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OBESITY
The prevalence of overweight and obesity has risen dramatically over the
past 3 decades and is threatening to become a global epidemic. A substantial
proportion of the population is at increased risk of morbidity and mortality as a
result of increased body weight. Obesity is generally accepted as resulting from
an imbalance between food intake and daily physical activity. Obesity is thus the
largest nutrition-related problem in the developed world. Health guidelines have
been focused on three particular lifestyle factors: increased levels of daily
physical activity and reduction of the intake of fat and sugars, particularly added
sugars. The urgency to take public action regarding physical activity is generally
accepted, but there is much debate about dietary factors such as total fat intake
and intake of sugars and rapidly digested carbohydrates. In the 1970s, some
nutritionists considered sucrose as perhaps the most important dietary factor
predisposing to weight gain. Since then attention has shifted toward fat as the
major nutritional component promoting excess energy intake and weight gain.
Evidence that the regulation of fat balance has a lower priority than that of
carbohydrates, protein and alcohol has contributed to the general knowledge
that fat intake increases the risk of excess energy intake and the promotion of fat
storage. Low-fat diets are often high in carbohydrate, especially from rapidly
digested sources, such as white bread and white rice. In addition, diets high in
such foods increase the risk of weight gain, diabetes, and heart disease.
Lower carbohydrate, higher protein diets may have some weight loss
advantages in the short term. Yet when it comes to preventing weight gain and
chronic disease, carbohydrate quality is much more important than
MARIANO, RHEA JANE A. BSN 1B SEPTEMBER 14, 2019
carbohydrate quantity. Food high in glycemic index and glycemic load cause
fast and furious increases in blood sugar and insulin that, in the short term, can
cause hunger to spike and can lead to overeating-and over the long term,
increase the risk of weight gain, diabetes, and heart disease. However, the
contribution of any diet change to weight control may be small, together, the
changes could add up to a considerable effect, over time and across the
whole society. Since people’s food choices are shaped by their surroundings, it
is imperative for governments to promote policy and environmental changes
that make healthy foods more accessible and decrease the availability and
marketing of unhealthful foods.
References:
http://www.fao.org/3/w8079e/w8079e09.htm
https://www.nature.com/articles/0803522
https://www.hsph.harvard.edu/obesity-prevention-source/obesity-causes/diet-
and-weight/
MARIANO, RHEA JANE A. BSN 1B SEPTEMBER 14, 2019