have a bigger impact on the economy later,” she added.
She however expressed belief that the lower house could explore other ways to curb obesity, such as imposing penalties on unhealthy foods and making measures to increase public awareness of foods that contribute to obesity.
EPICOB-PH STUDY
EpiCob-PH, which stands for Epidemiological Burden and Cost of Obesity in the Philippines recently conducted a study primarily designed to address the gap in research on obesity’s demographic distribution and economic burden in the country.
Using a modeling approach that combined multiple national data sources, EpiCob-PH looked into data from the National Nutrition Survey and the Expanded National Nutrition Survey from 1993 to 2023 to estimate obesity’s current and future trends, as well as its health impacts.
Productivity losses, including workdays missed due to obesity-related conditions, were estimated at P1.17 trillion.
The cost of obesity was computed through a specialized cost-of-illness model that integrated findings from a previous epidemiological burden study, said Dr. John Paul Caesar delos Trinos in his capacity as chief scientific officer and principal at MetaHealth Insights and Innovations Inc.
RECOMMENDATIONS
The analysis is backed up by secondary data, including published literature, online resources, and consultations with experts.
To curb the economic cost of obesity, delos Trinos said that food warning labels could be improved to indicate high levels of obesity-inducing ingredients such as fat, sugar, and salt.
He also urged the Philippine Health Insurance Corporation (PhilHealth) to include obesity in its primary care package, YAKAP.
For government offices and workplaces, he also suggested incorporating wellness initiatives for employees.
“This cannot be addressed by one institution or one sector alone. It cannot just be researchers conducting studies, publishing them, and then calling it a day. This will really require collaboration between different sectors,” delos Trinos concluded.



