Abstract
Over the past three decades, undernutrition in Thailand has drastically reduced by over seven times. However, since 1995 the number of patients afflicted with non-communicable diseases, such as diabetes mellitus, has rapidly increased, even among the young. Unhealthy life styles due to urbanization are a major reason for this increase. Less physical activity and low consumption of fruits and vegetables, as well as high consumption of added free sugar, are common. Every year, the Thai people increase their consumption of energy from fat and protein, while lowering their intake of energy from complex carbohydrates. Per capita and on average, a Thai individual consumes up to 20% of total energy from added free sugar. Barker’s hypothesis and Developmental Origins of Health and Disease hypothesis (DOHaD) can partially explain the increase in diabetes mellitus at this rapid rate. To alleviate the problem, the main strategy has been consumer education to reduce diabetes mellitus prevalence. Sugar elimination from infant formula is mandatory and sugar taxation is being considered. Simplified nutrition labeling is voluntarily as part of consumer education, as well as encouraging food industries to produce healthier food products. Currently, a multi-sectoral approach is used for alleviating diabetes mellitus in Thailand.
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References
Tontisirin K, Chavasit V, Parinyasiri P, Ditmetharoj M, Photi J, Intaraluk P et al. Country Policy Analysis: Nutrition Impact of Agriculture and Food Systems. UNSCN: Geneva, 2014.
Tontisirin K, Professor Nevin S . Scrimshaw’s memorial lecture: roles of INMU alumni on national & regional development in food and nutrition 2013. Available at: www.inmu.mahidol.ac.th/download.php?f=lecture_Kraisid.pdf (accessed 2 December 2016).
Tontisirin K, Bhattacharjee L . Nutrition actions in Thailand–a country report. Nutr Res 2001; 21: 425–433.
ICNS Maternal and Infant Nutrition Review, Thailand. INCS: Washington DC, 1981.
National Statistical Office (NSO) Thailand 2012 Multiple Indicator Cluster Survey (MICS). NSO: Bangkok, 2012.
Thailand International Development Cooperation Agency. Thailand’s best practices and lessons learned in development n.d. Available at: http://www.th.undp.org/content/dam/thailand/docs/TICAUNDPbpVol1.pdf (accessed 20 November 2016).
Office of Cane and Sugar Board (OCSB) Sugar Sales for Domestic Consumption in 2016, 4th Semester. OCSB: Bangkok, 2016.
Office of Cane and Sugar Board (OCSB) Sugar Sales for Domestic Consumption in 2006, 1st Semester. OCSB: Bangkok, 2006.
WHO. Older population and health system: a profile of Thailand n.d. Available at: http://www.who.int/ageing/projects/intra/phase_one/alc_intra1_cp_thailand.pdf (accessed 20 November 2016).
Aekplakorn W, Nitiyanant W, Sornpaisarn B, Kananurak P . Thai National Health Examination Survey, NHES V 2016. Available at: http://kb.hsri.or.th/dspace/bitstream/handle/11228/4604/uc_vichai.pdf?sequence=1&isAllowed=y) (accessed 20 November 2016).
Bureau of Policy and Strategy Thailand Health Profile Report 2008–2010. Ministry of Public Health: Nonthaburi, 2011.
Chavasit V, Kriengsinyos W, Tangsuphoom N, Photi J . Fast foods in transition and nutrition problem in Thailand. In: Sanford MG (ed). Fast Foods: Consumption Patterns, Role of Globalization and Health Effects. Nova Science Publisher: New York, 2014, pp 53–89.
Institute of Medical Research and Technology Assessment Literature Review: The Current Situation and Care Model of Non-Communicable Diseases. Ministry of Public Health: Nonthaburi, 2016.
Barker DJP. The origins of the developmental origins theory. J Intern Med 2007; 261: 412–417.
Uauy R, Kain J, Corvalan C . How can the developmental origins of health and disease (DOHaD) hypothesis contribute to improving health in developing countries? Am J Clin Nutr 2011; 94 (S), 1759S–1764S.
Reutrakul S, Deerochanawong C . Diabetes in Thailand: status and policy. Curr Diab Rep 2016; 16: 28.
Aekplakorn V, Satheannoppakao W, Kasemsap R, Pakcharoen H . National Health Examination Survey IV 2008–2009: Health Report Thailand. Health System Research Institute and Bureau of Policy and Strategy, Ministry of Public Health: Nonthaburi, 2011.
Bureau of Policy and Strategy National Health Examination Survey III: Health Report Thailand. Ministry of Public Health: Nonthaburi, 2006.
Bureau of Policy and Strategy National Health Examination Survey II: Health Report Thailand. Ministry of Public Health: Nonthaburi, 1997.
Bureau of Policy and Strategy National Health Examination Survey I: Health Report Thailand. Ministry of Public Health: Nonthaburi, 1991.
Aekplakorn W, Stolk RP, Neal B, Suriyawongpaisal P, Chongsuvivatwong V, Cheepudomwit S et al. The prevalence and management of diabetes in Thai adults: the international collaborative study of cardiovascular disease in Asia. Diabetes Care 2003; 26: 2758–2763.
Likitmaskul S, Wacharasindhu S, Rawdaree P, Ngarmukos C, Deerochanawong C, Suwanwalaikorn S et al. Thailand diabetes registry project: type of diabetes, glycemic control and prevalence of microvascular complications in children and adolescents with diabetes. J Med Assoc Thai 2006; 89 (S1), S10–S16.
Likitmaskul S, Kiattisathavee P, Chaichanwatanakul K, Punnakanta L, Angsusingha K, Tuchinda C . Increasing prevalence of type 2 diabetes mellitus in Thai children and adolescents associated with increasing prevalence of obesity. J Pediatr Endocrinol Metab 2003; 16: 71–77.
Trepatchayakorn S, Supornsilchai V, Wacharasindhu S, Aroonparkmongkol S, Sahakitrungruang T . Trends and characteristics of childhood diabetes in a tertiary care center in Thailand. Asian Biomed 2014; 8: 707–715.
Krerkase K, Sritara P, Mangklabruks A, Pruenglampoo S, Wongthanee A . The Cohort Study in the Relationship Between Birth Weight and Metabolic Syndrome. The Thailand Research Fund: Bangkok, 2011.
FAOSTAT. Food balance sheets: Thailand 2016. Available at: http://faostat3.fao.org/download/FB/FBS/E (accessed 20 November 2016).
WHO/FAO Diet, Nutrition and the Prevention of Chronic Diseases. WHO/FAO: Switzerland, 2003.
Aekplakorn V, Satheannoppakao W, Kasemsap R, Pakcharoen H . National Health Examination Survey IV 2008–2009: Food Consumption of Thai Population. Health System Research Institute and Bureau of Policy and Strategy. Ministry of Public Health: Nonthaburi, 2011.
Vichitsoonthonkul K . The behavioral risk factor surveillance system (BRFSS) report 2015. Available at: http://thaincd.com/document/file/info/brfss/BRFSS%20report_nati%20PowerPoint.pdf (accessed 10 November 2016)).
Division of Physical Activity and Health. Physical activity of Thais n.d. Available at: https://sites.google.com/site/exercisemoph/sthankarn-kar-xxk-kalang-kay (accessed 10 November 2016).
Department of Health Manual Nutrition Flag Healthy Eating for Thais. Ministry of Public Health: Nonthaburi, 2001.
Ministry of Public Health Notification of the Ministry of Public Health: Nutrition Labeling, B.E. 2541. Ministry of Public Health: Nonthaburi, 1998.
National Statistical Office (NSO). Summary mental health survey in Thailand (February) 2014. Available at: http://service.nso.go.th/nso/nsopublish/themes/files/mental-healthm0257.pdf (accessed 10 November 2016).
Bureau of Policy and Strategy Thailand Health Profile Report 2001–2004. Ministry of Public Health: Nonthaburi, 2005.
Aekplakorn V . Prevalence of obesity and abdominal obesity in Thailand n.d. Available at: http://www.raipoong.com/content/detail.php?section=&category=&id=270 (accessed 10 November 2016).
Aekplakorn V, Suksa-Ard T, Karnjanapiboonwong A . The situation of non-communicable disease and main risk factors. In: Pitayarangsarit S, Karnjanapiboonwong A, Suksa-Ard T, Ngam-Aroon W, Suriyawongpaisal W (eds). NCDs: Kick Off to the Goals. International Health Policy Program: Nonthaburi, 2016, pp 14–29.
Department of Health Fifth National Nutrition Survey of Thailand. Ministry of Public Health: Nonthaburi, 2003.
Department of Health Fourth National Nutrition Survey of Thailand. Ministry of Public Health: Nonthaburi, 1995.
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Chavasit, V., Kriengsinyos, W., Photi, J. et al. Trends of increases in potential risk factors and prevalence rates of diabetes mellitus in Thailand. Eur J Clin Nutr 71, 839–843 (2017). https://doi.org/10.1038/ejcn.2017.52
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DOI: https://doi.org/10.1038/ejcn.2017.52
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