“ Handling Sugar and Sweeteners Intakes – Indian Experience”

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“ Handling Sugar and Sweeteners Intakes – Indian Experience”. Rekha Sharma R.D Director, Clinical Nutrition and Dietetics Diabetes Foundation ( INDIA) Former Chief Dietician All India Institute of Medical Sciences ,New Delhi, INDIA. Science for Health , Diet and Life style. - PowerPoint PPT Presentation

Transcript of “ Handling Sugar and Sweeteners Intakes – Indian Experience”

  • Handling Sugar and Sweeteners Intakes Indian Experience Rekha Sharma R.D Director, Clinical Nutrition and Dietetics Diabetes Foundation ( INDIA) Former Chief Dietician All India Institute of Medical Sciences ,New Delhi, INDIA

  • Science for Health , Diet and Life style Four healthy lifestyle factors No smokingMaintaining a healthy weightExercising regularly Healthy diet Together appear to be associated with as much as an 80 percent reduction in the risk of developing the most common and deadly chronic diseases

  • Early awarenessThe roots of these factors often originate during the formative stages of life, it is especially important to start early in teaching the important lessons concerning healthy living.Schools should be a priority

  • Indians have sweet tooth! Almost 75% of the sugar available in the open market is consumed through bakeries, candy makers, sweet makers, ice cream and soft drink manufacturersGur, an unrefined form of sugar, is mostly consumed in rural areas .India is currently the worlds largest consumer of sugar with domestic consumption increasing more than 4 % annually.

  • Consumption of sugar2005- 2006 19 million tons2007 2008 22 million tons2008 2009 23 million tonPer capita consumption of sugar: Rural 2.2 kg/ month/ household Urban 5.11 kg/month/householdSugar consumption in India has more than doubled in 20 years .

  • PER CAPITA CONSUMPTION OF SUGAR IN URBAN INDIA

    StatesKgs. Per annumPunjab71.5Haryana68.5Maharashtra40.9Gujarat40.9Kerala41.5Uttar Pradesh35.2Tamil Nadu29.1Karnataka23.3All India31.5

  • Incidence of ObesityOn an average 5 % of Indian population is obese but when seen in urban settings the numbers are amazingly high .Punjab : 30.3 % Males, 37.5 % Females Kerala : 24.3 % Males, 34.0 % Females Goa : 20.8 % Males, 27.0 % Females Diabetes Foundation ( INDIA) on going trial in 7 major cities of India and has found 24 % school children to be over weight and obese , where the numbers are much higher in private schools.

  • Incidence of obesity & Related disordersYoung Women (18 25 years) = 13.2% Delhi, DST trial ,2000Urban slum ( 35 years) = 40.2% European Journal of Clinical Nutrition ,2001 Urban Slum (30-60) = 28.2% Delhi, DST trial , 2002

    Post menopausal (52 years) = 62 % Delhi, DBT trial, 2006 Hypertension >140/90 mm Hg = 43% Hyperlipidaemia Cholesterol > 200 mg = 47% Diabetes Blood sugar >126 mg% = 4 % Osteoporosis (T-score < -2.5) = 22%

    4,621( >35 years) overweight urban areas= 64 % DST trial in 6 cities,2009 rural areas = 36 % Hypertension >140/90 mm Hg = 50% Hyperlipidaemia Cholesterol > 200 mg = 25% Diabetes Blood sugar >126 mg% = 3 - 14 %

  • Diabetes Foundation ( INDIA) - Ongoing trial

    Prevalence (%) of Abdominal Obesity in 14-18 y old Asian Indian Adolescents: 5 City Data

  • Consumption of Energy-dense Foods65 % of Children in class X and XII are sedentary

    Eating HabitPublic SchoolsGov. SchoolsEating out, >1 d/week39 %33%Eating chips, >1 d/week 5348Eating French fries, >1d/week 2015Eating burgers, >1 d/week 2025Eating pizzas, >1 d/week 1512Eating noodles, >1 d/week 4450Drinking colas, >1 d/week 3635

  • Un healthy Eating Habits Erratic eating habits Frequent fast and fried food consumption Excess intake of colas Excess consumption of refined foods Not consuming enough fruits and vegetables

  • Sedentary Life style Low physical activity No participation in active sports activities Long hours devoted to TV, computer, video games Sitting in canteens/coffee shops Taking automated vehicles for nearby destinations

  • Sedentary causesHectic pace of life- long hours desk jobsA major culprit is time spent in front of the television and computers.Increase in vehiclesReduced play areas and walking space Sedentary behaviour school onwardsHouse wives- more help

  • Causes of Obesity - WHOEnergy imbalance between calories consumed on one hand, and calories expended on the other hand. A global shift in diet towards increased intake of energy-dense foods that are high in fat and sugars but low in vitamins, minerals and other micronutrientsA trend towards decreased physical activity due to the increasingly sedentary nature of many forms of work, changing modes of transportation, and increasing urbanization. Urbanization , sedentary life styles and excessive consumption of sugary foods along with increased fat consumption specially saturated fats is leading India to obesity . Obesity being the primary factor of type II Diabetes is leading India to become the diabetic capital of the world by 2030.

  • Incidence of Life style Diseases Heart disease : Rural: 5 6% Urban: 9-10%. Hypertension : Rural :5-8 %. Urban : 15% Diabetes: 6 12 %

  • Satisfying Sweet toothCraving for sugar often translates into a tug-of-war; the urge to satisfy a sweet tooth versus the urge to resist empty calories. Artificial sweeteners are avoiding this .Indias artificial sweetener industry (estimated at Rs 60 crore) is also growing at a healthy 20 per cent annually. The Government of India has allowed the use of artificial sweeteners in around 25 food items. The items include carbonated water, soft drink concentrate, sugar/sugar free confectionery, chewing gums, biscuits, breads, cakes and pastries and some traditional sweets. ...

  • Artificial SweetenersTable sugar to artificial sweeteners (like aspartame and saccharine) may be one way of achieving Stevia the worlds sweetest natural sweetener that has zero calories - lingering after-taste to this sweet herb. Stevia and its extracts are said to be completely diabetic-safe.

  • Low calorie sweetenersSweetos is a low calorie, high intensity sweetener made from Fructo-Oligo-Saccharide and Sucralose. It is approved as a soluble fibre and helps to reduce serum LDL Cholesterol Levels. Fructo-Oligo-Saccharide is a very good Prebiotic, which helps to improve immunity and is a healthy sweetener for Diabetics - sweets, coffee and Tea, Baked Goods, Jams, Jellies, Sauces, Breakfast Cereals, Syrups, Soft Drinks and Ice Creams

  • Intense sweetenersWhen added to food, these low Calorie sweeteners provide a taste that is similar to that of table sugar (sucrose), and are generally several hundred to several thousand times sweeter than sugar.Because of their intense sweetening power, these sweeteners are used in very small amounts and thus add only a negligible amount of calories to foods and beverages.

  • Sweeteners and weight ManagementNon-nutritive sweeteners play a crucial role in weight management strategies. It is a difficult task to cut down 500 calories in a weight reduction diet. A reduction in direct sugar i.e. about 100 calories from the diet - by replacing it with an artificial sweetener is one-fourth the target achieved.Done daily for about 2 months, one has lost approximately 1 kg in weight.Improves the adherence to the diet program. Hence, the artificial sweeteners play a very important role in obesity as well as diabetes management.

  • Artificial Sweetener intake Obese Over weight Diabetics Type 2Middle income group = 2%High Income group = 70% Equal, Sugar free, Saccharin Ms Swapna Chaturvedi , Dept of Dietetics All India Inst of Medical sciences , New Delhi

  • Food supplements share in the market

    In food supplements, the major share is held by food products and supplements (artificial sweetener, meal replacers, and ginsengs)- 50 %, valued at Rs 5.63 billion in 2007. The next major pie is held by malted beverages- 30 % valued at Rs 3.38 billion. The third major segment is fruit-based products- 6% , valued at Rs 0.68 billion. Paediatric nutrition (Lactogen, Lactodex, Dexolac, Pediasure),5% valued at Rs 0.56 billion. Protein powder, sports products, and clinical products 5% are valued at Rs 0.56 billion, Rs 0.23 billion and Rs 0.23 billion respectively. (Source: Cygnus Business Consulting & Research 2008)

  • Food supplements

  • World Health Organization (WHO) Nutrient and energy requirements vary between individuals and are related to a person's age, sex, level of physical activity In India 70- 80 % of person's dietary energy is coming from carbohydrates including sugars .The calories from sugar are termed hollow calories as they lack proteins , vitamins and minerals .Healthy eating concept should reduce refined carbohydrates especially sugars and select healthy foods with whole grains and fiber .Fibre is important for gut function, and helps to reduce the risk of heart disease and some cancers and acts as a filler for weight reduction. Many studies have also shown that fruit and vegetables have beneficial effects on health. WHO recommends consuming