“Obesity is a major public health concern for us in the Region. We have some of the highest rates of overweight and obesity in the Americas among adults. Childhood obesity is associated with health problems such as Type 2 diabetes during childhood and has been linked to a higher risk of disability and premature death into adulthood,” stated Dr Joy St John, CARPHA’s Executive Director in observance of World Obesity Day.
On 4 March, World Obesity Day is observed under the theme “Everybody Needs to Act”. This theme is meant to remind us that we can all come together to ensure happier, healthier, and longer lives for everybody, through more respect, better care, actions, and policies.
Being obese places an individual at a high risk for developing non-communicable diseases (NCDs), such as hypertension, diabetes, cancer, and cardiovascular diseases. The Covid-19 pandemic has posed an additional risk to people living with obesity, as they are twice as likely to be hospitalised if they contract the Covid-19 virus. The pandemic has also added a burden to Caribbean health care systems which has, in some instances, led to delays and reduced access to support and treatment for people living with obesity.
In addition, Covid-19 lockdowns have worsened risk factors for weight gain in children. One preliminary study found that children in lockdown reported eating more meals, more ultra-processed foods high in fat, sugar, and salt, had reduced levels of physical activity and increased screen time[1].
Obesity is not solely related to a person’s weight. It is about more than a person’s weight. This disease is rooted in a combination of genetic, psychological, sociocultural, economic, and environmental factors. These environmental factors are whole of society’s problems, and individuals should not have to face obesity alone.
Genetics account for about 40-70% of the likelihood of developing obesity; life events such as prenatal life, early adulthood, pregnancy, illnesses (including mental illnesses) and medications can all influence weight gain. Additionally, lack of sleep and elevated levels of stress disturb hormones which can affect your weight, and access to ultra-processed foods, marketing of unhealthy foods and lack of access to healthcare can contribute to obesity.
Obesity is not isolated to any one country or region. We all need to act. Collectively, we need to fight against social stigma associated with obesity. As individuals, we can do our part by becoming more physically active, and reducing the consumption of salt, fats and sugar and increasing the consumption of fruits and vegetables. We need to advocate for “green spaces” within our communities. Families cannot change their genes, but they can adjust the family environment to encourage healthy eating habits and physical activity. Governments are urged to improve policies that prioritise the prevention and management of obesity as a health issue. Employers should recognise the impact of stress on obesity and adopt policies that encourage employees to prioritise health throughout the working day and create a physical and cultural environment that promotes good mental and physical health.
Initiatives spearheaded by CARPHA to combat childhood obesity include the Six-Point Policy Package which sets out priority areas for action, such as mandatory food labelling, nutritional standards and guidelines for schools, and reduction in the marketing of unhealthy foods. Front of Package Warning Labels have been found to be effective in supporting healthy food choices. CARPHA continues to support its member states and collaborate with regional and international organisations to minimise the incidence and impact of obesity in the Caribbean region. CARPHA also supports the Caricom Intergovernmental group on unhealthy diets and obesogenic environments.
CARPHA, in collaboration with Ministries of Health and Education in Grenada and Saint Lucia, implemented an intervention in schools to promote healthy environments and diets to prevent obesity and diabetes. ‘Reversing the Rise in Childhood Obesity was funded by the World Diabetes Foundation. As part of the project, a recipe book Kids Can Cook Too was developed to support sustained healthy eating behaviours of children.
We must act now; stop stigmatising and blaming. Let us work as a team to combat obesity and demand change to ensure people get the necessary care and treatment.
No single intervention will combat obesity. Together, our actions can speak volumes. This is why “Everybody Needs to Act.” Now.
CARPHA
I would disagree with the statement tahe genetics is the largest part of the risk of being obese. It IS family related, but generally speaking big children come from big parents, and it is not the geans that are the problem it is the shared lifestyle.
If you as a child are given large portions of food, and you then continue to eat large portions of food inevitably you will become obese.
Some Adolescents and early 20 somethings seem to be able to scoff large quantities of food and remain slim. This is transient. The body has been trained to accept an abundance of food, When the young person ages their activity level normally drops, and with a large appetite, without the exercise they become… FAT.
What is also a prime cause in the Caribbean and certainly in Grenada is a dominance of starchy provisions and Crix or bread.
This grossly over indulgence in carbohydrates not only cause people to become obese, but increase the risk of heart attacks and diabetes, with an increase in inflammatory conditions other diseases and aches and pains will undoubtedly follow. Cancer LOVES carbohydrates.
We are suffering from the devastating consequences of a poor 7 Nations study by an opportunist called Ansell Keyes that caused the World to think carbohydrates should be the main source of nutrition.
This error is slowly being realised, but remember all our health care professionals were trained under a system that supports this theory. The food industry has spent millions if not billions pushing a false narrative so they can make their multi millions selling corn flakes and granola bars.
We should be eating principally protein regardless of whether it is fish fowl or meat, accompanied by a good mix of vegetables and fruit. Carbohydrates should absolutely be the least part of our diets. Carbs if not used instantly as energy spike your blood sugar, and your pancreas gives off insulin to store that sugar in your body as FAT. Conversely fat from animals does NOT spike your blood glucose, and is easily used for energy, and very little will be stored as fat. Fat does not make you FAT.
Jonathon Thank you for this information! Recently I was wondering about the link between Cancer,, Carbs,, and sugar. I’ll do my research
This article is going to look like satire in few more months. The upcoming famine, orchestrated by the same scoundrels behind the so-called pandemic, will “combat obesity”.