http://www.dawn.com/2006/12/11/local18.htm

ISLAMABAD: Obesity on the rise in Pakistan: study



By Our Staff Reporter


ISLAMABAD, Dec 10: One in four Pakistani adults aged 15 years or over 
are overweight or obese, according to the Asian-specific Body Mass Index 
(BMI) cut off value of 23kg/m2.

A study entitled "Prevalence of overweight and obesity and their 
association with hypertension and diabetes mellitus in Pakistan" by Dr 
Tazeen H. Jaffer, head of the section of nephrology and director 
clinical epidemiology unit of Aga Khan University, confirms that 
overweight and obesity were a major public health problem in Pakistan.

In addition, strong association was found between obesity and 
hypertension and diabetes in Pakistani population, highlighting the 
danger of this under-recognized pandemic.

The association of lower BMI with these disease conditions in the 
population compared to higher levels of BMI for diagnosis of obesity 
means that Indo-Asian people were at a greater risk of chronic diseases 
at lower body weights as compared to Europeans or Americans.

Thus, generally speaking, Pakistani population needs even stricter 
control of body weight to lower targets than non-Asian counterparts. 
This is a potential cause of concern seeing the continued trend towards 
urbanization which will cause adult levels of obesity to escalate. It 
seems paradoxical that an economically challenged country facing 
shortage of food would have a high burden of overweight people. However, 
the association of an "unhealthy" weight with economical deprivation is 
not so enigmatic. Poor people have limited choices. Many consume large 
amounts of commercially available cheap, reused oil which is rich in 
hydrogenated fats and also very energy dense. Further, with progressive 
industrialization in all sectors, lifestyles have become increasingly 
sedentary.

Dr Jaffar suggests aiming for a target body weight based on 
Asian-specific targets and brisk walking for 30 minutes on at least four 
days a week. Forming walking groups help reinforce the habit.

She also suggests making changes in one's lifestyle and consuming a 
healthy diet consisting of seasonal vegetable and fruits and reducing 
the amount of oil and sugar in diet.

There is ample evidence that weight reduction will help prevent 
disabilities from strokes and heart attacks.

+++



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