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OCRJune 2000
    Question:
  1. Explain what is meant by the term malnutrition.

    [2]
    Obesity is regarded as a form of malnutrition. One way of defining obesity is by means of the body mass index (BMI). This is calculated for an individual as follows:

    BMI = body mass in kg/(height in m)2

    Question:
  2. Calculate the BMI for a person of body mass 70 kg and height 1.7m. Show your working.

    [2]
    An obese person is defined slightly differently in Europe and the USA as follows.
    Europe: BMI greater than 30
    USA: BMI greater than 27.8 for men, and greater than 27.3 for women
    These values were used in producing the data for the table, which shows the occurrence of obesity in England and Germany (both in Europe) and in the USA between 1978 and 1994.
    country age range year occurrence of obesity (% of population)
    men women
    England 16-64 1980 6 8
    1994 13 16
    Germany 25-69 1985 15 17
    1990 17 19
    USA (European origin) 20-74 1978 24 24
    1988-91 32 34
  3. With reference to the table

      Question:
    1. state two limitations of the data as presented, other than the slightly different definitions of obesity in Europe and the USA;

      [2]
      Question:
    2. bearing in mind the limitations of the data, state two main conclusions that can be drawn, apart from the fact that obesity is increasing rapidly;

      [2]
      Question:
    3. if the trend for men in England continued, calculate the percentage of Englishmen who would be obese by the end of the year 2003. Show your working.

      [2]
    The body mass of an individual depends mainly on the difference between energy consumption and energy expenditure. The figure shows the total daily energy expenditure of 9 lean and 7 obese women in an experiment into the cause of obesity.


    It is often suggested that lean people have a higher metabolic rate than obese people, and that this is an important factor in why they do not become obese.
    Question:
  4. Explain whether this suggestion is supported by the data in the figure.

    [3]
    Obese people are frequently advised to take more exercise.
    Question:
  5. Suggest why exercise, on its own, is unlikely to be effective in reducing obesity.

    [2]
[Total : 15]