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HEALTH MATTERS Why Is Obesity Getting Worse? By Kepha Nyanumba O besity has been a topic of discussion for the last 30 years. Entire industries have grown around it and all sorts of diets and exercise programs have promised lasting results. Yet the problem has continued to balloon, seemingly out of control. Researchers looking at obesity rates around the world note that for the first time in history, obese people now outnumber those who are underweight. Approximately 2 billion people worldwide are now overweight, and 600 million of them are obese. containing high levels of added sugar, saturated fat, and sodium. programs detailing the lives and weight loss struggles of the obese individuals. The History of Obesity Obesity most often occurs when a person consistently eats more calories than he burns, and his body stores the excess energy as fat. This energy balance, "calories in, calories out" concept, originated with a simple observation involving mice, in 1953. Chronic food shortage and malnutrition have been the scourge of humankind from the dawn of history. For much of civilization, being overweight or obese was lauded as a symbol of wealth and prosperity something that was celebrated. How metabolism Influences Obesity WHO defines Obesity as abnormal or excessive fat accumulation that presents a risk to health. It is now considered one of the most common risk factors in most Non-Communicable Diseases (NCDs) such as diabetes, high blood pressure, and cancer. Only as countries developed in the 18th century and food became more readily available did the weight of populations as a whole start to rise. At first, the greater availability of food created a stronger, healthier population. But, in the last century, it has developed into a full- blown health problem with many people struggling with weight loss. In Kenya Obesity is tightening its grip as a result of urbanization that exposes people to a sedentary lifestyle and a diet that veers from traditional foods to foods While the struggles of obesity were initially featured mostly in magazines and on talk shows, today, obesity has become a genre of entertainment, with reality TV Do you know people who complain about having a slow metabolism and how they barely eat anything yet still gain weight? Have you met people who complain about someone they know who can eat whatever he or she wants including large portions of junk food due to a fast metabolism and apparently never gain weight? This scenario raises a very good question on the role of metabolism in weight gain or weight loss. The impulse to reach for a chocolate bar or junk foods everyday is not a simple one to understand. Food cravings start in the brain, unlike hunger, which begins in the belly, and are stimulated by things like stress, memo- ry, and routine far more often than by the amount of time since your last meal. Hun- ger comes on gradually and can be easily satisfied. Cravings are sudden, specific, and more difficult to appease. Metabolism or metabolic rate is defined as the series of chemical reactions in a living organism that create and break down energy necessary for life. More simply, it's the rate at which your body expends energy or burns calories. One way to think about metabolism is to view your body as a car engine that is always running. When you're sitting still or sleeping, you're engine is idling like a car at a stop light. A certain amount of energy is being burned just to keep the engine running. As humans our fuel source is the calories found in foods we eat and beverages we drink. How fast 84 MAL29/19 ISSUE