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More children now obese than underweight, UN warns

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More children worldwide are now obese than underweight, with junk food reportedly to blame.

Ultra-processed foods are driving the change, with 188 million school-age children and teenagers living with obesity – one in 10 globally – according to new UN figures warning of future disease risks.

The data show that 9.4 per cent of five to 19-year-olds are obese, compared with 9.2 per cent who are underweight.

In 2000, nearly 13 per cent were underweight and only 3 per cent obese.

Unicef’s report analysed data from more than 190 countries, using sources including Unicef, the World Health Organization and the World Bank.

It found one in five children aged five to 19 are overweight, with 42 per cent of the 291 million in this group classed as obese in 2022, up from 30 per cent in 2000.

Catherine Russell, executive director of Unicef, said: “When we talk about malnutrition, we are no longer just talking about underweight children.

“Obesity is a growing concern.

“Ultra-processed food is increasingly replacing fruits, vegetables and protein at a time when nutrition plays a critical role in children’s growth, cognitive development and mental health.”

Obesity has overtaken underweight as the more common form of malnutrition in every region of the world except sub-Saharan Africa and South Asia.

It is also a problem in countries where many children still suffer from wasting or stunting caused by lack of food.

The highest rates were recorded in Pacific Island nations, where traditional diets have been replaced by “cheap, energy-dense, imported food”.

In Niue, 38 per cent of five to 19-year-olds are obese, with 37 per cent in the Cook Islands. Prevalence was also high in Chile (27 per cent), the US (21 per cent) and the United Arab Emirates (21 per cent).

In the UK, the proportion of overweight children rose slightly from 29 per cent in 2000 to 30 per cent in 2022, while obesity increased from 9 per cent to 11 per cent.

The steepest increases were seen in low- and middle-income countries, where rates have more than doubled since 2000.

Researchers link this to the spread of “modern retail outlets, online grocery stores and food delivery apps”, with ultra-processed foods often cheaper than fresh or minimally processed alternatives.

Childhood obesity raises the risk of heart disease, type 2 diabetes and some cancers later in life.

Ultra-processed foods – including cereals, biscuits, cakes, fizzy drinks and ready meals – undergo industrial processing and typically contain additives such as colours, emulsifiers and flavours, alongside high levels of sugar, fat or salt.

UPFs “dominate shops and schools”, the report warned, and are heavily promoted to young people and parents digitally, creating an environment where they are difficult to avoid rather than a matter of personal choice.

Nomathemba Chandiwana, chief scientific officer at the Desmond Tutu Health Foundation in Cape Town, said: “We often only think of malnutrition here as underweight or stunting, but obesity has the same long-term consequences.

“About one in eight children are overweight or have obesity, while one in four are stunted. That double burden is shaping a generation’s health.

“Most of the attention and resources go to undernutrition and stunting in the early years, which of course matters, but obesity isn’t always seen as malnutrition, so it slips under the radar.”

She added that children faced “relentless” fast-food marketing, even in schools: “It’s really tough trying to tackle both undernutrition and obesity at the same time.

“South Africa is a middle-income country, but still deeply unequal. Many children grow up both hungry and surrounded by cheap, poor-quality food.”

Unicef has previously estimated that by 2035 the global cost of overweight and obesity will surpass US$4tn (£2.9tn) annually.

The report pointed to Mexico’s ban on ultra-processed food sales in schools as an example of action, but warned that “the unethical business practices of the ultra-processed food and beverage industry undermine efforts to put legal measures and policies in place to protect children from unhealthy food environments”.

It called on governments to introduce clearer labelling, tighter marketing rules, targeted taxes and subsidies.

Recommendations included banning junk food sales and advertising in schools, and expanding support programmes to help low-income families afford healthier diets.

There should be “strong safeguards to protect public-policy processes from interference by the ultra-processed food industry”, the report concluded.

Wellness

Just 30 mins of light activity can boost energy and mood, study finds

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Swapping just 30 minutes of sitting for light activity, such as walking or housework, can improve mood and energy the following day, new research suggests.

A study involving more than 350 young adults found that on days when participants spent less time sitting and more time doing light activity, they felt happier and more energised the next day.

Researchers said light activity had the strongest link to improved next-day mood, while time spent sitting or lying awake was associated with poorer mood the following day.

The study, led by the University of Texas at Arlington and Monash University in Australia, tracked participants’ 24-hour movement patterns using wearable monitors.

“This study indicated that light activity — where you don’t have to go to the gym or do intense exercise — can lead to better feelings the next day when it replaces sedentary behaviour,” said Dr Yue Liao, kinesiology professor at UT Arlington.

“One doesn’t have to think, ‘I have to run,’ or ‘I have to do these big things.’ Just sitting less and moving more can have an immediate impact on your mood the next day.”

The findings are particularly relevant as 38 per cent of US adults spend nine or more hours sitting each day, according to a 2024 study by smart seating company Kalogon.

Researchers analysed daily activity across sleep, exercise, sedentary time and light movement. Moderate to vigorous activity, such as running or gym workouts, offered smaller mood benefits, while sleep duration showed no clear effect on next-day mood among participants.

“We looked at the 24-hour movement behaviour — sleep, exercise, sedentary time and light activity,” said Dr Liao.

“The 24-hour part is important because we’re not simply saying, ‘Do more of this.’ All these activities add up to 24 hours. From that perspective, when someone replaces sitting time with light activity, it predicts a better mood the next day. That’s the key point.”

The improvements were based on individual changes rather than comparisons between participants.

“Based on previous research, we assumed exercise would be the main factor, but our analysis mostly highlighted light activity,” Dr Liao said.

“You don’t have to work up a sweat to get benefits. Just moving a little more than your usual helps.”

The study suggests that small, everyday adjustments — such as standing up more often or walking briefly — can make a noticeable difference to wellbeing, the researchers concluded.

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Night-time light exposure may increase stroke and heart attack risk

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Bright light at night raises the risk of heart attack by 47 per cent and heart failure by 56 per cent, according to research involving nearly 89,000 people.

Being exposed to bright light at night could significantly increase the chances of developing serious heart problems, including heart attacks, strokes and heart failure.

The largest study of its kind tracked over 13 million hours of light exposure using wrist-worn sensors and followed participants for up to 9.5 years.

Those exposed to the brightest light at night were 56 per cent more likely to develop heart failure and 47 per cent more likely to suffer a heart attack. These risks remained high even after accounting for factors such as exercise, diet, sleep habits and genetics.

Researchers from Flinders University’s FHMRI Sleep Health analysed data from almost 89,000 people in the UK to investigate how personal light exposure affects heart health.

Dr Daniel Windred, lead author and research associate at Flinders University’s FHMRI Sleep Health, said the study highlights a risk factor many people overlook — one that is simple to address.

“This is the first large-scale study to show that simply being exposed to light at night is a strong and independent risk factor for heart disease,” said Dr Windred.

“Disrupting your body’s internal circadian clock by repeatedly exposing yourself to bright light at night, when it would typically be dark otherwise, will put you at a higher risk of developing dangerous heart issues.

“Thankfully, we do have some control over our exposure to light at night.

“By using blackout curtains, dimming lights, and avoiding screens before bed, we can help to reduce the health risks associated with light at night.”

The study also found that women and younger people were especially vulnerable to the effects of light exposure at night.

“Women may be more sensitive to the effects of light disrupting their body clock, which supports earlier research findings,” said senior co-author Professor Sean Cain.

“In fact, women exposed to high levels of night light had similar heart failure risks to men, which is unusual because women typically have some natural protection against heart disease.”

Everyday behaviours may also pose risks, added senior co-author Associate Professor Andrew Phillips.

“Everyday habits, like scrolling on your phone in bed or falling asleep with the TV on or bedroom lights on, can expose you to potentially harmful levels of light,” said Associate Professor Phillips from FHMRI Sleep Health.

“We’re not talking about extreme cases — even low levels of indoor light can interfere with your body’s natural rhythm.”

Unlike previous studies that relied on satellite images or surveys of outdoor light at night, this research used real-time data from wearable devices, providing a clearer picture of how indoor light environments affect health.

The circadian clock — the body’s internal timing system — regulates sleep-wake cycles and other biological processes over about 24 hours.

With heart disease still the leading cause of death worldwide, the researchers say it is time to treat light at night as a health risk, alongside poor diet, lack of exercise and smoking.

The team is calling for more research into lighting guidelines for homes, hospitals and cities to help reduce night-time light exposure.

“We need to take our body clocks seriously,” said Professor Cain.

“Protecting our natural sleep rhythms could be a powerful way to fight heart disease.”

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Markets & Industry

Weight loss drug reduces heart attack and stroke risk regardless of weight loss

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Semaglutide reduces the risk of heart attack and stroke by 20 per cent, regardless of weight lost, according to the largest study of 17,604 patients.

The drug, the main ingredient in Wegovy, reduced the risk of major adverse cardiac events — including deaths from heart disease, heart attacks or strokes — by 20 per cent, regardless of the weight patients lost.

The findings suggest the drug may have wider benefits beyond weight loss and should not be restricted only to those with the highest body mass index (BMI).

The study, led by researchers at University College London, examined data from 17,604 adults aged 45 and over who were overweight or obese across 41 countries. Half received weekly injections of semaglutide, while the other half were given a placebo.

Previous analysis had already shown semaglutide’s 20 per cent reduction in cardiac events; this follow-up analysis confirmed the benefit remained even when weight loss was minimal.

Even participants who were only mildly overweight — with a BMI of 27, roughly the UK average — saw similar benefits to those with the highest BMI scores.

The benefits were also largely independent of how much weight people lost in the first four months of treatment.

However, a reduction in waist circumference — a measure of abdominal fat — explained about one-third of the observed cardiovascular benefits.

Professor John Deanfield, from UCL’s Institute of Cardiovascular Science, said: “Abdominal fat is more dangerous for our cardiovascular health than overall weight and therefore it is not surprising to see a link between reduction in waist size and cardiovascular benefit.

“However, this still leaves two-thirds of the heart benefits of semaglutide unexplained. These findings reframe what we think this medication is doing.

“It is labelled as a weight-loss jab but its benefits for the heart are not directly related to the amount of weight lost – in fact, it is a drug that directly affects heart disease and other diseases of ageing.”

He added: “This work has implications for how semaglutide is used in clinical practice.

“You don’t have to lose a lot of weight and you don’t need a high BMI to gain cardiovascular benefit. If your aim is to reduce cardiovascular disease, restricting its use to a limited time only and for those with the highest BMIs doesn’t make sense.

“At the same time, the benefits need to be weighed against potential side-effects. Investigations of side-effects become especially important given the broad range of people this medicine and others like it could help.”

The Select trial findings indicate that semaglutide’s cardiovascular effects are likely driven by multiple mechanisms rather than weight loss alone.

While shrinking waistlines contributed to the outcome, most of the heart benefit appears to stem from other biological effects that directly influence cardiovascular pathways.

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