BFF-13 Double burden of obesity, undernourishment stalks world: report

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HEALTH-NUTRITION-OBESITY

Double burden of obesity, undernourishment stalks world: report

PARIS, Dec 16, 2019 (BSS/AFP) – Low- and middle-income countries risk
seeing their development progress slashed by the double-edged sword of
obesity and undernutrition, both caused by a lack of access to affordable
healthy food, a report in The Lancet warned Monday.

This “double burden of malnutrition”, or DBM, affects more than a third of
some 130 countries classed as low-and middle-income, the report in the
medical journal said.

More alarming, it is increasingly seen in the same household — most
commonly an overweight mother and a child stunted by undernutrition living
under the same roof.

Both forms of malnutrition are linked to health problems and premature
death, weighing heavily on a country’s health system and labour productivity.
The report, compiled in collaboration with the World Health Organization,
said being overweight can no longer be considered a rich country problem, nor
undernourishment a preserve of the poor.

“While more than 149 million children have stunted growth, childhood
overweight and obesity are increasing almost everywhere, and suboptimal diets
are responsible for one in five (22 percent) adult deaths globally,” it said.

“The economic, social, and environmental costs of inaction will hinder the
growth and development of individuals and societies for decades to come,” it
warned.

Nowhere has the prevalence of DBM grown more than in the poorest countries,
the report found, mainly reflecting a rapid rise in overweight people adding
to the long-standing challenge of hunger.

It pointed to the rise in cheap, satisfying foods high in salt, sugar and
fat, combined with a “major reduction” in physical activity at work, at home
and in transportation.

The report said DBM was a feature in up to 35 percent of households in some
countries, with the highest levels in Azerbaijan, Guatemala, Egypt, Comoros
and Sao Tome and Principe.

Sometimes DBM is even measured in a single child — a combination of
overweight and stunted development due to lacking nutrients. This rate was
highest in Albania, at 15 percent.

– Major shift required –

Nearly all countries saw declines in child wasting or stunting, according
to the research, but conversely, nearly all countries saw an increase in
overweight women.

To report blamed “very rapid changes in the diets and food systems” of most
low-to middle-income countries, with fresh markets increasingly making way
for takeaway food retailers.

“Offsetting the effects of any ultra-processed food is difficult — eg. by
drinking a 355 ml bottle of sugar-sweetened beverage, the consumer would be
required to undertake a 1.5-mile (2.4-kilometre) walk or run for at least 15
minutes.”

A trial conducted by the US National Institutes of Health, it added, showed
that adults of normal weight lost 0.9 kilogrammes (two pounds) when given a
healthy “real food” diet for two weeks, and gained the same amount when fed
ultra-processed foods.

In Latin America and the Caribbean, sales of packaged, processed food
increased from about 10 percent of all food bought in 1990 to 60 percent in
just ten years.

Breaking the trend will require “major societal shifts,” the Lancet report
said.

Steps could include subsidies for healthy foods, providing nutritious meals
at schools, and food education — including promoting the inexpensive and
nutritious option of breastfeeding infants.

BSS/AFP/FI/ 1037 hrs