The triple burden of malnutrition Flashcards
How is obesity defined
BMI over 30
Health consequences of obesity
Noncommunicable diseases
Diabets 2
Heart conditions
Bad bone health
Cancer rsik
Affected reprodction
Quality of living decreases
Early death
How did obesity rates change globally during the last 45 years?
Worldwide adult obesity has more than doubled since 1990, and adolescent obesity has quadrupled.
Normalisation of increased kilocalorie intake
Expending less energy
Globalisation rapidly expanding fast food market
Urbanisation and changed diet → fast food
What is the role of evolution in this change in obesity rates?
Drifty gene hypothesis
Thrifty gene hypothesis
Drift gene hypothesi
Allels that predispose obesity have been spread by genetic drift
Current obesity pandemic is bc of the loss of selective pressure
Revolutionary relaxation and lack of predation explain the moder n obesity pandemic
Thrifty gene hypothesis
In the past, the genes repsonsivle for high fat deposition to prepare for the famine were advantageous
Now some still have these genes and are waiting for a famine that will never come
Why the thrifty gene hypothesis is flawed
We did not inherit obesity mutations in thrift geenes
Then we would all be obese
Inconsistent famine evidence
Obesity not necesarily advantageous for famine s
Famine infertility affects both obese and lean
What other factors have contributed to the change in obesity rates?
Ibalance of energy intake
Imbalance of energy expenditure
Obesogenic environments
Genetic variations
Structural factors
Availability of healthcare
Affordable good food
Lack of safe and easy mobility
Global trade libealisation
Urbanisation climate change
Epidemiology
Uses values, statistics etc to analyse/interpet health phenomena
→ counts, proportions, rates, prevalence tec
Importance of nutrition
Physical and intellectual health and development
malnutrition
Deficiencies, excess or imbalances in a persons intake of energy
Food insecurity
When ppl lack secure access to sufficient amounts of safe and nutriocous food for normal growth and development
undernoutrition
Wasting
Stunting
Underweight
Overnourishment
overweight/ obese
Stunting
Loe height for age –irreversible