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Asian Feasts - Recent Changes in Asian Diets

Asia Weighs Up

Most Asians are now living lives our grandparents wanted. Infant and maternal mortality rates have fallen significantly in many countries; life expectancy is higher than it has ever been in history and poverty and malnutrition rates are gradually declining (albeit at a rate slower than most policy makers would like).

With so much good news, why then are health professionals concerned? Health-wise, economic development has come to Asia as a double-edged sword. Economic prosperity has reduced the number of malnourished and hungry people. On the other hand, economic and technological development, focused mainly in the larger cities, has attracted people living in the rural countryside to the urban centres. While city-living provides better educational and employment opportunities, it also takes away many aspects of the traditional lifestyle that health professionals now realise were actually rather healthful, e.g. lots of physical activity and diets based on less energy-dense foods.

Urban shift

For instance, traditional communities ate more cereals tuber and grains, usually grown in their own fields. These starchy staples were supplemented with home-grown vegetables, and the occasional animal protein treat. A generation ago, our grandparents walked everywhere, or if slightly wealthier perhaps cycled to work and leisure activities.

Today’s city-dwellers need to exert considerably less physical energy in their daily lives, for example the hard toil of harvesting, drying and storing the rice crop, is replaced by shopping and carrying a bag of groceries home from the market. Lengthy meal preparation by the home-based womenfolk of the house is replaced by women and men working in sedentary jobs, and relying heavily on street food which is cheap and plentiful all over Asia. We are also eating more meat, and less vegetables, than our grandparents.

Studies have suggested that environmental cues to eat (sight, smell and advertisements for food) play a role in whetting our appetite, even when we are full. To compound the problem, most of the foods we gravitate to are high in fats, sugars or refined carbohydrates. The ready availability of food at reasonable prices has placed environmental cues that encourage us to eat – cues that our grandparents were not subject to. For example, walk along any street in Asia and you would be bombarded by billboards, restaurants and street food sellers offering everything from fast-food to snacks and desserts that tempt even the most strong-willed.

Technology has also given us time-saving appliances that take aware the ardour of many household chores. What used to take hours of manual labour is now carried out by washing machines or vacuum cleaners.

Many of us spend long hours at work to achieve financial security and meet society’s demand for productivity by working at sedentary jobs. Unfortunately the long hours at work leave us with little time for physical activity. Many of us are also too stressed out at the end of the day to partake in what we perceive as more work! Instead we plonk our weary bodies in front of the television as a form of recreation. Our children huddle before computer screens instead of playing hopscotch or football, as previous generations might have done.

Greater income also enables us to indulge more in the Asian tradition of celebration with food. With more disposable income, we reward ourselves regularly with feasts that might have been annual events in our grandparents’ time.

While no sector of society started out with an agenda of increasing overweight and obesity rates, our shifting lifestyles and diet choices have gradually allowed overweight and obesity to creep up on us.


Weighing in the choices

But all is not lost with the battle of the bulge. Being overweight need not be an automatic or unavoidable consequence of modern living. Governments and health professionals are now aware that obesity is a rising problem in Asia and are working together with the private sector to address it.

We do know a great deal about what constitutes a healthy diet and a healthy lifestyle. A healthy diet does not mean total exclusion of any food group or food type from your diet. Instead of labelling foods as “good” or “bad,” nutritionists most commonly advise there is a place for all foods in a healthy diet, provided some basic diet and lifestyle guidelines are used in shaping individual choices: the great variety of food in the urban, modern world actually provides unprecedented opportunities to achieve a healthy diet with wide variety of foods. However, this expanded choice available to so many of the current generations must be balanced by the principle of “everything in moderation”, to avoid the pitfalls of excess consumption of specific foods, food groups or nutrients.

Global trade has increased the variety of fruits and vegetables available in the supermarket aisle. Even traditional wet markets now stock produce from the four corners of the earth, giving us a greater selection of healthy greens and fruits to choose from. Food processing not only brings convenience to the consumer, but has resulted in the development of new products with health benefits; for example, products made with whole grains and therefore high in dietary fibre: Thus today’s consumer may choose to eat less starch staples such as cassava, brown rice, yams than grandparents did, but can enjoy substitutes such as whole wheat bread; whole grain cereals, pasta and breakfast cereal and maintain a healthy intake of dietary fibre.

Remember also, that food should continue to be recognised according to traditional values, namely ‘nourishment for the body and pleasure for the soul’. Studies have indicated that communities who view food as a source of sustenance and pleasure have lower levels of overweight, obesity and eating disorders than societies which placed heavy emphasis on ‘ideal’ body forms and view food as primarily a source of good or poor health. Researchers such as Popkin and Gaesser have concluded that a pre-occupation with food’s role in body weight management may, paradoxically, actually result in more eating disorder such as binge eating and failures in achieving healthy weight management.

Let’s play!

Underpinning all efforts to promote healthy diets is the exhortation to increase physical activity. In the previous generation, physical activity was associated with work and was to be avoided as much as possible. In today’s environment where the majority of the population are not involved in manual labour, our mind-set needs to change.

Remember when you were young and running, jumping or biking was fun? That’s how we should view physical activity – as a means to play and have fun. Physical activity need not entail vigorous, breathless exercising. In fact, it could be incorporated into entertainment, as in dance or sports, into household chores – washing cars, gardening, or as plain play – as in throwing a Frisbee in the park or playing catch with your kids.

Getting into physical activity as play not only invigorates your body, it also energises your mind. And what better way to engage the younger generation, then to get involved in doing what they love best!

For those of us who are now in a healthy weight, increasing our physical activity by even the smallest bit has also been shown to pay huge dividends.

Bottom-line, while economic development and urbanisation may seem to have negative effects on our waist-line, it is not a battle lost. We have better choices and better information on how to achieve our ideal weight and to stay healthier, despite environmental conditions against them.

 

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