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      FOOD: THE WAY TO HEALTH OR DISEASE

      editorial
      , FFCIM (KFU)
      Journal of Family & Community Medicine
      Medknow Publications & Media Pvt Ltd

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          Abstract

          The relationship between food and health is an old one. Food in recent times has become a problem for the “have's” and “have-nots”. Millions of children, mothers and elderly die or become disabled by under nutrition due to famines, poverty, disasters or wars. On the other hand millions of people die of eating more than they need or eating the wrong food. The Gulf States are no exception. The prevalence of overweight and obesity are on the increase throughout the developed and developing countries including Saudi Arabia. Obesity became the most common syndrome highly related to most common chronic illnesses such as, diabetes mellitus, hypertension, cardiovascular diseases, musculo-skeletal diseases, etc.1–6 If this problem is not addressed it will have serious implications on population health and health services expenditure in the coming decades. Weight reduction for obese people have been shown to result in improvements in quality of life and reduction in morbidity.7–9 Behavioral therapy, diet control, exercise and drug treatments have all been shown to be effective, to some extent, in treating obesity and overweight in adults.10 Ironically it is this part of the world which treasure a wealth of heritage on food and health. Islamic teachings preach moderation in eating. A verse of the Holy Quran gives a clear directive on eating “eat and drink (freely), but do not excess”.11 A Muslim scholar commented on this by saying that “Allah almighty have put all medicine in half a verse” referring to the above verse. The prophet (PBUH) described himself to be amongst a people who do not eat until they are hungry and when they eat, they do not eat to satiety. In another saying of the prophet narrated by Nasai and Tirmizi , the prophet was narrated to have said, “there is no worse bowel to fill than one's own stomach”. Razes, the famous Muslim physician who lived in the 3rd Hijri century, emphasized the importance of eating the right type of food as a modality of treatment rather than the use of drugs. National cost-effective programmes are needed to prevent and treat overweight and obesity in our community. This could be achieved through health promotion by stressing on the Islamic teachings concerning eating habits and promotion of physical exercise. Health professionals, particularly, primary health care team, school teachers and ‘Emams’ in Mosques can play a major role in this.

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          Most cited references10

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          Increasing prevalence of overweight among US adults. The National Health and Nutrition Examination Surveys, 1960 to 1991.

          To examine trends in overweight prevalence and body mass index of the US adult population. Nationally representative cross-sectional surveys with an in-person interview and a medical examination, including measurement of height and weight. Between 6000 and 13,000 adults aged 20 through 74 years examined in each of four separate national surveys during 1960 to 1962 (the first National Health Examination Survey [NHES I]), 1971 to 1974 (the first National Health and Nutrition Examination Survey [NHANES I]), 1976 to 1980 (NHANES II), and 1988 to 1991 (NHANES III phase 1). In the period 1988 to 1991, 33.4% of US adults 20 years of age or older were estimated to be overweight. Comparisons of the 1988 to 1991 overweight prevalence estimates with data from earlier surveys indicate dramatic increases in all race/sex groups. Overweight prevalence increased 8% between the 1976 to 1980 and 1988 to 1991 surveys. During this period, for adult men and women aged 20 through 74 years, mean body mass index increased from 25.3 to 26.3; mean body weight increased 3.6 kg. These nationally representative data document a substantial increase in overweight among US adults and support the findings of other investigations that show notable increases in overweight during the past decade. These observations suggest that the Healthy People 2000 objective of reducing the prevalence of overweight US adults to no more than 20% may not be met by the year 2000. Understanding the reasons underlying the increase in the prevalence of overweight in the United States and elucidating the potential consequences in terms of morbidity and mortality present a challenge to our understanding of the etiology, treatment, and prevention of overweight.
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            High temporal, geographic, and income variation in body mass index among adults in Brazil.

            Population-based data on body mass index for developing countries are scarce. Body mass index data from two Brazilian surveys were examined to determine regional and temporal variations in the prevalences of underweight, overweight, and obesity. Nationwide surveys in 1974/75 and 1989 collected anthropometric data in Brazil from 55,000 and 14,455 households, respectively. Trained interviewers used the same methods to measure weight and stature in both surveys, and survey designs were identical. Prevalences of underweight, overweight, and obesity were determined for persons 18 years of age and older. In the 1989 survey, body mass index varied greatly according to region of the country, urbanization, and income. In the wealthier South, the prevalence of overweight/obesity was the highest and the prevalence of underweight was the lowest; in the poorer rural Northeast, these patterns were reversed. For both surveys, overweight/obesity was more common among women than among men and peaked at age 45 to 64 years in both sexes. Over the 15 years between surveys, the prevalence of both overweight and obesity increased strikingly. In contrast to findings in developed countries, obesity in Brazil was positively associated with income and was much more prevalent among women than among men. For Brazilian women, the overall prevalence of overweight was nearly as high as that among women in the United States.
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              Obesity in Europe: scaling an epidemic.

              J Seidell (1995)
              Obesity, defined as a body mass index > 30 kg/m2 is relatively common in Europe especially among women and especially in Southern and Eastern European countries. Among men the distribution of body mass index values is surprisingly similar in most countries of Europe despite a large variability among women. Available data from European countries (Germany, Finland, Sweden, The Netherlands, England) suggest that the prevalence of obesity has been stable or (most often) increasing during the ninety-eighties. Publications from affluent countries outside Europe suggest similar trends. These trends suggest that public health policies recommending avoidance of overweight and the common practice of dieting fail to prevent an increase in the prevalence of obesity, let alone to reduce the prevalence. It is unclear which factors are responsible for weight gains in Europe. Continuing high fat intakes in combination with low physical activity and widespread cessation of smoking may contribute to the increasing prevalence although some studies suggest that increased prevalences are also found in smokers and non-smokers. Obesity as well as weight gain are both important and independent contributors to cardiovascular disease and diabetes mellitus. More research is needed to elucidate the reasons for the large variation in the prevalence of obesity among European women and to the health risks associated with obesity in different European countries.
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                Author and article information

                Journal
                J Family Community Med
                J Family Community Med
                JFCM
                Journal of Family & Community Medicine
                Medknow Publications & Media Pvt Ltd (India )
                1319-1683
                2229-340X
                Jul-Dec 1999
                : 6
                : 2
                : 15-16
                Affiliations
                [1]
                Author notes
                Correspondence to: Dr. Sameeh M. Al-Almaie, Department of Family and Community Medicine, King Fahd Hospital of the University, P.O. Box 40072, Al-Khobar 31952, Saudi Arabia
                Article
                JFCM-6-15
                3437098
                23008598
                42bb62aa-c1cf-47f4-b0b5-c29763685773
                Copyright: © Journal of Family and Community Medicine

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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                Health & Social care

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