Wednesday 24 November 2021

Overfed yet Starving

 


Hunger once seemed like a simple problem which often mean not getting enough calories. Surprising, hunger co-exist with overfeeding within the same individual, household and community.  And the tricky part? Hunger can't be "fixed" by just feeding on empty calories. You've got to nourish with healthy, nutrient-dense foods, so you don't become obese.

 Overfeeding can correlate with being deficient in a wide range of essential vitamins and minerals such as vitamins A, C and D, B12, folate, iron, zinc, phosphorus, calcium, etc. Low intakes of these nutrients can lead to development of chronic diseases and conditions, such as type 2 diabetes, iron-deficiency anemia, stunted growth and even scurvy (lack of vitamin C) and rickets (lack of vitamin D and calcium)

Overweight and obesity are currently among the epidemic of public health importance. There effects come across all age groups irrespective of socio-economic conditions of the family. Overweight or obese children if not we'll controlled, grow to become obese adults and the viscous cycle of obesity continues. Overweight or obesity occurs when one frequently feeds on energy-dense rather than nutrients-dense foods leading to increase in weight (attributed to overfeeding) while becoming deficient in some of the micronutrients. According to the World Health Organization estimates that within the next few years noncommunicable diseases (NCDs) will become the most important global cause of morbidity and mortality.

Causes of overfeeding

  • Energy Dense, Nutrient Poor foods: Energy-dense foods are typically high in fat (e.g. butter, oils, fried foods) and includes high levels of refined, processed and sugary foods while low in fresh fruits, vegetables and whole grains. The former are typically high in calories (or, empty calories as many call them) and not much else, thus often referred to as ‘energy dense (high in calories) and nutrient poor (low in nutritive value) diet.
  • High consumption of ultra-processed foods: ultra-processed foods are energy-dense and nutrients poor. These foods are usually classified under the ‘‘eat least’’ category in dietary guidelines. They are very high in sugar, sodium, saturated fats, processed proteins and less dietary fibers and micronutrients. The heavy marketing of these foods and beverages together with the sedentary lifestyle are the major causes of obesity. It may surprise you to know that the body is somehow . . . starving after the consumption of these foods. Foods in this category include; carbonated beverages, noodles, and most quick to prepare food items.
  • A high intake of sugars-sweetened beverages: The increasing and high consumption of sugars-sweetened drinks by children and adults is serious health concern. According to the World Health Organization, each additional can or glass of sugars-sweetened drink consumed each day increases the risk of becoming obese by 60%. Most of which relates to soda drinks but fruit drinks which are equally energy-dense and may promote weight gain if taken in large quantities.

General strategies to prevent overfeeding

For infants and young children

  • The promotion of exclusive breastfeeding;
  • Avoiding the use of added sugars when feeding formula
  • Accept your infant’s ability to regulate energy intake rather than feeding until the plate is empty;
  • Feed from diverse family foods, assuring the appropriate micronutrient intake needed to promote optimal linear growth.

For children and adolescents, prevention of obesity implies the need to:

  • Promote an active lifestyle;
  • Limit consumption of fries and carbonated/sweetened beverages
  • limit television viewing;
  • Promote the intake of fruits, vegetables, whole grains and fortified cereals;
  • Limit the intake of energy-dense, micronutrient-poor foods (e.g. packaged snacks);
  • Diversify your diet by various arrays of fiber-rich tubers, nuts and seeds, fish, animals and wild fruits
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