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Obesity in Germany

Obesity in Germany has been increasingly cited as a major health issue in recent years. The federal government has declared this to be a major issue.[1]

Share of adults that are obese, 1975 to 2016

Data released by the World Health Organization in 2014 showed that while an issue of growing concern, within the European Union, Germany had an incidence of overweight and obese adults as a percentage of the total population at 54.8% as in comparison with France at 60.7%, Spain at 60.9% or the United Kingdom at 63.4%.[2]

History edit

Prior to 2007 edit

In 1998, 19 percent of men and 22.5 percent of women met the definition of obesity.[3] Childhood obesity doubled between 1985 and 1999.[4] Childhood obesity is at about 1.9 million children in Germany; of which 800.000 are considered truly obese.[4]

2007 – 2010 edit

 
Chart showing that Germany had the most overweight and obese people among Europeans in 2007

A 2007 study shows Germany had the highest number of overweight people in Europe.[5][6] However, the United Kingdom, Greece and certain countries in Eastern Europe have a higher rate of "truly obese" people.[7] In 2007, The German obesity rate was considered at the same level as with the American obesity rate.[8] In Germany, 60% of men and 43% of women are considered overweight while in France, 38.5% of men and 26% of women are considered overweight.[9] Germans are considered thinner than people in the United Kingdom.[9] The waist of female Germans between the ages of 14 and 70 grew by 4.1 centimetres between 1994 and 2009.[10] The belly girth of men between 16 and 70 grew by 4.4 centimetres between 1980 and 2009.[10]

2011 – Present edit

The number of overweight people in Germany has stagnated between 1998 and December 2011.[11] 67.1% of all men between 18 and 79 are considered overweight with a BMI of 25 or greater.[11]In 2019, the proportion of overweight and obese people in Germany was at an average level for the EU-27.[12]

Childhood obesity edit

Italy has surpassed Germany for having the fattest children in Europe.[13] A survey in 2007 had Germany listed as the country with "the highest proportion of overweight children in Europe."[13] However, despite dropping in the rankings, the number of truly obese children have doubled in the past decade.[14]

Around 4% of 5 to 7 year-olds and 8% of 10 to 14 year-olds are obese in Germany.[15]

Healthy lifestyle edit

Only 14% live a "completely healthy" life.[16] Almost a quarter of German adults meet the definition of obesity.[3] Both men and women are around 23%.[3]

State-by-state edit

Mecklenburg-Vorpommern go on foot or by bicycle to get where they need to more often than any other state.[16] Mecklenburg-Vorpommern has the most people living a "completely healthy" life at a rate of 19.8% of the people while Saxony-Anhalt have the fewest people living a "completely healthy" life.[16] Thuringia has the healthiest eating habits while people from North Rhine-Westphalia and Berlin have the worst eating habits.[16]

Statistics of people living a "completely healthy" life edit

Ranking State Percentage
of people
living a
"completely healthy"
life
Source
1 Mecklenburg-Vorpommern 19.8 [16]
2 Lower Saxony & Bremen 19.5
3 Saxony 17.2
4 Bavaria 16.5
5 Hesse 14.7
6 Thuringia 13.9
7 Schleswig-Holstein 13.6
8 Berlin 12.3
9 North Rhine-Westphalia 12.0
Hamburg 12.0
11 Baden-Württemberg 11.3
12 Rhineland-Palatinate & Saarland 9.4
Brandenburg 9.4
14 Saxony-Anhalt 7.9

Causes edit

Food and drinks edit

A high consumption of beer, fatty and processed foods and a lack of exercise are to be blamed for obesity in Germany.[7][17][18]

Another issue is the lack of fruits, vegetables and fish in the German diet.[17] Children's food products do not contribute to a healthy diet.[19]

Die Welt reported that a "balanced diet is practically impossible."[19] The profit margin for fruits and vegetables was below five percent while confectionery, soft drinks and snacks was at 15% or more.[19]

Genes edit

Genes partly play a role in obesity.[20] Scientists at the German Institute of Human Nutrition and the University Hospital of Leipzig stated that identified two genes that promote fat accumulation in the abdominal cavity.[21] The increased activity of the genes also promotes the release of an enzyme that is responsible for the formation of cortisol.[21] A permanent increase in cortisol levels contribute to obesity.[21]

Marriage edit

Marriage has played a factor.[9] Sixty-nine percent of married men are considered overweight while only 43% of single men are considered overweight.[9] Fifty-eight percent of widowed women are considered overweight and 46% of married women are considered overweight, while only 25% of single women are considered overweight.[9] For children, lifestyle choices such as exercise and enough sleep plays a role in weight.[13]

Effects edit

Employment problems edit

A study by the German Sport University Cologne revealed that some industries in Germany have a shortage of qualified trainees due to Germany's obesity epidemic.[22] The industries affected are security and emergency services and skilled manual work sectors.[22]

Clothing industry edit

A clothing-related study revealed that many clothing companies plan to adjust their sizing partly due to Germany's obesity epidemic.[10]

Physical health edit

Several studies have shown that obese men tend to have a lower sperm count, fewer rapidly mobile sperm and fewer progressively motile sperm compared to normal-weight men.[23]

Obesity in Germany has created a cholesterol problem.[17] High cholesterol is known to cause premature death, angina, heart disease and strokes.[17]

There has been an increase of children with Type 1 diabetes between 1996 and 2011.[24] Diabetics are at higher risk for complications such as heart attack and stroke.[24] In Germany, 600,000 people suffered from diabetes near the end of World War II compared to eight million now.[24]

Obesity can increase risk for secondary diseases such as diabetes, cardiovascular disease, certain cancers and Alzheimer's.[14] Children who get diabetes can expect to lose 10 to 15 years off of their lives.[24] Diabetes also affect the eyes, kidneys and nerves in the legs.[24]

Obesity is a "very strong promoter of cancer."[25] Obesity causes an increased risk for colon cancer and breast cancer.[25]

Costs edit

Health costs because of obesity has increased and accounts for 20% of health costs.[8] A third of patients suffer from a loss of control when eating and how much out of control depends on how fat the patient is.[14]

Intelligence edit

Obesity in seniors shows that it makes seniors less intelligent.[26]

Programs edit

There are many weight loss children programs for kids.[4]

Fit instead of Fat edit

The Fit instead of Fat program is run by the German federal government. The objective of the program is to "sharply" reduce obesity rates by the year 2020.[5][6] The program will try and meet the target by improving the quality of food offered in schools and hospitals along with increasing exercise levels in children.[5][6]

Bundeswehr's fitness camp edit

As of 2007, forty percent of the Bundeswehr's 300,000 conscripts doing military service are considered overweight.[27][28] A 2007 report declared "excessive bureaucracy" for limiting the time soldiers have to exercise.[28] As a result, an anti-obesity fitness camp opened in Warendorf, North Rhine-Westphalia.[27]

Projekt Kugelblitz edit

A hospital in Leverkusen, North Rhine-Westphalia started Projekt Kugelblitz to help obese children and adolescence.[29] The aim of the program is to "improve the self-perception, so that the participants develop more sensitive to the context of frustration and compulsive eating, and the selection and preparation of foods and of exercise and well-being".[29]

Anti-obesity clinic edit

An anti-obesity clinic in Wesseling, North Rhine-Westphalia works with a maximum of eight participants for 27 months.[30] The program is about nutrition counseling, physical exercise and behavior therapy.[30] Each week they are cared for in highly structured and interlinked courses and motivated.[30] Up to 80 appointments are intended per year.[30]

School involvement and funding edit

North Rhine-Westphalia introduced fitness test for students in the second grade due to an increase of children and adolescents being overweight.[31] The students will be weighed and be put through a series of eight exercises.[31] The state government also wants to fund sports for children who have a weight problem.[31]

Forbes 2007 ranking edit

The following list reflects the percentage of overweight adults aged 15 and over. These are individuals who have individual body mass indexes, which measures weight relative to height, greater than or equal to 25.

Ranking Country Percentage
38 Jordan 60.5
39 Bahamas 60.4
40 Iceland 60.4
41 Nicaragua 60.4
42 Cuba 60.1
43 Germany 60.1
44 Brunei Darussalam 59.8
45 Slovenia 59.8
46 Peru 59.6
47 Vanuatu 59.6
48 Finland 58.7

Source: Forbes.com[32]

See also edit

References edit

  1. ^ . German Government. Archived from the original on 4 August 2009. Retrieved 1 July 2010.
  2. ^ "Health Topics, Obesity". World Health Organisation. Retrieved 25 February 2016.
  3. ^ a b c "One in four Germans officially obese". The Local. 15 June 2012. Retrieved 15 June 2012.
  4. ^ a b c Löll, Christiane (27 June 2012). "Hilfe, unser Kind wird dicker und dicker". Die Welt (in German). Retrieved 13 September 2012.
  5. ^ a b c "Topping the EU Fat Stats, Germany Plans Anti-Obesity Drive". Deutsche Welle. 20 April 2007. Retrieved 25 June 2010.
  6. ^ a b c "Germany launches obesity campaign". BBC. 9 May 2007. Retrieved 25 June 2010.
  7. ^ a b "Germans Are Fattest People in Europe, Study Shows". Der Spiegel. 19 April 2007. Retrieved 26 June 2010.
  8. ^ a b "Deutsche sind die dicksten Europäer" (in German). Süddeutsche Zeitung. April 18, 2007. Retrieved March 8, 2011.
  9. ^ a b c d e "Germany is getting fatter". The Local. 2 June 2010. Retrieved 26 June 2010.
  10. ^ a b c "Clothing makers mulling bigger sizes to fit tubbier Teutons". The Local. 22 April 2009. Retrieved 26 June 2010.
  11. ^ a b Merkel, Wolfgang W (14 June 2012). "So krank sind die Deutschen wirklich". Die Welt (in German). Retrieved 13 September 2012.
  12. ^ "Overweight and obesity - BMI statistics". ec.europa.eu. Retrieved 2023-10-06.
  13. ^ a b c "Italien hat die dicksten Kinder in Europa". Die Welt. 13 November 2011. Retrieved 14 November 2011.
  14. ^ a b c "Die wenigsten Deutschen haben Normalgewicht". Die Welt. 10 June 2011. Retrieved 14 November 2011.
  15. ^ "Generation XXL". stern.de (in German). Retrieved 2021-11-03.
  16. ^ a b c d e "Wie gesund lebt Deutschland?". Die Welt. 10 August 2010. Retrieved 14 November 2011.
  17. ^ a b c d "New obesity report says world is fatter, rounder, less productive". Deutsche Welle. February 4, 2011. Retrieved February 4, 2011.
  18. ^ "New Study Shows Extent of Germany's Weight Problem". Deutsche Welle. 30 January 2008. Retrieved 28 June 2010.
  19. ^ a b c "Fast jedes Kinder-Produkt ist zu süß und zu fett". Die Welt (in German). 13 March 2012. Retrieved 31 March 2012.
  20. ^ Driessen, Barbara (29 July 2012). "800.000 Kinder in Deutschland sind fettleibig". Die Welt (in German). Retrieved 13 September 2012.
  21. ^ a b c "Also doch, die Gene sind schuld am Übergewicht!". Die Welt (in German). 14 June 2012. Retrieved 14 June 2012.
  22. ^ a b "Germany's young adults are too fat to work". The Local. December 16, 2008. Retrieved June 26, 2010.
  23. ^ "Obesity linked to lower sperm count in young men". Reuters. August 11, 2010. Retrieved September 25, 2010.
  24. ^ a b c d e "Doppelt so viele Typ-1-Diabetiker wie vor 15 Jahren". Die Welt. 14 November 2011. Retrieved 14 November 2011.
  25. ^ a b "Übergewicht ist ein Motor für Krebserkrankungen". Die Welt (in German). 15 March 2012. Retrieved 13 September 2012.
  26. ^ "Zu viel Bauchfett bei Senioren: Weniger Intelligenz". Augsburger Allgemeine (in German). 23 March 2012. Retrieved 16 April 2012.
  27. ^ a b "German army goes to war against its flabby troops". Telegraph. 9 July 2001. Retrieved 25 June 2010.
  28. ^ a b "German soldiers too fat to fight". The Local. 4 March 2008. Retrieved 1 July 2010.
  29. ^ a b Sting, Jan (22 April 2005). "Projekt "Kugelblitz" gegen Fettleibigkeit". Kölner Stadt-Anzeiger (in German). Retrieved 11 April 2011.
  30. ^ a b c d "Kölner Spezialklinik hilft Übergewichtigen". Die Welt. 2 August 2011. Retrieved 14 November 2011.
  31. ^ a b c Preuß, Roland (20 May 2014). "Antreten zum Fitnesstest". Süddeutsche Zeitung (in German). Retrieved 21 May 2014.
  32. ^ . Forbes.com. 8 February 2007. Archived from the original on October 16, 2007. Retrieved 25 June 2010.

obesity, germany, been, increasingly, cited, major, health, issue, recent, years, federal, government, declared, this, major, issue, share, adults, that, obese, 1975, 2016data, released, world, health, organization, 2014, showed, that, while, issue, growing, c. Obesity in Germany has been increasingly cited as a major health issue in recent years The federal government has declared this to be a major issue 1 Share of adults that are obese 1975 to 2016Data released by the World Health Organization in 2014 showed that while an issue of growing concern within the European Union Germany had an incidence of overweight and obese adults as a percentage of the total population at 54 8 as in comparison with France at 60 7 Spain at 60 9 or the United Kingdom at 63 4 2 Contents 1 History 1 1 Prior to 2007 1 2 2007 2010 1 3 2011 Present 1 4 Childhood obesity 2 Healthy lifestyle 2 1 State by state 2 1 1 Statistics of people living a completely healthy life 3 Causes 3 1 Food and drinks 3 2 Genes 3 3 Marriage 4 Effects 4 1 Employment problems 4 2 Clothing industry 4 3 Physical health 4 4 Costs 4 5 Intelligence 5 Programs 5 1 Fit instead of Fat 5 2 Bundeswehr s fitness camp 5 3 Projekt Kugelblitz 5 4 Anti obesity clinic 5 5 School involvement and funding 6 Forbes 2007 ranking 7 See also 8 ReferencesHistory editPrior to 2007 edit In 1998 19 percent of men and 22 5 percent of women met the definition of obesity 3 Childhood obesity doubled between 1985 and 1999 4 Childhood obesity is at about 1 9 million children in Germany of which 800 000 are considered truly obese 4 2007 2010 edit nbsp Chart showing that Germany had the most overweight and obese people among Europeans in 2007A 2007 study shows Germany had the highest number of overweight people in Europe 5 6 However the United Kingdom Greece and certain countries in Eastern Europe have a higher rate of truly obese people 7 In 2007 The German obesity rate was considered at the same level as with the American obesity rate 8 In Germany 60 of men and 43 of women are considered overweight while in France 38 5 of men and 26 of women are considered overweight 9 Germans are considered thinner than people in the United Kingdom 9 The waist of female Germans between the ages of 14 and 70 grew by 4 1 centimetres between 1994 and 2009 10 The belly girth of men between 16 and 70 grew by 4 4 centimetres between 1980 and 2009 10 2011 Present edit The number of overweight people in Germany has stagnated between 1998 and December 2011 11 67 1 of all men between 18 and 79 are considered overweight with a BMI of 25 or greater 11 In 2019 the proportion of overweight and obese people in Germany was at an average level for the EU 27 12 Childhood obesity edit Italy has surpassed Germany for having the fattest children in Europe 13 A survey in 2007 had Germany listed as the country with the highest proportion of overweight children in Europe 13 However despite dropping in the rankings the number of truly obese children have doubled in the past decade 14 Around 4 of 5 to 7 year olds and 8 of 10 to 14 year olds are obese in Germany 15 Healthy lifestyle editOnly 14 live a completely healthy life 16 Almost a quarter of German adults meet the definition of obesity 3 Both men and women are around 23 3 State by state edit Mecklenburg Vorpommern go on foot or by bicycle to get where they need to more often than any other state 16 Mecklenburg Vorpommern has the most people living a completely healthy life at a rate of 19 8 of the people while Saxony Anhalt have the fewest people living a completely healthy life 16 Thuringia has the healthiest eating habits while people from North Rhine Westphalia and Berlin have the worst eating habits 16 Statistics of people living a completely healthy life edit Ranking State Percentageof peopleliving a completely healthy life Source1 Mecklenburg Vorpommern 19 8 16 2 Lower Saxony amp Bremen 19 53 Saxony 17 24 Bavaria 16 55 Hesse 14 76 Thuringia 13 97 Schleswig Holstein 13 68 Berlin 12 39 North Rhine Westphalia 12 0Hamburg 12 011 Baden Wurttemberg 11 312 Rhineland Palatinate amp Saarland 9 4Brandenburg 9 414 Saxony Anhalt 7 9Causes editFood and drinks edit A high consumption of beer fatty and processed foods and a lack of exercise are to be blamed for obesity in Germany 7 17 18 Another issue is the lack of fruits vegetables and fish in the German diet 17 Children s food products do not contribute to a healthy diet 19 Die Welt reported that a balanced diet is practically impossible 19 The profit margin for fruits and vegetables was below five percent while confectionery soft drinks and snacks was at 15 or more 19 Genes edit Genes partly play a role in obesity 20 Scientists at the German Institute of Human Nutrition and the University Hospital of Leipzig stated that identified two genes that promote fat accumulation in the abdominal cavity 21 The increased activity of the genes also promotes the release of an enzyme that is responsible for the formation of cortisol 21 A permanent increase in cortisol levels contribute to obesity 21 Marriage edit Marriage has played a factor 9 Sixty nine percent of married men are considered overweight while only 43 of single men are considered overweight 9 Fifty eight percent of widowed women are considered overweight and 46 of married women are considered overweight while only 25 of single women are considered overweight 9 For children lifestyle choices such as exercise and enough sleep plays a role in weight 13 Effects editEmployment problems edit A study by the German Sport University Cologne revealed that some industries in Germany have a shortage of qualified trainees due to Germany s obesity epidemic 22 The industries affected are security and emergency services and skilled manual work sectors 22 Clothing industry edit A clothing related study revealed that many clothing companies plan to adjust their sizing partly due to Germany s obesity epidemic 10 Physical health edit Several studies have shown that obese men tend to have a lower sperm count fewer rapidly mobile sperm and fewer progressively motile sperm compared to normal weight men 23 Obesity in Germany has created a cholesterol problem 17 High cholesterol is known to cause premature death angina heart disease and strokes 17 There has been an increase of children with Type 1 diabetes between 1996 and 2011 24 Diabetics are at higher risk for complications such as heart attack and stroke 24 In Germany 600 000 people suffered from diabetes near the end of World War II compared to eight million now 24 Obesity can increase risk for secondary diseases such as diabetes cardiovascular disease certain cancers and Alzheimer s 14 Children who get diabetes can expect to lose 10 to 15 years off of their lives 24 Diabetes also affect the eyes kidneys and nerves in the legs 24 Obesity is a very strong promoter of cancer 25 Obesity causes an increased risk for colon cancer and breast cancer 25 Costs edit Health costs because of obesity has increased and accounts for 20 of health costs 8 A third of patients suffer from a loss of control when eating and how much out of control depends on how fat the patient is 14 Intelligence edit Obesity in seniors shows that it makes seniors less intelligent 26 Programs editThere are many weight loss children programs for kids 4 Fit instead of Fat edit The Fit instead of Fat program is run by the German federal government The objective of the program is to sharply reduce obesity rates by the year 2020 5 6 The program will try and meet the target by improving the quality of food offered in schools and hospitals along with increasing exercise levels in children 5 6 Bundeswehr s fitness camp edit As of 2007 forty percent of the Bundeswehr s 300 000 conscripts doing military service are considered overweight 27 28 A 2007 report declared excessive bureaucracy for limiting the time soldiers have to exercise 28 As a result an anti obesity fitness camp opened in Warendorf North Rhine Westphalia 27 Projekt Kugelblitz edit A hospital in Leverkusen North Rhine Westphalia started Projekt Kugelblitz to help obese children and adolescence 29 The aim of the program is to improve the self perception so that the participants develop more sensitive to the context of frustration and compulsive eating and the selection and preparation of foods and of exercise and well being 29 Anti obesity clinic edit An anti obesity clinic in Wesseling North Rhine Westphalia works with a maximum of eight participants for 27 months 30 The program is about nutrition counseling physical exercise and behavior therapy 30 Each week they are cared for in highly structured and interlinked courses and motivated 30 Up to 80 appointments are intended per year 30 School involvement and funding edit North Rhine Westphalia introduced fitness test for students in the second grade due to an increase of children and adolescents being overweight 31 The students will be weighed and be put through a series of eight exercises 31 The state government also wants to fund sports for children who have a weight problem 31 Forbes 2007 ranking editThe following list reflects the percentage of overweight adults aged 15 and over These are individuals who have individual body mass indexes which measures weight relative to height greater than or equal to 25 Ranking Country Percentage38 Jordan 60 539 Bahamas 60 440 Iceland 60 441 Nicaragua 60 442 Cuba 60 143 Germany 60 144 Brunei Darussalam 59 845 Slovenia 59 846 Peru 59 647 Vanuatu 59 648 Finland 58 7Source Forbes com 32 See also editList of countries by Body Mass Index BMI References edit A Germany worth living in German Government Archived from the original on 4 August 2009 Retrieved 1 July 2010 Health Topics Obesity World Health Organisation Retrieved 25 February 2016 a b c One in four Germans officially obese The Local 15 June 2012 Retrieved 15 June 2012 a b c Loll Christiane 27 June 2012 Hilfe unser Kind wird dicker und dicker Die Welt in German Retrieved 13 September 2012 a b c Topping the EU Fat Stats Germany Plans Anti Obesity Drive Deutsche Welle 20 April 2007 Retrieved 25 June 2010 a b c Germany launches obesity campaign BBC 9 May 2007 Retrieved 25 June 2010 a b Germans Are Fattest People in Europe Study Shows Der Spiegel 19 April 2007 Retrieved 26 June 2010 a b Deutsche sind die dicksten Europaer in German Suddeutsche Zeitung April 18 2007 Retrieved March 8 2011 a b c d e Germany is getting fatter The Local 2 June 2010 Retrieved 26 June 2010 a b c Clothing makers mulling bigger sizes to fit tubbier Teutons The Local 22 April 2009 Retrieved 26 June 2010 a b Merkel Wolfgang W 14 June 2012 So krank sind die Deutschen wirklich Die Welt in German Retrieved 13 September 2012 Overweight and obesity BMI statistics ec europa eu Retrieved 2023 10 06 a b c Italien hat die dicksten Kinder in Europa Die Welt 13 November 2011 Retrieved 14 November 2011 a b c Die wenigsten Deutschen haben Normalgewicht Die Welt 10 June 2011 Retrieved 14 November 2011 Generation XXL stern de in German Retrieved 2021 11 03 a b c d e Wie gesund lebt Deutschland Die Welt 10 August 2010 Retrieved 14 November 2011 a b c d New obesity report says world is fatter rounder less productive Deutsche Welle February 4 2011 Retrieved February 4 2011 New Study Shows Extent of Germany s Weight Problem Deutsche Welle 30 January 2008 Retrieved 28 June 2010 a b c Fast jedes Kinder Produkt ist zu suss und zu fett Die Welt in German 13 March 2012 Retrieved 31 March 2012 Driessen Barbara 29 July 2012 800 000 Kinder in Deutschland sind fettleibig Die Welt in German Retrieved 13 September 2012 a b c Also doch die Gene sind schuld am Ubergewicht Die Welt in German 14 June 2012 Retrieved 14 June 2012 a b Germany s young adults are too fat to work The Local December 16 2008 Retrieved June 26 2010 Obesity linked to lower sperm count in young men Reuters August 11 2010 Retrieved September 25 2010 a b c d e Doppelt so viele Typ 1 Diabetiker wie vor 15 Jahren Die Welt 14 November 2011 Retrieved 14 November 2011 a b Ubergewicht ist ein Motor fur Krebserkrankungen Die Welt in German 15 March 2012 Retrieved 13 September 2012 Zu viel Bauchfett bei Senioren Weniger Intelligenz Augsburger Allgemeine in German 23 March 2012 Retrieved 16 April 2012 a b German army goes to war against its flabby troops Telegraph 9 July 2001 Retrieved 25 June 2010 a b German soldiers too fat to fight The Local 4 March 2008 Retrieved 1 July 2010 a b Sting Jan 22 April 2005 Projekt Kugelblitz gegen Fettleibigkeit Kolner Stadt Anzeiger in German Retrieved 11 April 2011 a b c d Kolner Spezialklinik hilft Ubergewichtigen Die Welt 2 August 2011 Retrieved 14 November 2011 a b c Preuss Roland 20 May 2014 Antreten zum Fitnesstest Suddeutsche Zeitung in German Retrieved 21 May 2014 World s Fattest Countries Forbes com 8 February 2007 Archived from the original on October 16 2007 Retrieved 25 June 2010 Retrieved from https en wikipedia org w index php title Obesity in Germany amp oldid 1205129930, wikipedia, wiki, book, books, library,

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