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Poor diets are ‘failing children’ worldwide – UNICEF

A worryingly high number of children are suffering as a result of poor diets and a food system that is failing them, says UNICEF.

In a new report on children, food and nutrition, the United Nations’ Children’s Fund reveals that at least one in three children under five – or over 200 million – is either undernourished or overweight. Almost two in three children between six months and two years of age are not fed food that supports their rapidly growing bodies and brains.

This puts them at risk of poor brain development, weak learning, low immunity, increased infections and, in many cases, death.

The State of the World’s Children 2019: Children, food and nutrition provides the most comprehensive assessment yet of 21st century child malnutrition in all its forms. It describes a triple burden of malnutrition: Undernutrition, hidden hunger caused by a lack of essential nutrients, and overweight among children under the age of five.

‘149 million children are too short for their age’

It reveals that around the world around 149 million children are stunted, or too short for there age; 50 million children are wasted, or too thin for their height; 340 million children – or 1 in 2 – suffer from deficiencies in essential vitamins and nutrients such as vitamin A and iron; and 40 million children are overweight or obese.

Henrietta Fore, UNICEF Executive Director, said: “Despite all the technological, cultural and social advances of the last few decades, we have lost sight of this most basic fact: If children eat poorly, they live poorly. Millions of children subsist on an unhealthy diet because they simply do not have a better choice. The way we understand and respond to malnutrition needs to change: It is not just about getting children enough to eat; it is above all about getting them the right food to eat. That is our common challenge today.”

‘Poor eating practices start early’

The report warns that poor eating and feeding practices start from the earliest days of a child’s life. Though breastfeeding can save lives, for example, only 42 per cent of children under six months of age are exclusively breastfed and an increasing number of children are fed infant formula. Sales of milk-based formula grew by 72 per cent between 2008 and 2013 in upper middle-income countries such as Brazil, China and Turkey, largely due to inappropriate marketing and weak policies and programmes to protect, promote and support breastfeeding.

As children begin transitioning to soft or solid foods around the six-month mark, too many are introduced to the wrong kind of diet, according to the report. Worldwide, close to 45 per cent of children between six months and two years of age are not fed any fruits or vegetables. Nearly 60 per cent do not eat any eggs, dairy, fish or meat.

As children grow older, their exposure to unhealthy food becomes alarming, driven largely by inappropriate marketing and advertising, the abundance of ultra-processed foods in cities but also in remote areas, and increasing access to fast food and highly sweetened beverages.

‘Obesity levels in childhood are raising worldwide’

For example, the report shows that 42 per cent of school-going adolescents in low- and middle-income countries consume carbonated sugary soft drinks at least once a day and 46 per cent eat fast food at least once a week. Those rates go up to 62 per cent and 49 per cent, respectively, for adolescents in high-income countries.

As a result, overweight and obesity levels in childhood and adolescence are increasing worldwide. From 2000 to 2016, the proportion of overweight children between 5 and 19 years of age doubled from 1 in 10 to almost 1 in 5. Ten times more girls and 12 times more boys in this age group suffer from obesity today than in 1975.

The greatest burden of malnutrition in all its forms is shouldered by children and adolescents from the poorest and most marginalized communities, the report notes. Only 1 in 5 children aged six months to two years from the poorest households eats a sufficiently diverse diet for healthy growth. Even in high-income countries such as the UK, the prevalence of overweight is more than twice as high in the poorest areas as in the richest areas.

‘We are losing ground in the fight for healthy diets’

The report also notes that climate-related disasters cause severe food crises. Drought, for example, is responsible for 80 per cent of damage and losses in agriculture, dramatically altering what food is available to children and families, as well as the quality and price of that food.

To address this growing malnutrition crisis, UNICEF is issuing an urgent appeal to governments, the private sector, donors, parents, families and businesses to help children grow healthy through various methods, including empowering families, children and young people to demand nutritious food, including by improving nutrition education and using proven legislation – such as sugar taxes – to reduce demand for unhealthy foods.

Healthy food environments for children and adolescents should also be created by using proven approaches, such as accurate and easy-to-understand labelling and stronger controls on the marketing of unhealthy foods.. Supportive systems – like health, water and sanitation, education and social protection – also need mobilising to scale up nutrition results for all children.

Finally, good quality data and evidence should be collected and analysed to guide future actions and track progress.

‘This is not a battle we can win on our own’

“We are losing ground in the fight for healthy diets,” said Fore. “This is not a battle we can win on our own. We need governments, the private sector and civil society to prioritize child nutrition and work together to address the causes of unhealthy eating in all its forms.”

Author: Simon Weedy

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