Page 71 - FoodFocusThailand No.183 June 2021
P. 71

STRATEGIC R &D
                                                                                                        STRATEGIC R &D

                  majority of the 5 leading causes were NCDs: the predominant cause   revealed that 5.71% had obesity, 84.37% of diabetic participants had
                  of death in the male population was cerebrovascular disease   family history of diabetes, and 66.66% of the participants with chronic
                  (accounting for 11.1% of all male deaths) while the other 4 causes   respiratory disease also had family history of the same disease. These
                  were ischemic heart disease (7.8%), road accident (7.4%), liver cancer   participants consumed sugar- and fat-laden foods 6.01 times per day
                  (6.5%), and chronic obstructive pulmonary disease (6.0%). Among   while the frequency in a normal population would be at 5.68 times a day.
                  the  female  population,  the  primary  cause  of  death  was  also   They also consumed high-sugar drinks 1.89 time per day in contrast to
                  cerebrovascular disease (accounting for 14.6% of all female deaths),   1.76 time per day in a normal population. 74.28% added more salt in
                  followed by diabetes and ischemic heart disease. In a cross-section   their meals, and just 22.86% engaged in extracurricular physical exercise
                  comparison, cerebrovascular disease was the most prevalent cause   at school, with an average walking time of 33.57 minutes per day. It can
                  of death in both genders.                             be concluded from the study that unhealthy eating habits, such as high-
                     In the global scenario, NCDs account for half of the world’s   fat or high-sugar diets, and lack of exercise contribute to NCDs. Mindful
                  ailments and burdens of treatment. Furthermore, half of the NCDs-  eating behavior and regular exercise should be taken into consideration
                  related deaths are attributed to cardiovascular diseases, which   to ensure a better health.
                  generally affect the middle- and low-income population. It can be said
                  that NCDs are a world-class murderer.                 Early Signs of NCDs
                                                                        The illnesses of each NCDs group may show the following symptoms:
                  Risk Factors                                             1. Diabetes: abnormally frequent urination, weight loss with unknown
                  Five behavioral risk factors of NCDs are smoking, alcohol, unhealthy   reason, slow healing wounds, easy fatigability and exhaustion, and dark
                  diet, lack of physical activity, and air pollution. They contribute to   patches around the neck and the groin.
                  abnormal physiological changes, such as hypercholesterolemia,   2. Cerebrovascular and cardiovascular diseases: easy fatigability,
                  hypertension,  hyperglycemia,  overweight,  and  obesity,  which   acute weakness in the limbs, numbness of the fingers, hands, or toes,
                  consequently trigger cardiovascular diseases, diabetes, cancers,   left-sided chest and arm pain, impaired speech, and mouth twisted to
                  chronic respiratory diseases, and mental issues.      one side.
                     Hypertension is developed when the systolic blood pressure   3. Emphysema: chronic cough, easy contraction of and slow recovery
                  exceeds 140 mmHg and the diastolic blood pressure is over 90 mmHg   from colds, fatigue and loss of breath, frequent bronchitis, chest tightness,
                  (in the population of over 18 years).                 and wheezing.
                     Hyperglycemia refers to when a fasting plasma glucose is higher   4. Cancer: irregular excretory system, chronic and non-healing
                  than 7.0 mmol/L or 126 mg/dL.                         wounds, abnormal bleeding, fast-growing lump or boil, and chronic cough
                     Overweight occurs when a person’s body mass index (BMI)   or hoarseness.
                  exceeds 25 kg/m², and if it is over 30 kg/m², the person is considered   5. Hypertension: frequent wake-up headache, dizziness, blurred
                  to have obesity.                                      vision, frequent nosebleed, tiredness, easy fatigability, and palpitation.
                     Hypercholesterolemia is developed when the total cholesterol is   6. Metabolic syndrome: a pear-shaped visceral fat distribution, weak
                  more than 15.0 mmol/L or 190 mg/dL.                   knees due to extra weight, and reduced capacity to maintain physical
                                                                        activity.
                  Behavioral Contributors to NCDs
                     1. Metabolic syndrome is caused by overeating of foods, especially   Guidelines for NCDs Prevention
                  starch- and fat-laden ones, and lack of physical exercise. If not properly   NCDs are related to lifestyle habits such as eating, sleeping, and
                  spent, the surplus energy extracted from ingested food will turn into   exercising. The prevention of NCDs can be achieved through modifying
                  fat deposition in different body sites.               your lifestyle behaviors and taking a good care of your health:
                     2. Hypertension is triggered by the consumption of excessively   1. Eat healthy foods, vegetables, and high-fiber, non-sugary fruits
                  salty, sweet, and fatty foods with intense flavors.   such as guava, dragon fruit, or rose apple.
                     3. Diabetes occurs when there are high blood glucose levels and   2. Engage in more physical activities and exercise regularly, at least
                  insulin resistance, in which insulin is unable to transfer blood glucose   150 minutes per week.
                  into cells where it can be used up for energy.           3. Eat moderately in accordance with your daily energy requirement.
                     4. Cerebrovascular and cardiovascular diseases are caused by   4. Relax and manage your stress levels.
                  high-fat diets and lack of physical exercise, which result in high blood   5. Get sufficient hours of sleep.
                  lipids and fat deposits in vessels or arteries, especially the ones that   6. Avoid excessively salty, sweet, or fatty foods.
                  lead to the brain or the heart. When an artery or a vessel is clogged,   7. Control your weight and keep your BMI under 23 kg/m² to avoid
                  the blood will not flow to these two vital organs, thus inducing a stroke   increased risks of diabetes, hypertension, and coronary artery disease.
                  or a cardiac arrest.                                     8. Avoid smoking.
                     5. Emphysema is attributed to heavy smoking.          9. Avoid alcohol.
                     6. Cancer is caused by the ingestion of carcinogens, most of
                  which are present in, for example, charred, burnt, or chemically   Summary
                  processed foods.  Other contributing factors are smoking and alcohol.  NCDs are triggered by unhealthy daily lifestyles, and the recommended
                     In a research that assessed the connection between the nutritional   prevention is to change your behavior patterns. Moderate your food
                  conditions in adolescence and the incidence of NCDs, 300 primary   intake, keep your emotions in check, and exercise regularly. Leading a
                  and secondary students from 3 schools in Georgia were studied.   healthy life and enjoying a hobby can be mentally beneficial and relaxing.
                  Among these participants, 70% had NCDs (32 diabetic participants,   These diseases are chronic and can incur enormous long-term financial
                  36 with chronic respiratory diseases, 1 with coronary artery disease,   burden. Due to their insidious nature, NCDs usually show noticeable
                  and 1 with cancer). The average age was 14.21 years (10-19 years)   symptoms in advanced age. Thailand is approaching a complete elderly
                  while the average body weight and BMI were 55.25 kilograms and   society, so healthy lifestyle and avoidance of health risk factors will mitigate
                  20.44 kg/m², respectively. The collected data included the participants’   the burden of caregiving of the elderly with chronic NCDs and help usher
                  dietary information, physical activities, and body sizes. The finding   Thailand into a healthy and complete aged society.


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