Vision to reality: food- based dietary Bangladesh perspective

Food and nutrition science have had a major impact on human society and   its impact is growing tremendously day by day. By drastically changing our means of food, our methods of food preparation and planning indeed, even the length and quality of life itself, science has generated changes in the moral values and basic philosophies of mankind.
 At present, science has changed how we live and what we believe. By making life easier, science has given man the chance to pursue societal concerns such as ethics, aesthetics, education, and justice; to create cultures; and to improve food way and food habits, human conditions and so on.
However orgy contribution in science it may be, disease free body is first. We all want what's best diet for our countrymen.  
I think, the whole gamut of feeling of this little work will be walked down the food valley that will give us a good appetite.  
This  study is aimed to help move forward the noble objectives of food-based dietaries are : 1)  To identify as a whole, on the contribution of different foods or food groups to an overall diet and ways to deal with them that would help to maintain good health through optimal nutrition  ; 2) To promote healthful diets and lifestyles and encourage behavioral changes for the general people of Bangladesh;   and 3)  To find the comprehensive process of developing the guidelines through consensus building among consumers, priority setting and use of qualitative methods to   prepare food  and messages to ensure public  understanding and motivation;  
Moreover, this  article is put on the scientific process of developing food-based dietary guidelines (FBDG) for the  people of Bangladesh, following a stepwise approach that should ideally consist of:
1) Identification of diet-health relationships, 2) Identification of country specific diet-related health problems, 3) Identification of nutrients of public health importance 4 )Identification of food consumption patterns.
The scale of the Present Nutrition: A greater understanding of the relationships among foods, nutrition and human health has and will continue to evolve over time.  Over the past century, essential nutrient deficiencies have dramatically decreased, many infectious diseases have been conquered, and the majority of population in Bangladesh can now anticipate a long and productive life.
However, Current trend in Bangladesh shows that the prevalence of communicable diseases rates like diarrhoea, dysentery, typhoid and malaria have dropped,  on the other hand, the rates of non-communicable diseases—specifically, chronic diet-related diseases  like diabetes, heart disease, high blood pressure, cancer , arthritis are increasing threat , due in part to changes in lifestyle behaviors.  More than 40% of all adults—15 million individuals—have one or more preventable chronic diseases, many of which are related to poor quality eating patterns and physical inactivity.    In 2000, Bangladesh Bureau of Statistics (BBS) showed that the prevalence of arthritis, diabetes, heart disease and cancer per 1000 population was 4.7, 2.7, 1.6 and 0.4 and those in 2012 was 14.0, 7.8, 3.3 and 0.6 and in 2014 it was 17.16, 10.51, 6.59 and 0.71 respectively.  
In 2014, Bangladesh Demographic and Health Survey (BDHS) survey data showed that the proportion of overweight women increases with age. Rural women are more likely than urban women to be undernourished (21 percent and 12 percent, respectively), whereas urban women are twice as likely to be overweight or obese compared with rural women (36 percent and 19 percent, respectively). 36 percent of children under 5 are considered to be short for their age or stunted and 12 percent are severely stunted (below -3 SD).
The prevalence of stunting increases with age, from 14 percent of children under age 6 months to 46 percent of children 18-23 months, and then decreases to 38 percent among children age 48-59 months. Severe stunting shows a similar pattern, with children age 18-23 months having the highest proportion of severe stunting (17 percent). Stunting is slightly higher among male children (37 percent) than among female children (35 percent). Stunting is more prevalent among children who were born less than 24 months after a preceding birth (47 percent).  BDHS survey shows that 33 percent of children under age 5 are underweight (low weight-for-age), and 8 percent are severely underweight.
A history of poor eating and physical activity patterns have a cumulative effect and have contributed to significant nutrition- and physical activity-related health challenges that now face the  people of Bangladesh. Concurrent with these diet-related health problems persisting at high levels, trends in food intake over time show that, at the population level, The people of Bangladesh are not consuming healthy eating patterns.
For example, the prevalence of low-birth weight and  malnutrition has risen and remained high for the past 30 years, while Household Expenditure Survey  (HIES) BBS, scores, a measure of how food choices align with the Diet, have remained low .Similarly, physical activity levels have remained low over time. With the aim of improving the under nutrition in the larger segments  people is  an important part of a complex and multifaceted solution to promoting health and helping to reduce the risk of chronic diseases, in the light of National Nutrition Policy 2015, food based dietary guide lines for the  Bangladeshi  population has been prepared by   FPMU, Ministry of Food . The guidelines have also developed by BIRDEM and other stakeholders. What goes on to state in the   dietary guidelines:  The guidelines suggest the use of healthy preparation and cooking methods for the retention of nutrients and to promote better health.
1.    Eat a well balanced diet with a variety of foods at each meal
2.    Consume moderate amount of oils and fats
3.     Limit salt intake and condiments and use only iodized salt
4.     Take less sugar, sweets or sweetened drinks
5.    Drink plenty of water daily
6.     Consume safe and clean foods and beverages
7.     Maintain desired body weight through a balanced food intake and regular  physical activity
8.     Practise healthy life-style with right cooking and healthy eating
9     Eat additional food during pregnancy and lactation
10    Practise exclusive breastfeeding for six months and start appropriate complementary foods in time.
 The 2015 Dietary Guidelines translates science into succinct, food-based guidance that can be relied upon to help  the people of Bangladesh.  Choose foods that provide a healthy and enjoyable diet. Its recommendations are ultimately intended to help individuals improve and maintain overall health and reduce the risk of chronic disease—its focus is disease prevention.   
This means diets with a rich variety of vegetables and fruits, cereals, fat-free or low-fat ,dairy foods like milk, and protein foods that contain little or no saturated fat, including fish,  meat, eggs,   and poultry, legumes and pulses . The Dietary Guidelines is not intended to be used to treat disease. Regardless of an individual’s current health status, almost all the  people  of Bangladesh  could benefit from shifting choices to better support healthy eating patterns. Thus, the Dietary Guidelines may be used or adapted by medical and nutrition professionals to encourage healthy eating patterns to patients.
Maintaining Food Groups at Each Meal: Nutritionists say there are six main food groups - cereals, fruit and vegetables, protein, diary, and fat & sugar. Healthy eating means consuming the right quantities of foods from all food groups in order to lead a healthy life. Cereals: Whole grains are a source of nutrients. Eat rice or wheat or a combination of cereals around 270-450 gm daily.  
Protein Foods:  Different protein foods namely- meats provide the most zinc, while poultry provides the most niacin.  Fish, meat, poultry, egg, legumes and pulses and seafood provide heme iron. Heme iron is especially important for young children and women who are capable of becoming pregnant or who are pregnant. Take at least 30-60g daily.
Vegetables and fruits: Vegetables and fruits are important sources of many nutrients, including dietary fiber. Eat at least 2 seasonal fruits and at least 100g leafy 200g non-leafy vegetables everyday.
Dairy and Milk Products:  The dairy group contributes many nutrients. Take at least 150ml milk or one cup of milk product for healthy bones and teeth.
Oils: Oils provide essential fatty acids and vitamin E. Take 30g visible fat daily.  
Sodium: Healthy eating patterns limit sodium to less than 2,300 mg/ one teaspoon per day for adults.
Added Sugar: Take not more than 25g of sugar per day.   
Drink Plenty of Water Daily:  Drink 1.5 to 305 liters pure drinking water daily.
Healthy Cooking and Eating Patterns:    Healthy cooking makes food tasty and palatable.  Food should be washed before preparation, vegetables should be cut into large pieces after washing and use a lid when cook food. An eating pattern represents the totality of all foods consumed.  Healthy eating pattern  assesses how well various combinations and amounts of foods from all food groups would result in healthy  in persons  bodies  which meet nutrient needs and accommodate limits  Bangladeshi  population are consuming too many calories are not meeting food group and nutrient recommendations and are not getting adequate physical activity. In practice, aligning with the Dietary Guidelines in the population level requires broad, multi- sectoral coordination and collaboration.
This collective action is needed to create a new paradigm in which healthy lifestyle choices at home, school, work, and in the community are easy, accessible, affordable and normative. Everyone has a role in helping individuals shift their everyday food, beverage, and physical activity choices to align with the Dietary Guidelines.
It is hoped, all segments of society to promote healthy eating and physical activity behaviors; the development of educational resources that deliver information in a way that is compelling, inspiring, empowering, and actionable for individuals; and the need to focus on individuals where they are making food and eating choice.
Teach skills like cooking, meal planning that help support healthy eating patterns. Suggest ways that individuals can model healthy eating behaviors for friends and family members. This is not an all-inclusive list; many strategies are available that can result in shifts to improve dietary intake and, ultimately, improve health. Professionals should help individuals understand that they can adapt their choices to create healthy eating patterns that encompass all foods, meet food group and nutrient needs, and stay within calorie limits. In fine, concerted efforts among professionals within communities, businesses and industries, organizations, governments, and other segments of society are needed to support individuals and families in making lifestyle choices that align with the Dietary Guidelines.
Professionals have an important role in leading disease-prevention efforts within their organizations and communities to make healthy eating and regular physical activity an organizational and societal norm. Changes at multiple levels of the social practice are needed, and these changes in combination and over time, can have a meaningful impact on the health of current and future generations. Why not enjoy a meal to increase our good fortune? There are a variety of foods that are believed to be lucky and to improve the odds that next day will be a great one. The six major groups of auspicious foods are available whether we want to create a full menu of lucky foods which is guaranteed to make for every Bangladeshi people and our food-based guidelines vision will be posed in a reality.
We welcome every festival which is  tempting and intimate romantic rendezvous and   come and dine with fine chose our native recipes food gifts for  Valentine’s Day to win the hearts of our beloved ones and friends all rave out it, or at the very least a happy belly, choose healthier diets for better development and optimal health.

 

Vision to reality: food- based dietary Bangladesh perspective

Food and nutrition science have had a major impact on human society and its impact is growing tremendously day by day. By drastically changing our means of food, our methods of food preparation and planning indeed, even the length and quality of life itself, science has generated changes in the moral values and basic philosophies of mankind. At present, science has changed how we live and what we believe. By making life easier, science has given man the chance to pursue societal concerns such as ethics, aesthetics, education, and justice; to create cultures; and to improve food way and food habits, human conditions and so on. However orgy contribution in science it may be, disease free body is first. We all want whats best diet for our countrymen. I think, the whole gamut of feeling of this little work will be walked down the food valley that will give us a good appetite. This study is aimed to help move forward the noble objectives of food-based dietaries are : 1) To identify as a whole, on the contribution of different foods or food groups to an overall diet and ways to deal with them that would help to maintain good health through optimal nutrition ; 2) To promote healthful diets and lifestyles and encourage behavioral changes for the general people of Bangladesh; and 3) To find the comprehensive process of developing the guidelines through consensus building among consumers, priority setting and use of qualitative methods to prepare food and messages to ensure public understanding and motivation; Moreover, this article is put on the scientific process of developing food-based dietary guidelines (FBDG) for the people of Bangladesh, following a stepwise approach that should ideally consist of: 1) Identification of diet-health relationships, 2) Identification of country specific diet-related health problems, 3) Identification of nutrients of public health importance 4 )Identification of food consumption patterns. The scale of the Present Nutrition: A greater understanding of the relationships among foods, nutrition and human health has and will continue to evolve over time. Over the past century, essential nutrient deficiencies have dramatically decreased, many infectious diseases have been conquered, and the majority of population in Bangladesh can now anticipate a long and productive life. However, Current trend in Bangladesh shows that the prevalence of communicable diseases rates like diarrhoea, dysentery, typhoid and malaria have dropped, on the other hand, the rates of non-communicable diseasesspecifically, chronic diet-related diseases like diabetes, heart disease, high blood pressure, cancer , arthritis are increasing threat , due in part to changes in lifestyle behaviors. More than 40% of all adults15 million individualshave one or more preventable chronic diseases, many of which are related to poor quality eating patterns and physical inactivity. In 2000, Bangladesh Bureau of Statistics (BBS) showed that the prevalence of arthritis, diabetes, heart disease and cancer per 1000 population was 4.7, 2.7, 1.6 and 0.4 and those in 2012 was 14.0, 7.8, 3.3 and 0.6 and in 2014 it was 17.16, 10.51, 6.59 and 0.71 respectively. In 2014, Bangladesh Demographic and Health Survey (BDHS) survey data showed that the proportion of overweight women increases with age. Rural women are more likely than urban women to be undernourished (21 percent and 12 percent, respectively), whereas urban women are twice as likely to be overweight or obese compared with rural women (36 percent and 19 percent, respectively). 36 percent of children under 5 are considered to be short for their age or stunted and 12 percent are severely stunted (below -3 SD). The prevalence of stunting increases with age, from 14 percent of children under age 6 months to 46 percent of children 18-23 months, and then decreases to 38 percent among children age 48-59 months. Severe stunting shows a similar pattern, with children age 18-23 months having the highest proportion of severe stunting (17 percent). Stunting is slightly higher among male children (37 percent) than among female children (35 percent). Stunting is more prevalent among children who were born less than 24 months after a preceding birth (47 percent). BDHS survey shows that 33 percent of children under age 5 are underweight (low weight-for-age), and 8 percent are severely underweight. A history of poor eating and physical activity patterns have a cumulative effect and have contributed to significant nutrition- and physical activity-related health challenges that now face the people of Bangladesh. Concurrent with these diet-related health problems persisting at high levels, trends in food intake over time show that, at the population level, The people of Bangladesh are not consuming healthy eating patterns. For example, the prevalence of low-birth weight and malnutrition has risen and remained high for the past 30 years, while Household Expenditure Survey (HIES) BBS, scores, a measure of how food choices align with the Diet, have remained low .Similarly, physical activity levels have remained low over time. With the aim of improving the under nutrition in the larger segments people is an important part of a complex and multifaceted solution to promoting health and helping to reduce the risk of chronic diseases, in the light of National Nutrition Policy 2015, food based dietary guide lines for the Bangladeshi population has been prepared by FPMU, Ministry of Food . The guidelines have also developed by BIRDEM and other stakeholders. What goes on to state in the dietary guidelines: The guidelines suggest the use of healthy preparation and cooking methods for the retention of nutrients and to promote better health. 1. Eat a well balanced diet with a variety of foods at each meal 2. Consume moderate amount of oils and fats 3. Limit salt intake and condiments and use only iodized salt 4. Take less sugar, sweets or sweetened drinks 5. Drink plenty of water daily 6. Consume safe and clean foods and beverages 7. Maintain desired body weight through a balanced food intake and regular physical activity 8. Practise healthy life-style with right cooking and healthy eating 9 Eat additional food during pregnancy and lactation 10 Practise exclusive breastfeeding for six months and start appropriate complementary foods in time. The 2015 Dietary Guidelines translates science into succinct, food-based guidance that can be relied upon to help the people of Bangladesh. Choose foods that provide a healthy and enjoyable diet. Its recommendations are ultimately intended to help individuals improve and maintain overall health and reduce the risk of chronic diseaseits focus is disease prevention. This means diets with a rich variety of vegetables and fruits, cereals, fat-free or low-fat ,dairy foods like milk, and protein foods that contain little or no saturated fat, including fish, meat, eggs, and poultry, legumes and pulses . The Dietary Guidelines is not intended to be used to treat disease. Regardless of an individuals current health status, almost all the people of Bangladesh could benefit from shifting choices to better support healthy eating patterns. Thus, the Dietary Guidelines may be used or adapted by medical and nutrition professionals to encourage healthy eating patterns to patients. Maintaining Food Groups at Each Meal: Nutritionists say there are six main food groups - cereals, fruit and vegetables, protein, diary, and fat sugar. Healthy eating means consuming the right quantities of foods from all food groups in order to lead a healthy life. Cereals: Whole grains are a source of nutrients. Eat rice or wheat or a combination of cereals around 270-450 gm daily. Protein Foods: Different protein foods namely- meats provide the most zinc, while poultry provides the most niacin. Fish, meat, poultry, egg, legumes and pulses and seafood provide heme iron. Heme iron is especially important for young children and women who are capable of becoming pregnant or who are pregnant. Take at least 30-60g daily. Vegetables and fruits: Vegetables and fruits are important sources of many nutrients, including dietary fiber. Eat at least 2 seasonal fruits and at least 100g leafy 200g non-leafy vegetables everyday. Dairy and Milk Products: The dairy group contributes many nutrients. Take at least 150ml milk or one cup of milk product for healthy bones and teeth. Oils: Oils provide essential fatty acids and vitamin E. Take 30g visible fat daily. Sodium: Healthy eating patterns limit sodium to less than 2,300 mg/ one teaspoon per day for adults. Added Sugar: Take not more than 25g of sugar per day. Drink Plenty of Water Daily: Drink 1.5 to 305 liters pure drinking water daily. Healthy Cooking and Eating Patterns: Healthy cooking makes food tasty and palatable. Food should be washed before preparation, vegetables should be cut into large pieces after washing and use a lid when cook food. An eating pattern represents the totality of all foods consumed. Healthy eating pattern assesses how well various combinations and amounts of foods from all food groups would result in healthy in persons bodies which meet nutrient needs and accommodate limits Bangladeshi population are consuming too many calories are not meeting food group and nutrient recommendations and are not getting adequate physical activity. In practice, aligning with the Dietary Guidelines in the population level requires broad, multi- sectoral coordination and collaboration. This collective action is needed to create a new paradigm in which healthy lifestyle choices at home, school, work, and in the community are easy, accessible, affordable and normative. Everyone has a role in helping individuals shift their everyday food, beverage, and physical activity choices to align with the Dietary Guidelines. It is hoped, all segments of society to promote healthy eating and physical activity behaviors; the development of educational resources that deliver information in a way that is compelling, inspiring, empowering, and actionable for individuals; and the need to focus on individuals where they are making food and eating choice. Teach skills like cooking, meal planning that help support healthy eating patterns. Suggest ways that individuals can model healthy eating behaviors for friends and family members. This is not an all-inclusive list; many strategies are available that can result in shifts to improve dietary intake and, ultimately, improve health. Professionals should help individuals understand that they can adapt their choices to create healthy eating patterns that encompass all foods, meet food group and nutrient needs, and stay within calorie limits. In fine, concerted efforts among professionals within communities, businesses and industries, organizations, governments, and other segments of society are needed to support individuals and families in making lifestyle choices that align with the Dietary Guidelines. Professionals have an important role in leading disease-prevention efforts within their organizations and communities to make healthy eating and regular physical activity an organizational and societal norm. Changes at multiple levels of the social practice are needed, and these changes in combination and over time, can have a meaningful impact on the health of current and future generations. Why not enjoy a meal to increase our good fortune? There are a variety of foods that are believed to be lucky and to improve the odds that next day will be a great one. The six major groups of auspicious foods are available whether we want to create a full menu of lucky foods which is guaranteed to make for every Bangladeshi people and our food-based guidelines vision will be posed in a reality. We welcome every festival which is tempting and intimate romantic rendezvous and come and dine with fine chose our native recipes food gifts for Valentines Day to win the hearts of our beloved ones and friends all rave out it, or at the very least a happy belly, choose healthier diets for better development and optimal health.