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Malnutrition refers to deficiencies, excesses, or imbalances in a
person's intake of energy and/or nutrients. Child malnutrition, in
all its forms, includes undernutrition, which includes wasting (low
weight-for-height), stunting (low height-for-age) and underweight
(low weight-for-age), micronutrient-related malnutrition (a lack of
important vitamins and minerals) or micronutrient excess,
overweight, obesity, and resulting diet-related non-communicable
diseases. Malnutrition is one of the most important factors for
improper physical and mental development of children. One in every
five children in the developing world is malnourished, and poor
nutrition is associated with half of all child deaths worldwide.
The problem of low or excessive body weight concerns countries with
different levels of socio-economic development. This is a medical,
social, and economic issue. Every country in the world is affected
by one or more forms of malnutrition. Combating malnutrition in all
its forms is one of the greatest global health challenges. Infants,
children and adolescents are at particular risk of malnutrition. In
children, malnutrition has particularly significant health
consequences during both early development and adulthood.
Malnutrition endangers children's survival, health, growth and
development, slows national progress towards the developmental
goals and thus diminishes the strength and capacity of nation.
Malnutrition in terms of undernutrition is substantially higher in
rural than in urban areas and children from indigenous populations
often have the poorest nutritional status. The developmental,
economic, social, and medical impacts of the global burden of
malnutrition are serious and lasting for all involved including
individuals and their families, communities and countries. Poor
nutrition during the early years of life can also have severe
consequences for subsequent skeletal and immunological development.
Studies have demonstrated that undernutrition is not caused by food
insecurity alone. Other factors range from the length of the
breastfeeding period and the availability of milk oligosaccharides,
pathogen exposure, and enteric dysfunction marked by villus atrophy
and loss of gut barrier function. Differences in the succession of
microbial establishment and maturity might contribute to family
discordances in nutritional status. Childhood obesity is one of the
most serious public health challenges of the 21st century. The
problem is global and is steadily affecting many low- and
middle-income countries, particularly in urban settings. Its
prevalence has increased at an alarming rate. Globally, in 2016,
the number of overweight children under the age of five is
estimated to be over 41 million. Almost half of all overweight
children under 5 lived in Asia. Overweight and obesity have been
linked to adverse psychological and physical outcomes during
childhood and continuing into adolescence and adulthood. The
association between overweight and obesity with psychosocial
problems (anxiety, depression and negative self-image), health
problems (diabetes and cardiovascular events) and impaired social,
educational and economic productivity has been well documented.
Moreover, the negative impact of being underweight, overweight, or
obese on the health and development of children and adolescents can
also extend into adulthood, increasing the risk of chronic
non-communicable diseases and disability. Overweight and obesity,
as well as their related diseases, are largely preventable.
Therefore prevention of childhood obesity is a high priority. The
mechanism of development of obesity is not fully understood and it
is believed to be a disorder with multiple causes. Environmental
factors, lifestyle preferences, and cultural environment play
pivotal roles in the rising prevalence of obesity worldwide. In
general, overweight and obesity are assumed to be the result of an
increase in caloric and fat intake. On the other hand, there are
supporting evidence that excessive sugar intake by soft drink,
increased portion size, and steady decline in physical activity
have been playing major roles in the rising rates of obesity all
around the world. Nutritional assessmentis the interpretation of
anthropometric, biochemical, clinical and dietary data to determine
whether a person or groups of people are well nourished or
malnourished (over-nourished or under-nourished). Research can be
aimed at identifying the various social, cultural, political, and
economic factors of nutrition in order to fully understand the
underlying causes of malnutrition. The social determinants of
malnutrition can be explored through both qualitative and
quantitative research methods. Furthermore, exploring the issues of
food security, dietary diversity, and infant-feeding practices can
provide a comprehensive understanding of a population's nutritional
status.
Obesity is a major risk for both cardiovascular disease (CVD) and
type 2 diabetes mellitus (T2DM). Obesity has reached epidemic
proportions globally, and evidence suggests that the situation is
likely to get worse in both developed and developing countries. It
is considered to be a predisposing factor for several chronic
diseases which include CVD, ischemic stroke, hypertension, T2DM,
vascular dysfunction, and proinflammatory and prothrombotic state.
This is where Syndrome X intersects with obesity and plays the role
of a common denominator for CVD and T2DM. Persons with Syndrome X
are more susceptible to CVD & T2DM.It is particularly relevant
to recognize that variation in disease susceptibility among
individuals in the population at large is a consequence of the
intersection of the distribution of genotypes with the distribution
of past environmental exposures and future environmental
trajectories. For instance, many individuals who have a genotype
that is found in those with disease will remain healthy because of
the compensatory effects of a different environmental history on
the same initial conditions. Similarly, individuals who do not have
a high risk genotype may develop a disease of an adverse
environmental history. That is, interaction between a particular
genotype and particular environmental exposures.In the thrifty
genotype hypothesis as proposed by Neel (1962), entire populations
have an increased predisposition to T2DM due to genetic selection.
They are better adapted to different nutritional circumstances than
those they experience today. In the thrifty phenotype hypothesis
(also known as Barkers Hypothesis), maladaptive responses occur as
a result of environmentally induced alteration of physiology in the
early life of the individual. Both hypotheses offer explanations of
why the frequency of diabetes and obesity may differ in different
populations and why predisposition to diabetes is common, albeit by
very different mechanisms. A third hypothesis called the common
soil hypothesis as mentioned by Lebovitz (2006) that diabetes and
CVD might share an underlying cause(s) is also described. Insulin
resistance is central both to the progression from normal glucose
tolerance to T2DM and to a constellation of CVD risk factors known
as Syndrome X or Metabolic Syndrome. Then there is the epigenome
that directly impacts gene expression and can be modified by both
genetic and environmental factors. It is the potentially heritable
changes in gene expression that does not involve changes to the
underlying DNA sequences a change in phenotype without a change in
genotype. The epigenoytpe is dynamic and varies over time and
tissues as a result of environmental exposure, aging, and diseases
and other factors.The present book is an assembly of the vast
knowledge that has been generated over the last decade worldwide in
the field of obesity and metabolic syndrome related disorders, and
an attempt to translate research findings into a clinically useful
tool for better diagnosis, intervention, and prevention of this
global public health burden. We hope this book will not only expand
the practice in the coming years, but that it will create new
avenues for future research as well.
This book outlays the possible influence of some important aspects
of human migration and social mobility on the biological characters
of human populations, including their health and well-being. It
contains ten contributions from different researchers working in
this area of research. The first chapter, written by Budnik and
Henneberg, demonstrates the effect of social class and mobility on
morphological characters of body size like height and body mass
index (BMI) in a historical population of Poland. In Chapter Two,
Chakraborty et al. shows that the migration of disadvantaged people
to an adverse environment in an early period of growth and
development may increase health risk in adulthood compared to those
after completion of major physical growth period, or even compared
to those who are born into that adverse environment. Chapter Three
(by J. R. Ghosh) reveals the influence of educational and
occupational positions on clinical hypertension among adult males
from the eastern part of India. In the fourth chapter of this
volume, S. Ghosh et al. attempts to find out the relationship
between the socio-economic status of family and growth on height
and weight demographics in school children aged 5-12 from Kolkata,
India. Godina et al. in Chapter Five delineates the differences in
various anthropometrical measurements in children and adolescents
aged 7 to 17 years across different types of schools, representing
different social strata in Moscow. Chapter Six by Kaczmarek
discusses the implications of rural to urban migration and its
impact on womens health status in Poland. The next chapter by
Krzyzanowska and C G Nicholas Mascie-Taylor discusses the impact of
regional migration and social mobility on variation in adult
height, weight and Body Mass Index, which is evidenced from a
British cohort study. In Chapter Eight, Gomula and Koziel highlight
from a study in Poland the effect of social mobility of fathers on
maturity, measured by the age at menarche in their daughters. In
the next chapter, Missoni and arac review dietary and lifestyle
characteristics in the Eastern Adriatic Islands of Croatia in the
backdrop of recent economic transition, urbanisation and migration.
The tenth chapter contributed by Singh and Kirchengast compares
demographic health related characteristics and reproductive
behaviours between Punjabi women residing in Punjab and in Vienna,
Austria. This book will be useful for researchers dealing with
biological implications of human mobility. It may be of particular
interest to human biologists, biological anthropologists,
epidemiologists, demographers, economists and other researchers
dealing with biological implications of human mobility.
Obesity is now considered a global epidemic. Central obesity is the
state of excess adiposity in the abdominal region. It is associated
with increased, cardiovascular or cancer mortality. The
International Diabetes Federation (IDF) has recommended the
assessment of central obesity mandatory for diagnosis of metabolic
syndrome. Hitherto, there is a huge gap in our understanding of the
role of central obesity as a health risk across different
populations around the world. There also exist a vast population
variation in the relationship between generalized obesity as
measured by body mass index and /or percent body fat and the
central adiposity measures. For instance, Asian-Indians have a
typical phenotype of higher body fat at lower BMI levels compared
to their European counterparts. Development and use of region
specific standards of measurement of central obesity is in need
until a universal agreement is achieved. With this background, the
present volume has been organized with some very informative
articles from highly reputed scholars, researching on obesity in
general and on central obesity, in particular. We have here
articles based on empirical data as well some review articles
critically examining some theoretical, epidemiological and clinical
aspects pertaining to the theme of this volume. Through the 14
chapters of this volume, we have attempted to cover diverse aspects
concerning the paradigm of central or abdominal adiposity / obesity
within a broader framework of obesity.
Human malnutrition is a serious health problem worldwide.
Traditionally, malnutrition is referred to as under-nutrition.
However, during the last three decades, the problems of overweight
and obesity have reached alarming proportions necessitating the
coinage of the term "globesity" which refers to global obesity.
Thus, malnutrition manifests itself as a dual burden:
under-nutrition and over-nutrition. Both these burdens have serious
implications regarding morbidity and mortality. In this book, there
are 15 chapters which discuss these dual burdens. These chapters
address diverse aspects of human nutrition including birth weight,
under-nutrition, overweight and obesity, nutrition interventions,
micronutrients and other co-variates of malnutrition. Confounding
factors of malnutrition are also highlighted.
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