|NEWS AND VIEWS
|Year : 2014 | Volume
| Issue : 1 | Page : 64-65
News and Views
Vaidya Scientist, Division of Endocrine & Metabolic Disorders, Medical Research Centre - Kasturba Health Society, Vile Parle (W), Mumbai, India & Physician -Integrative Health, AIM Swasthya Clinics, India
|Date of Web Publication||30-Dec-2013|
Medical Research Centre - Kasturba Health Society, 17 K Desai Road, Vile Parle (W), Mumbai - 400 056, Maharashtra
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Pathak N. News and Views. J Obes Metab Res 2014;1:64-5
| A historic moment: Sweden becomes first nation to approve a Low Carbohydrate High Fat nutrition|| |
In September 2013, based on evidence generated from 16000 research publications, the Swedish Council for Health Technology Assessment released after two years an expert committee report on 'Dietary guidelines of Obesity' in favour of a low carb, high fat nutrition (LCHF). This diet resembles Atkins diets which became widely popular for the management of obesity. This usage is now strongly reinforced by the report of the Swedish expert committee. As a consequence, the experts in the field consider the report to be historic.
A major advantage for weight loss of LCHF amongst different types of diets is found only in the first six months. Carbohydrate content in LCHF is described either as a stricter low carbohydrate (20% of the energy intake) or moderate carbohydrate diet (40%). High fat includes not just unsaturated fat like in the Mediterranean diet, but also saturated fats like butter, fatty meats, and bacon. After six months, the differences in outcomes of most diets seemed to reduce as long term compliance has been a deterrent in the field.
Despite several physicians on the panel disinclined to LCHF, the final consensus was unanimous. (A summary of report is at: http://www.sbu.se/218).
| National Health Services, UK urge physicians to be 'non-blaming' and respectful to obese persons|| |
In Oct 2013, the National Institutes for Health and Care Excellence, UK have released guidelines lifestyle management services for overweight and obese adults. Almost at the outset, it is recommended that these individuals must be approached in a 'non-blaming' and respectful tone, and the healthcare providers must be aware of the stigma that is present socially for the condition. The guidelines cover integrated, non-pharmacological and non-surgical approaches for both weight loss and weight loss maintenance, available at: http://www.nice.org.uk/nicemedia/live/13508/65480/65480.pdf
[TAG:2]F.D.A. Ruling Would All but Eliminate Trans Fats [/TAG:2]
On 10 November 2013, the US FDA has proposed a ban on trans-fats across the entire food supply chain, which is open for public response over two months. The advocacy of three decades by nutritionists has finally borne fruition. Over the last century, partially hydrogenated vegetable oils and margarine, have played havoc with human health.
Earlier in 2003, the FDA made it mandatory for trans-fats to be listed on the food label, if there were more than 0.5 grams per serving. FSSAI has set the limit to not more than 0.2 grams per serving. The food industry sought measures to reduce trans-fat from processing, and by 2012, Americans were eating 1 gram a day as against 4.6 grams a day in 2006.
The 2013 FDA proposal has higher aspirations. If implemented, it would mean that trans-fats are no longer 'generally regarded as safe' and the onus lies on industry to prove otherwise if they incorporate them in products. Hence, FDA ruling is likely to be successful in removing trans-fats from the food supply chain. Its impact is estimated to reduce 7000 deaths and 20,000 heart attacks annually and save billions of dollars in healthcare costs.
| An update on double whammy in South India|| |
Diabetes incidence has increased tenfold rise in Chennai over the last 30 years, as found by the Chennai Urban Rural Epidemiology Study (CURES). Probably the largest epidemiology study in the country launched in 2001 by the Madras Diabetic Research Foundation, it covered 26,001 individuals above the age of 20. In Aug 2013, it reported that 20% of the subjects were diabetic in the city, as against 2% in 1970. Above the age of 55 years, the incidence of diabetes was 58% and another 25% were found to be pre-diabetic. Diabetes in the rural population was 8%, up from 1% in 1970.
During the same month, a survey of children in Karnataka found 10.86 lakh or 27.42 per cent of the more than 39.63 lakh kids to be moderately malnourished. 47000 children were severely malnourished, with Belgaum, Raichur and Bellary being the most affected of the 30 districts. Siddaramaiah, the chief minister, promised to eradicate malnourishment from the State. The State had made efforts to identify flaws in the existing nutrition schemes, like fund flow issues to the anganwadi workers for the eggs and milk provisions. In November a proposal was been made to introduce 'Ayush Pushti' biscuits formulated from nourishing Rasayanas from Ayurveda.