• Nutrition
    • Overnutrition

      This a problem of getting more nutrients than what is necessary. The body fails to utilize and hence convert excess nutrients to fats.

    • Undernutrition

      This is a problem whereby a person takes in small amounts of nutrients than what is needed.

Good health and nutrition are inseparable. Good health cannot exist where nutrition status is poor. Poor nutrition, i.e. undernurtition or overnutrition are a major source of health problems in modern societies. In the past it used to be undernutrion but now both are troubles of modern civilization. While ancient societies used to fight against malnutrition in the form of undernutrition, modern societies are struggling to deal with overnutrition too.

Due to differences in the level of economies, the fight against nutritional problems has been characterized by different approaches. Developed countries largely fight against obesity and overweight problems i.e, overnutrition. Conversely, the developing world is still struggling with undernutrition, i.e. underweight.

Overweight and Obesity

Obesity

Overweight and obesity are some of the problems of morden civilization! Due to different reasons, people are becoming more and more obese in some parts of the world, especially the western countries. While countries like the United States of America are struggling to build a healthy population that is not overnourished, many countries in Sub-Saharan Africa are struggling with undernutrition, especially in rural areas.

Despite having problems with undernutrition, developing countries are also facing problems with overnutrition, especially among the affluent urban dwellers. Stroke , Diabetes , High Blood Pressure (Hypertension) and other cardiovascular diseases are becoming more and more common. Almost all of these cardiovascular conditions torment people fro life and they also result in other complications. There is a need for everyone to be vigilant in order to control this and reduce the cost of living.

Undernutrition

Undernutrition

This is having inadequate nutrients in the body. It may result into kwashiokor, marasmus and other deficiency diseases.

How to determine if you are underweight, overweight or obese?

Knowing wether you are underweight, overweight or obese is not dificult to determine. The easiest way of determining thisis by measuring your Body Mass Index (BMI). BMI gives you an estimation of how much you weigh per square meeter of your body. This measurement(BMI) has four intervals: underweight, ideal, overweight and obesity.

An ideal body weight is that which is in between (18.5-25)kg/square metre. If your BMI is less than 18kg/square metre it means you are underweight and at risk of other health problems wince your body is not having enough nutrients for normal functioning.

If your BMI is above 25kg/square metre but less than 30kg/square metre it means you are overweight. A BMI of greater than 30kg/square metre but less than 35kg/square metre implies obesity while a BMI above 5kg/square metre implies morbid obesity.

The following table shows you body mass measurements and their interpretation.

Body Mass Index Interpretation

BMI Measurement Interpretation
Less than 18.5Undernourished
18.5-24.9Ideal weight
25-29.9Overweight
30 and aboveObese
Table 1: Body Mass Index

Apart from BMI, you need also to measure your waist circumference. Too much fat around the waist, also known as central adiposity is dangerous to your health. It is associated with serious eart diseases and you need to take note of this

How to measure your waist circumference

Find the bottom point of your ribs and the top point of your hip, and measure around your middle at a point mid-way between these. The chart below will give you an indication of how your waist size affects your risk of heart disease and other health conditions.

Gender Ideal (cm) High Risk (cm) Very High Risk (cm)
Male Less than 94 94 to 102 More than 102
Female Less than 80 80 to 88 More than 88
Table 2: Waist Circumference Measurement and Interpretetion

Important!

It must be noted that the BMI and waist circumferences reported above are an average of people with European origin. Africans, e.g Malawian and others may even be at an increased health risks at lower BMI. For instance, a BMI of at least 23 and waist circumference above 90cm in males or a waist circumference above 80cm is considered overweight and at increased risk of health problems.

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Cardiopulmonary Physiotherapy
Chimwemwe Masina, PT

Author: Chimwemwe Masina

Chimwemwe Masina is currently working as a Resident Physiotherapist at DDT College of Medicine in Gaborone, Botswana. Before joining DDT College of Medicine, he worked in the Ministry of Health at Kamuzu Central Hospital in Malawi, MagWaz Physiotherapy and Wellness Services in Lilongwe, Malawi. as well as Volunteering at Physiopedia.
His interest is in Neuromusculoskeletal Physiotherapy and currently he is an assisting lecturer in Manual Therapy and Lumbar Spine Management.

Disclaimer! Information provided on this page is for educational purposes only and is not meant for specific medical intervention. If you have a medical problem, please contact us or consult a certified medical professional