OBESITY, NUTRITION Environment肥胖营养与环境.pptVIP

OBESITY , NUTRITION Environment Dr Swati Y Bhave Chairperson IAP Environment Child Health Group Member IPA Environment committee Today’s Environment promotes obesity : increased energy intake and decreased physical activity Lecture contents How -Current environment is contributing to obesity epidemic Why -our physiology is permissive to the gradual weight gain produced by the current environment. Brief discussion - nature of body weight regulation how different environments could differentially impact this regulation Consider- strategies for dealing with the environment to reduce the prevalence of obesity. WHY DOES OUR PHYSIOLOGY PERMIT GRADUAL WEIGHT GAIN-1 Older environments - an unreliable food supply high need for physical activity to procure food to survive. No logical reason for humans to develop a strong physiological defense against weight gain. The weak physiological regulation of energy balance was effective. WHY DOES OUR PHYSIOLOGY PERMIT GRADUAL WEIGHT GAIN-2 Gradual weight gain currently seen - is a relatively new phenomenon and likely attributable to a changing environment that provides a constant food supply and with reduced needs for physical activity for procurement to survive. Affluent people : with abundant food supply Need to Restrict energy intake in order to match a very low level of energy expenditure. How has the obesity epidemic arisen Most of the Affluent population has been in slight positive energy balance over the past 10-15 years. Cardia study : gradual small, consistent weight gain, produced by a small, consistent degree of positive energy balance of less than 50 kcal/day causing weight of .5-2 kg/yr Theoretically, prevention of this wt gain should take far less than 60-90 min/day of moderate intensity physical activity. CARDIA Website /cardia/ Our Current Environment Each component of our environment facilitates obesity. The Built environment. The Commercial environment The Policy environment The Soci