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ISSN 1683-3805

E&HI Volume 11, No. 1 2009 - International Federation of ...

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dren who are overweight before puberty will<br />

be overweight in early adulthood, reducing<br />

the average age at which non-communicable<br />

diseases become apparent and greatly increasing<br />

the burden on health services, which<br />

have to provide treatment during much of<br />

their adult lives. (Branca, Nikogosian, & Lobstein,<br />

2007) The current epidemic of obesity<br />

is caused largely by an environment that promotes<br />

excessive food intake and discourages<br />

physical activity. (French, Story, & Jeffery,<br />

2001) Through the years there have been<br />

fluctuations in healthy shopping and eating<br />

trends. The worldwide prevalence of obesity<br />

continues to increase, with devastating implications<br />

for overall health. Epidemiological<br />

trends indicate the primary contributors are<br />

environmental (e.g., increased caloric intake,<br />

lack of exercise). Increased body mass index<br />

(BMI) is associated with an increase in allcause<br />

mortality and in diseases related to this<br />

increasing mortality rate, such as diabetes<br />

mellitus, cardiovascular disease, and cancer,<br />

including those of the gastrointestinal system.<br />

Some of these associations are even more<br />

pronounced when obesity is measured by<br />

waist-to-hip ratio, a marker of visceral adipose<br />

tissue, versus BMI. Higher BMI is related<br />

to increased risk of developing gall<br />

stones, and obese patients experience GI<br />

symptoms, such as vomiting and diarrhoea,<br />

more often compared with those of normal<br />

body mass. Although the exact cause remains<br />

uncertain, these symptoms may be connected<br />

to eating habits or to changes in gastrointestinal<br />

motility. (Moayyedi, 2008) .<br />

A recent study that examined the long-term<br />

effect of habitual diet on risks of incident diabetes,<br />

coronary heart disease, and mortality<br />

has shown that a healthy eating pattern that<br />

included fruit, vegetables, whole-meal bread,<br />

low-fat dairy, and little alcohol reduced risks<br />

of diabetes and major coronary events.<br />

Such dietary patterns offer considerable<br />

health benefits to individuals and contribute<br />

to public health. (Brunner, et al., 2008)<br />

Nutrition and lifestyle<br />

Nutrition and lifestyle are well-defined modulators<br />

of chronic diseases. Poor dietary habits<br />

and a sedentary lifestyle clearly contribute to<br />

increasingly compromised quality of life. It is<br />

becoming<br />

increasingly clear that nutrition can modulate<br />

the toxicity of environmental pollutants. Certain<br />

diets can contribute to compromised<br />

health by being a source of exposure to environmental<br />

toxic pollutants. Many of these<br />

pollutants are fat soluble, and thus fatty foods<br />

often contain higher levels of persistent organics<br />

than vegetable matter. Nutrition can<br />

dictate the lipid content, oxidative stress, and<br />

antioxidant status within cells. The modulation<br />

of these parameters by an individual’s<br />

nutritional status may have profound effects<br />

on biological processes, and in turn influence<br />

the effects of environmental pollutants to<br />

cause disease or dysfunction. It is recommended<br />

that future directions in environmental<br />

health research explore this nutritional<br />

paradigm that incorporates a consideration<br />

of the relationships between nutrition<br />

and lifestyle, exposure to environmental toxicants,<br />

and disease. Nutritional interventions<br />

may provide the most sensible means to develop<br />

primary prevention strategies of diseases<br />

associated with many environmental<br />

toxic insults. (Hennig, et al., 2007)<br />

Allergy and lifestyle<br />

A considerable part of the Western population<br />

suffers from some form of allergy, and<br />

the incidence is still rising with no sign of an<br />

10

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