Four Factors linked to Metabolic Dysfunction
When searching for information around what can be done to improve metabolic function, the solutions are elusive at best and impossible at worst. The information shared on the internet is either too generic to be helpful - e.g. "Eat Less, Move More", too specific - "Eat almonds to reduce belly fat" or contradicting or even damaging. Even books authored by doctors and scientists offer conflicting advice on what actions to take.
It is encouraging that there is a substantial level of attention on this topic. Scientific and medical research is obviously progressing. However, there does not yet seem to be a clear cut answer as to why millions of US adults and children are dealing with Metabolic Syndrome. Hopefully at some point the solution will be much more clear.
In the meantime, there are many common themes in published scientific and medical research that may offer insights. For instance, below are 4 factors that have commonly been associated to Metabolic Dysfunction:
1. Not enough FIBER
Getting enough fiber is associated with reduced metabolic disease risk factors [1]. According to the 2020-2025 Dietary Guidelines for Americans, over 90% of women and men do not meet the recommended intake for fiber. Nutritional Goals for fiber can vary from 25 to 31 grams a day for adults [2]. (see table A1-2)
Processed carbohydrates like crackers and chips have often been stripped of their natural fiber.
2. Too much ADDED SUGAR
Per the 2020-2025 Dietary Guidelines for Americans a majority of Americans are currently exceeding guidelines on added sugar.
We all know we are indulging on sugar when we eat an occasional treat like a cupcake or a donut. However, added sugars have made their way into many foods - think salad dressing, salsa, spaghetti sauce, bread, juice. Commonly added sugars are listed on the CDC Website.
Fortunately, it is much easier to read package labels to look for added sugar and monitor intake. By 2021, food manufacturers were required to add 'Added Sugar' as a component to their nutrition labels [5]. Look for this label to find out if the product you are buying has sugar ingredients beyond the naturally occurring sugar.
For example, the GoGo Squeeze Applesauce we buy for our kids has 13g Total Sugars listed on the label but 0g Added Sugars. This indicates that no additional sugar was added during processing.
3. Too much STRESS
Stress is associated with obesity [4]. The stress can be physiological, phycological or physical. For anyone suffering from metabolic dysfunction, it is worth looking into whether there are stressors that can be alleviated or reduced.
Some stressors might be obvious while some are harder to identify. See this previous post on stress and obesity.
4. Not enough HYDRATION
We have all heard the advice to 'drink more water'. It turns out, it is very good advice. Inadequate hydration has been associated with obesity in research [3].
The amount of water an individual should be consuming is a bit elusive, partially because it is dependent on a lot of factors. The Mayo Clinic Website recommends 2.7 liters (women) to 3.7 liters (men) a day.
REFERENCES
- Quagliani D, Felt-Gunderson P. Closing America's Fiber Intake Gap: Communication Strategies From a Food and Fiber Summit. Am J Lifestyle Med. 2016 Jul 7;11(1):80-85. doi: 10.1177/1559827615588079. PMID: 30202317; PMCID: PMC6124841.
- U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th Edition. December 2020. Available at DietaryGuidelines.gov.
- Chang T, Ravi N, Plegue MA, Sonneville KR, Davis MM. Inadequate Hydration, BMI, and Obesity Among US Adults: NHANES 2009-2012. Ann Fam Med. 2016 Jul;14(4):320-4. doi: 10.1370/afm.1951. Erratum in: Ann Fam Med. 2020 Nov;18(6):485. PMID: 27401419; PMCID: PMC4940461.
- Tomiyama AJ. Stress and Obesity. Annu Rev Psychol. 2019 Jan 4;70:703-718. doi: 10.1146/annurev-psych-010418-102936. Epub 2018 Jun 21. PMID: 29927688.
- Magnuson EA, Chan PS. Added Sugar Labeling. Circulation. 2019 Jun 4;139(23):2625-2627. doi: 10.1161/CIRCULATIONAHA.119.040325. Epub 2019 Jun 3. PMID: 31157997.
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