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Professor Boyd Swinburn The latest New Zealand Health Survey results show a substantial up-tick in both childhood and adult obesity prevalence after plateauing for a decade. This is of great concern and it makes a new report from the Sapere Research Group on the Economic Impact of Excess Weight in Aotearoa all the more important. The report was commissioned by Hapai Te Hauora and it is a very welcome update on the two previous studies I was involved with using data from 1991 and 2006. Over these last three decades, obesity prevalence has increased substantially, as have health care costs and population size, so it is very valuable to have some up-to-date data on the costs of overweight and obesity. The headline number, before we get into the details, is that the direct healthcare costs attributable to overweight and obesity are about $2 billion per year, which is about eight per cent of the total health budget – this is a big slice of preventable healthcare costs for successive gove