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Poor diets, failing food systems, and lack of physical activity are causing overweight and obesity in children

Sustainable, responsive, resilient and functional food systems can enable better and healthier diets, but while the food systems encompass a range of public and private actors, the role of government is crucial in developing and implementing programs and policies that address the production, distribution, accessibility, and utilization of food in the country.

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With the Philippines suffering from a triple burden of malnutrition together with other forms of undernutrition (including stunting and wasting), micronutrient deficiencies, along with overweight and obesity, the Department of Health (DOH), National Nutrition Council (NNC), FAO, WHO, and UNICEF jointly call upon the public, civil society organizations, academe, and the private sector to take action to prevent and manage childhood overweight and obesity.

According to WHO, overweight and obese children are more likely to stay obese into adulthood and to develop noncommunicable diseases (NCDs) like diabetes and cardiovascular diseases at a younger age. Obese children and adolescents may also suffer from both short-term and long- term health consequences.

Factors contributing to the increasing problem of overweight and obesity include poor diets, inadequate nutrition, and failing food systems. In addition, limited physical activity is likewise contributing to the growing problem on overweight and obesity.

Prevention remains to be the most feasible option for curbing the childhood obesity epidemic.

Results from the Expanded National Nutrition Survey conducted by the Food and Nutrition Research Institute (FNRI) in 2019 reported a relatively low prevalence of overweight at 2.9% among children under 5 years old; medium prevalence of 9.1% and 9.8% among children aged 5 to 10 years old and 10 to 19 years old, respectively.

Among Filipino adolescents, overweight has tripled in the last 15 years. There is a higher rate of overweight and obese children in urban areas than in rural areas and higher prevalence of several risk factors and environmental conditions could rapidly increase the rates.

These findings from the FNRI study, together with new studies and recommendations for action, will be shared during a dissemination forum on March 4, 2021.

“The Department of Health recognizes the emerging problem of childhood overweight and obesity in the country and although its prevalence pales in comparison with that of undernutrition, it will be unfortunate to prejudice the public health attention it deserves to mitigate its future risk on non- communicable diseases, premature death and disability in adulthood. Further, the economic costs of this escalating problem are considerable both in terms of the enormous financial strains it will place on the health care system and lost economic productivity,” Health Secretary Francisco T. Duque III said.

“To prevent obesity, we need to start early, that is in the First 1000 Days of life when we could also prevent undernutrition, which could also result in obesity in later life” according to Dr. Azucena Dayanghirang, Executive Director of the NNC.

The NNC is leading the multi-sectoral Overweight and Obesity Management and Prevention Program of the Philippine Plan of Action for Nutrition (PPAN) 2017-2022. The PPAN targets no further increase in child obesity by 2022 by fostering a healthy food environment and promoting positive nutrition behaviors towards consumption of healthier diets.

“From a public health, economic and moral perspective, it is imperative for Government and the whole of Society to act on this issue of childhood overweight and obesity. Curbing the childhood obesity epidemic requires political commitment at all levels, and the collaboration of many public and private stakeholders. A multisectoral approach is essential, and should provide supportive environments that encourage physical activity, restrict access to unhealthy foods and drinks, support mothers to practice exclusive breastfeeding in the first 6 months and to protect children from marketing influences. It is also important to ensure that policies and laws are fully implemented and protected from undue commercial interests,” said Dr Rabindra Abeyasinghe, WHO Representative in the Philippines.

Overweight and obesity are complex and multifaceted problems that would require multisectoral and comprehensive strategies to effectively and sustainably prevent and manage.

Sustainable, responsive, resilient and functional food systems can enable better and healthier diets, but while the food systems encompass a range of public and private actors, the role of government is crucial in developing and implementing programs and policies that address the production, distribution, accessibility, and utilization of food in the country.

“Maintaining a healthy and nutritious diet is especially important at this time of a pandemic. To promote and achieve healthy and nutritious diets, sustainable, functional and responsive food systems – borne out of collaborative and multi-sectoral action – are paramount,” emphasized Kati Tanninen, FAO Representative to the Philippines.“To this end, FAO is supporting the national government through the implementation of the Philippine Plan of Action for Nutrition 2017-2022, which calls on policies and programmes to be ‘nutrition-sensitive’. Policy measures related to food systems that support healthy diets should be enforced. These policies and legislations should also be in line with – and guide the country’s actions towards – its pledges to global commitments such as the UN Decade of Action on Nutrition 2016-2025 and the Sustainable Development Goals, particularly to SDG 2 on attaining Zero Hunger and improved nutrition for all. But more importantly, such legislations should be responsive to the country’s unique health and nutrition context, objectives, and priorities.”

In recent years, several legislations have been enacted by the Philippine Congress to support healthier diets and nutrition of Filipinos.

The Department of Education has also issued policies on sale of healthy foods and beverages in schools, as well as the promotion of physical activity.

“While there have been positive developments to enable an environment for better nutrition in the Philippines, there should also be a clear and prompt action to address the triple burden of malnutrition and to recognize childhood overweight and obesity as a central health issue. Aside from actively working with the Philippine Government and other partners to strengthen nutrition policies and plans, UNICEF also collaborates on generating evidence to better address overweight and obesity and ensure access to healthy food for children. We remain committed to support health and nutrition initiatives for every child, especially the most vulnerable,” said Oyunsaikhan Dendevnorov, UNICEF Representative in the Philippines.

The DOH, NNC, FAO, WHO, and UNICEF jointly call on the firm and continuous enforcement of the existing legislations, and to introduce front of pack labelling of commercially produced foods, and to regulate harmful practices such as the marketing of unhealthy foods to children. They also call on the public to change the way overweight and obesity is viewed by society and become advocates for change for healthy food environments and policies that prioritize obesity as a serious health issue.

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The look and feel of your neighborhood may affect your sleep

Those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape.

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Your neighborhood’s “streetscape”—the physical environment of your street—is something that you have probably never consciously thought about, despite seeing it every day. But what if the streetscape was affecting you on a subconscious level and disrupting your sleep? 

This intriguing question is posed by the findings of a study led by Professor Daisuke Matsushita of the Graduate School of Human Life and Ecology at Osaka Metropolitan University. The research team used AI to analyze more than 200,000 Google Street View images to identify visual neighborhood characteristics. They then linked these characteristics to the self-reported sleep of 1,089 working adults living on the lower floors of apartments in Tokyo, who were most likely to be affected by the streetscape.  

They found that those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape. Generally, people slept longer in areas with lots of greenery, such as leafy trees, on the street. Similarly, high “enclosure”—meaning many tall vertical buildings and few wide-open spaces—was also associated with longer sleep and fewer insomnia symptoms. 

However, the study also made a surprising finding. The researchers found that highly walkable streetscapes, such as those with more sidewalks and traffic signs, were associated with a lowered sense of safety and shortened sleep duration.  

This suggests that walkability does not always represent a reassuring environment. Instead, a possible explanation is that streets with extensive pedestrian infrastructure are often busier, more crowded, and used by more strangers, which may be perceived as less safe or less relaxing than quieter residential streets.  

“This study demonstrates the potential for evaluating streetscape characteristics across large geographic areas in a cost-effective manner,” Dr. Matsushita said. “Based on the technique used in this study, cities could potentially measure perceived safety, beauty, liveliness, and enclosure as well as pollution and noise.”  

“We hope that opening up this new perspective creates further possibilities for designing healthier neighborhoods,” he concludes.  

The findings were published in Building and Environment.

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Workout or nap? Either can help your sleepless brain, study finds

People who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither.

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A short workout or a nap can help protect memory after a sleepless night, a McGill University-led study has found.

Researchers found people who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither. The findings, published in Proceedings of the National Academy of Sciences (PNAS), point to practical ways to counter the effects of sleep deprivation.

“Sleep loss affects nearly every aspect of how we think and function, but many people can’t simply stop what they’re doing and get more sleep,” said senior author Marc Roig, Professor in McGill’s School of Physical and Occupational Therapy. “Our findings show that even a brief bout of exercise may help preserve one of our most important cognitive abilities.”

The study involved 54 healthy young adults who stayed awake for 30 consecutive hours under lab supervision. Participants were then assigned to one of three groups: a 20-minute cycling session, a 90-minute nap or a control condition. Three days later, researchers tested their memory for images they had viewed immediately after the intervention. Those who exercised or napped remembered significantly more images than participants who did neither.

Same result, different pathways

While the memory benefits were nearly identical, brain recordings revealed that exercise and napping helped in different ways.

Napping appeared to help the brain recharge, making it easier to take in and remember new information. Exercise, by contrast, helped the brain use its remaining resources more efficiently, without making participants feel more tired.

The findings could eventually inform fatigue-management strategies in workplaces where sleep loss is common and mistakes can have serious consequences, such as health care, transportation and emergency response.

“A nap isn’t always possible in the middle of a shift,” said first author Madhura Lotlikar, a doctoral candidate in McGill’s Department of Neurology and Neurosurgery. “Exercise is accessible, inexpensive and easy to implement. That makes it a promising tool to help people stay cognitively sharp when sleep is limited.”

The researchers emphasize that exercise cannot replace sleep, but it may help people function better when getting enough rest isn’t possible.

About the study

Protecting episodic memory after sleep loss: Similar benefits of exercise and naps via distinct neural contributions” by Madhura Lotlikar and Marc Roig et al., was published in Proceedings of the National Academy of Sciences of the United States of America.

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Study links coffee consumption to metabolic health and sex hormones

Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.

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Coffee is one of the world’s most widely consumed beverages, and previous research has linked its consumption to a lower risk of conditions such as type 2 diabetes and cardiovascular disease. However, the biological mechanisms behind these benefits remain unclear. A new Finnish study links habitual coffee consumption to healthier body composition and metabolic markers, while revealing distinct associations with sex hormones in men and women.

The study, conducted at the University of Oulu, analysed data from 2,264 participants aged 46 in the Northern Finland Birth Cohort 1966. Researchers examined how habitual coffee consumption was associated with circulating metabolites, cardiometabolic risk markers and sex hormones.

Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.

In both men and women, higher coffee consumption was correlated with lower circulating levels of branched-chain amino acids, biomarkers that have previously been linked to insulin resistance and an increased risk of type 2 diabetes when chronically elevated.

The strongest sex-specific associations were observed in men. Higher coffee consumption was linked to a more favourable glucose–insulin profile, higher concentrations of total and bioavailable testosterone, and increased levels of sex hormone-binding globulin (SHBG). At the same time, free testosterone and the free androgen index were modestly lower. In women, hormonal associations were more limited and were primarily characterised by higher SHBG and lower measures of free androgens.

“Coffee is consumed by millions of people every day, yet we still know surprisingly little about how it relates to our metabolism and hormones. What stood out in our findings was a distinct hormonal signature that didn’t disappear even after we took into account BMI and lifestyle factors, with several of these associations differing between men and women,” says Luca Verroest, lead author of the study and Doctoral Researcher at the University of Oulu.

The results suggest that hormonal pathways may partly explain the relationship between coffee consumption and metabolic health. However, as this was an observational study, the findings demonstrate associations rather than cause-and-effect relationships.

The study is particularly relevant in Finland, one of the world’s highest coffee-consuming countries, where annual consumption averages around 11.8 kilograms per person.

The researchers say the findings provide a foundation for future studies aimed at determining whether coffee itself drives these biological changes and identifying the compounds responsible. These questions are currently being investigated in animal models, with the long-term goal of progressing to human intervention studies. Further research will be needed before the findings could inform dietary recommendations.

The study, Associations of habitual coffee intake with testosterone and cardiometabolic markers: the Northern Finland Birth Cohort 1966 study, has been published in the European Journal of Nutrition.

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