Fortis hospital toi , 22nd dec 2011, pg 4
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Transcript of Fortis hospital toi , 22nd dec 2011, pg 4
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Pratibha Masand | TNN
If you thought your bonny boyonly needs to get active to slimdown, think again. Your over-weight child may be so defi-cient in micronutrients thathis metabolism may be flawed;burning fat would be impossi-
ble in such cases. In other words, beingplump is not a measure of good nutri-tion. The bonny baby picture, say doc-tors, is a flawed proof of health.
At present, obesity is considered theworst epidemic among India’s children.Around 14% of all Mumbai’s school-children are overweight or obese, ac-cording to a study done by Asian HeartInstitute’s doctors and published in theBritish Medical Journal. Blame it onthe children’s faulty eating habits ortheir sedentary lifestyle, but there is nodenying that Mumbai’s children aregrowing obese.
Worse, about 60% of Mumbaikars suf-fer from deficiency of essential mi-cronutrients. A study done earlier thisyear based on data collected by 198 nu-tritionists and dieticians from over 1,200patients, including children, revealed that81% of patients suffered from iron defi-ciency, 15% from vitamin deficiency and3% from zinc deficiency.
But what experts now want mothersto concentrate on is the concurrent epi-demic: inadequate intake of micronu-trients such as zinc, manganese or cop-per. Emerging research suggests thatthese micronutrients play a big role inmaintaining the body’s digestive andhormonal systems in check. Researchhas shown that the deficiency of vita-min D and vitamin B12 could act as trig-gers for a host of diseases ranging fromcancer to depression.
India, especially Mumbai, is wit-nessing this micronutrient deficiencydue to a host of socioeconomic rea-sons.“With children opting for more ofjunk and less of fresh foods, there isover-nutrition of macro nutrients like
carbohydrates and fats, alongwith un-der-nutrition of micronutrients like vi-tamins, minerals and fibres,” said DrShilpa Joshi from the Indian DieticianAssociation.
Micronutrients abound in freshfruits and vegetables. “But since theirshelf life is not long, these micronutri-ents can’t be added in today’s urbansnacks,” said Dr Joshi. Rushed-for-timemothers have confessed in various sur-veys that packaged foods are easier todish out for their children.
Doctors are most worried that urbanchildren are forsaking are vitamin B12and B3. “There is an overall deficiencyof nutrients which can cause an arrayof problems from graying and loss ofhair and skin troubles to aches and painin muscles and weakness in bones,” saidnutritionist Vibha Kapadia.
“The deficiency of vitamin B12 ismost worrying, especially for childrenfrom vegetarian families since theirsource of the vitamin is only from milkand milk products which unfortunate-ly the children do not usually like tohave,” she said.
For children with micronutrient de-ficiency, it is a double whammy saysSonal Modi,nutritionist from the Dia-betes Endocrine Nutrition Managementand Research Centre. “Junk food ishigh in salt, sugar and trans-fats. Sochildren consuming these tend tobe over-weight and obese and havechances of getting diabetes andheart problems earlier in life. Butthe deficiency of micronutrientsmakes them internally unhealthy.They are weak, do not have strongbones and muscles and even have lowimmunity because of which they endup falling prey to an array of season-al diseases,” she said.
While there are pills to offset sever-al nutrient deficiencies, Dr Joshi cau-tioned, “People end up replacing the mi-cronutrients with tablets, but it is bet-ter to avoid the imbalance in nutritionright at the start.”
Sumitra Deb Roy | TNN
There is limited research to prove if Mum-bai kids have a tougher time growing upin a cramped city with little clean air to
breathe and limited room for recreation, but ex-perts are unanimous that children here are a tadmore predisposed to certain ailments.
Children growing up in Mumbai tend to havehigher chances of developing asthma, allergiesand auto-immune disorders. Dr Tanu Singhal,specialist in paediatric infectious diseases at Kok-ilaben Dhirubhai Ambani Hospital says, “Theexposure to environmental pollutants and com-promised immunity combined with overcrowd-ing makes children extremely vulnerable”.
Singhal says children are prone to respirato-ry problems, asthma, malaria, viral fever andstomach ailments. A senior paediatrician fromWadia Hospital echoes the view, saying these ail-ments together comprise more than 45% of whatails children in Mumbai. “Homes and classroomsare equally congested. There are no open groundsfor to play or build immunity,” the doctor says.
The doctor adds that studies show that ail-ments like asthma can occur at an early age, andin about 5-10% of children it turns severe later.“When parents ask for a solution, we suggest
they change thelifestyle of childand inculcatehealthy habitsand diet,” the doc-tor says.
A study of re-cent disease out-breaks in Mum-
bai shows children bore the brunt of all, fromswine flu to hand, foot and mouth diseases, mul-ti-drug resistant TB to common ailments likemalaria and dengue. “Early exposure to thesecould hamper a child’s growth,” says Dr Om Sri-vastava, infectious disease consultant, JaslokHospital and Research Centre.“But we don’t knowif those growing up in smaller cities are not suf-fering from a different set of problems,” he adds.
But consultant paediatrician Dr Nitin Shahfrom PD Hinduja Hospital at Mahim refuses toput the entire blame on environment. “Why arechildren and adolescents complaining of nutri-tional deficiencies and rickets? Children are sim-ply not exposed to enough sunlight,” he says. Hesays children step out of air-conditioned homes,travel in AC cars, study in AC classrooms, adding,“Till a decade back, children as young as four tofive never had such gross vitamin-D deficiency.”
Paediatric urologist Dr AK Singal says lackof physical exercise and disregard for nutritionalfood is increasing ailments like kidney stonesamong kids. “Lifestyle changes have to be ur-gently brought in by parents,” he adds.
Some parents have indeed made smallchanges. When Marookh S’s daughter had breath-ing problems at the age of 11 and was later di-agnosed with mild asthma, he bought a car soshe didn’t have to take the school bus. “It is verypainful to see your child gasping for breath,” Ma-rookh says. He plans to shift to a smaller townonce his daughter completes her Class X exams.
Sumitra Deb Roy &
Pratibha Masand | TNN
Traditional Indian snacks arefast losing out to ready-to-eator junk food as mothers fight
a daily battle with multinationals,doling out ‘quick food’ optionsclubbed with zesty marketing. Ex-perts lament the slow disappearanceof homemade snacks, admitting it tobe a multi-dimensional problem.
The change has become apparentin the last five years or so, say citynutritionists. A plate of roti, sabji,dal, chawal and achar is being re-placed by pizza platter, or a tray ofburger, fries and soft drinks. Withmultinationals offering everythingfrom breakfast favourites like dosa,idlli, upma, vadas, parathas and pavbhaji to main course items likebiryani, vegetarian and non-vege-tarian preparations in small tetrapacks, many Indian households areopting for the ready-to-eat meals overthe healthier home-cooked ones.
Little wonder that the over Rs4000-crore ready-to-eat packaged foodmarket in India is growing at 20%annually. These food items, mostlymoderately priced, are pre-cooked orready-mix varieties that can be pre-pared in minutes. “It is increasinglybecoming an option for women whodo not want or have enough time tospend in the kitchen,” said directorDr B Sesikeran, National Institute ofNutrition, Hyderabad. Consequent-ly, Sesikeran says, more children areoverweight at a very young age astheir intake of sugar or salt gets toohigh for their me-tabolism.
Kharghar resi-dent and parentSonal Mukherjisays that her 10-year-old daughterabsolutely detestspoha, upma or oth-er snacks made athome. “She loveseating out,” saysthe physiothera-pist, sheepishlyadmitting that she gives in to herdaughter’s demand for chips or softdrinks almost everyday. Experts feelmost parents blame children for dis-liking home food when they them-selves introduce kids to junk food ata very young age.
Nutritionists point out that thechild eats what the parents do. “Par-ents are the only role models for theirchild till the age of five. Thereafter,the child is no doubt exposed to birth-day parties and the media,” said Son-al Modi, nutritionist from DiabetesEndocrine Nutrition Managementand Research Centre. “So if parentsinculcate healthy eating habits, thechild will learn accordingly and thedamage could be less,” said Modi.
The solution, experts say, couldbe in innovating home-cooked food.
Purwa Duggal, HOD, nutritiontherapy, at Fortis Hospitals, agrees.“Between school, homework and play,there is a strong temptation to grabsnacks like potato chips if stocked athome. Stock non-fried varieties madefrom soy or ragi instead. Whole-grainrolls or breads can be combined withpeanut butter, lettuce and vegetablesto provide a homemade variety of ex-otic delicious sandwiches. Allow chil-dren to prepare their own combina-tions —they’ll love it.”
Consulting dietician Jyoti Lal-wani says parents introduce theirchildren to junk food without real-ising the child could soon develop ataste and later a habit for such food.“Thanks to junk food, the incidenceof anaemia in schools is quite com-mon. Children as young as 6-7 yearssuffer from acidity, which was nev-er the case before,” she added.
Modi says working women havelittle choice. “Since these foods arefast to deliver, working mothers endup choosing these over traditionalsnacks or food items. When thesepackages say they have added micro-nutrients, it looks very attractive toan urban mother and even takes abit of guilt off her shoulder,” she said.
A nutritionist with a civic hospi-tal argues changed shopping habitshave majorly contributed to thechange in eating habits. “Neigh-bourhood markets have been re-placed by supermarkets where ready-to-eat food packets are easy to grab.”
Doctors say children over-eat, re-sulting in more calories and less nu-trition. Dr Shilpa Joshi of the Indi-an Dietician Association says, “Sincethese foods are tasty, children over-eat. But though they give instant en-ergy or calories, there is no satiety.”
NOURISHMENT LOSES OUT IN
QUICKFIXCRAZE
Mumbai kidsworse for
the weather
Junk thejunk with
innovationsin kitchen
[email protected] with ‘health and nutrition’ in the subject line
Type SO <space> Q1/Q2<space> YES or NO <space>your views and name. SMS to58888
SMSCheesypizzas,delectableburgers andchilled colasmake for agreat birthday party, but canwreak havoc with children’s healthif part of their daily diet. Even thepasta that goes straight from thepacket-to-plate in minutes or juice-out-of-the-box does little to help.
Children, heavily influenced byadvertisements or peers, usuallypester their parents for ‘fast-food’.Hard-pressed for time, the lattergive in. How do you think parentscan wean away their children fromtempting junk food to tasty buthealthy meals?
Q1. Should parents teach childrento eat healthy from an early age?Q2. Should parents replace whatkids want with what they need?
JOIN THE DISCUSSIONYou can also share your
views in the ‘Mumbai’ or the
‘Specials’ sections of
timesofindia. indiatimes.com.Or log on to ‘The Times OfIndia’ page on Facebook
MUMBAI FOR KIDS
Nutrient Platter
(Source: ‘Dietary Guidelines for Indians’ manual of the NationalInstitute of Nutrition, Hyderabad)
Basics Of A Balanced Diet CalciumFood Items | Milk and milk products
Potassium & MagnesiumFood Items | Cereals, nuts, dry
fruits, broccoli, cabbage, sprouts,
cauliflower
ProteinFood Items | Milk and dairy
products, fish, legumes, meat, nuts,
dry fruits
IronFood Items | Fish, cereals
Vitamin AFood Items | Carrot, broccoli, sweet
potato, spinach, pumpkin, cheddar
cheese, egg, papaya, mango,
apricot, peas, milk
Vitamin BFood Items | Cereals, meat, liver,
lentils, potatoes, banana, chilli
pepper, whole grains, beans
Vitamin CFood Items | Citrus fruits (orange,
lemon, amla, sweetlime), broccoli
Vitamin DFood Items | Cereals, fish, eggs
Vitamin EFood Items | Nuts, dry fruits
CaroteneFood Items | Raw tomatoes, mango,
papaya, dried apricots & peaches,
broccoli, cabbage, cauliflower, leafy
vegetables (spinach, methi),
cooked tomatoes, carrots, sweet
potato, pumpkin, onion and garlic
It is parentswho usuallyintroduce
the child to fast food
Mumbai’s Kids Are Bingeing On All Forms Of Junk — Food That’s ReadyIn A Jiffy But Jeopardises Their Health Over Time. Little Wonder ThatToday’s Children Are Far More Obese & Hence Vulnerable To Diseases
Eating Better, Healthier� Give children cereal with milk, but add crusheddates instead of sugar to sweeten it
� Give children bread preparations like sandwich,subs or toast only once a week, substitutingwhite bread with brown or whole-wheat bread
� Shallow fry cutlets instead of deep-frying them.Moreover, make the cutlets with less potatoesand more vegetables. You can also roll them intorotis to make frankies
� Include uttappam, idli or dosa in the child’ssnack menu at least once a week
� Make tachos with cornflour instead of maidaand bake them
� Steam dahi vadas and add freshly preparedchutneys. You can include spinach in the chutney,so that kids get the nutrition without knowingthey are eating spinach
Source: Nutritionist Vibha Kapadia
Studies show thatchildren bear the brunt of anoutbreak of anydisease in the city
FOOD GROUPS GRAMS PER PORTION
Infants (0-6 months) 1-3 yrs 4-6 yrs 7-9 yrs 10-12 yrs
Cereals & 30 0.5 02 04 06 10millets
Pulses 30 0.25 01 1.0 02 02
Milk & 100 04 05 05 05 05milk products
Roots & 100 0.5 0.5 01 01 01tubersGreen leafy 100 0.25 0.5 0.5 01 01vegetablesFruits 100 01 01 01 01 01Sugar 5 02 03 04 04 06 Fat/oil 5 04 05 05 06 04
K K Choudhary
TIMES CITYTHE TIMES OF INDIA, MUMBAI | THURSDAY, DECEMBER 22, 2011
HEALTH, NUTRITION & EMOTIONAL WELL-BEING | EDUCATION & CAREERS | TECHNOLOGY & LIFESTYLE | SPENDING & INVESTING | PARENTING | EXTRA-CURRICULAR ACTIVITIES
Health & Nutrition>>
I take great care to ensure thatmy children don’t eat any junkfood. They are especially notallowed to have any form of colasor sodas. I think it is up toparents to ensure that theirchildren don’t get hookedon to fast foods,inculcating good eatinghabits at an early age isessential
Farah Khan | DIRECTOR
& CHOREOGRAPHER
The entire foundation and blue-print of a child’s mental andphysical health profile is formed inchildhood. When the foundation is
strong, the future willautomatically behealthy. But childrenare losing out on a
balanced diet asparents are imitating
food habits from therest of the world
Naini Setalvad | OBESITY
& HEALTH CONSULTANT
As a parent, one strongly influencesthe amount of fast food a childconsumes in his formative years.Encourage children to opt for grilledvarieties rather than fried varietieswhen eating out. Eating fruits shouldbe a family norm. Chocolatesand desserts may berestricted to celebrationsand festive occasions
Purwa Duggal | HOD-NUTRITION
THERAPY, FORTIS HOSPITALS
Kidney stones among children haveincreased 20-30% in a few years,and colas, fries, burgers, pizzashave a direct role to play. Processed
food intake must becontrolled. Lack ofany physical activityis also responsible formany health problems
in kids
Dr A K Singal | PAEDIATRIC
UROLOGIST