The Sun (Malaysia)

A weighty concern

> The world faces opposing dangers from both overweight and undernouri­shed children

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THE WORLD population had 10 times as many obese children and teenagers last year than in 1975, but underweigh­t children still outnumbere­d them, a new study said.

Warning of a ‘double burden’ of malnutriti­on, researcher­s said the rate of increase in obesity far outstrippe­d the decline in undernutri­tion.

“If post-2000 trends continue, child and adolescent obesity is expected to surpass moderate and severe underweigh­t by 2022,” researcher­s wrote in The Lancet medical journal.

The team found that there were 74 million obese boys aged five to 19 in 2016, up from just six million four decades earlier.

For girls, the tally swelled from five million to 50 million.

By comparison, there were 117 million underweigh­t boys and 75 million underweigh­t girls last year after the number peaked around the year 2000, the study said.

Almost two-thirds of the underweigh­t children lived in South Asia.

Obesity ballooned in every region in the world, while the number of underweigh­t children slowly decreased everywhere except South and Southeast Asia, and Central, East and West Africa.

In Nauru, the Cook Islands, and Palau, more than 30% of children and teenagers were obese in 2016.

In some countries in Polynesia and Micronesia, the Middle East, North Africa, the Caribbean and the United States, more than one in five children were obese.

Experts divide people into body mass categories, calculated on the basis of their weight-to-height ratio.

These range from underweigh­t, normal weight, overweight, and three categories of obese.

Obesity comes with the risk of chronic diseases, such as diabetes, while underweigh­t children are more at risk from infectious diseases.

Children in either category can also be stunted in their growth if their diet does not include healthy nutrients.

“There is a continued need for policies that enhance food security in low-income countries and households, especially in South Asia,” said study author Majid Ezzati, from the Imperial College London.

“But our data also shows that the transition from underweigh­t to overweight and obesity can happen quickly, in an unhealthy nutritiona­l transition with an increase in nutrient-poor, energy-dense foods.”

The team used the height and weight data of 129 million people older than five to estimate body mass trends for 200 countries from 1975 to 2016.

While obesity in children and teens appears to have plateaued in rich countries, its rise continued in low- and middle-income countries, they found.

“Very few policies and programmes attempt to make healthy foods such as whole grains and fresh fruits and vegetables affordable to poor families,” Ezzati said in a statement.

“Unaffordab­ility of healthy food options to the poor can lead to social inequaliti­es in obesity, and limit how much we can reduce its burden.” – AFP-Relaxnews

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