Call to action against childhood diabetes in Jamaica

THIS YEAR, World Sugar Awareness Week is being observed under the theme, ‘Empowering Global Health’. Also, this week, we commemorate World Diabetes Day. This day is not merely a marker on the calendar, but a call to the policymakers, parents, caregivers, and the broader community to unite in our efforts to combat the growing threat of childhood non-communicable diseases (NCDs).

GROWING CONCERN OF CHILDHOOD DIABETES

Childhood diabetes, a chronic condition that once was rare among our youth, has become a mounting concern in Jamaica. The rising prevalence of this disease is not just a health issue; it is a social, economic, and cultural challenge that demands immediate and sustained action. Studies have shown that the increasing incidence of type 2 diabetes among children is directly linked to lifestyle changes, including poor dietary habits and reduced physical activity.

ROLE OF GOOD NUTRITION AND EXERCISE

A significant contributor to the rise in childhood diabetes is poor dietary habits, particularly the consumption of ultra-processed products high in sugars, unhealthy fats, and sodium. These products, often marketed aggressively to children, are wreaking havoc on their developing bodies. To counter this, we must promote the reduction of ultra-processed foods in children’s diets, replacing them with healthier alternatives; and as parents, and caregivers, we encourage you to do the following:

1. Reduce consumption of ultra-processed products

• Educate your children about what ultra-processed foods are and why they should be limited. Explain that these foods, like sugary cereals, fast food, packaged snacks, and sodas, often contain high levels of added sugars, unhealthy fats, and preservatives, which can contribute to weight gain and other health issues.

• Introduce healthier alternatives to their favourite ultra-processed snacks.

• Get children involved in meal planning and preparation. This can help them develop an interest in what they eat and make healthier choices.

2. INCREASE INTAKE OF FRESH FRUITS AND VEGETABLES

• Offer a variety of fruits and vegetables in appealing ways. Make fruits and vegetables fun by arranging them in colourful, creative ways, like fruit kabobs, veggie faces on a plate, or smoothies. Incorporate fruits and vegetables into meals they already enjoy, such as adding spinach to their favourite pasta or topping cereal with berries.

• Keep fresh fruits and vegetables easily accessible at home.

• Praise and encourage your children when they choose fruits and vegetables over less healthy options.

3. DEVELOP EFFECTIVE EXERCISE REGIME FOR OBESE CHILDREN

• Choose activities that are enjoyable and engaging for your child. This could include swimming, biking, dancing, or playing a sport they enjoy. The goal is to make exercise feel like play rather than a chore.

• Start with manageable, low-intensity activities and gradually increase the duration and intensity as your child becomes more comfortable and fit.

• Make exercise a family affair. Plan weekend hikes, bike rides, or trips to the park where everyone can be active together. This not only encourages physical activity but also strengthens family bonds.

• Establish a regular exercise routine. Aim for at least 60 minutes of physical activity per day, which can be broken up into shorter, more manageable sessions.

READING LABELS

Understanding what goes into the foods we eat is a powerful tool in controlling the quality of our diets and, consequently, our health. Therefore, empowering parents and caregivers with the knowledge to make informed food choices is another critical step in our fight against childhood diabetes. Encouraging the reading of labels on food products can help families avoid hidden sugars and unhealthy additives (Abrams et al., 2015).

POLICY AND ADVOCACY

While individual choices are important, they must be supported by strong government policies. We commend the government’s efforts to ban sugary drinks in schools, a bold step toward creating a healthier environment for our children. However, this must be complemented by the full implementation of the School Nutrition Policy, which will provide comprehensive guidelines on the types of foods and beverages allowed in schools. Such policies are essential in creating a food environment that supports healthy choices rather than undermining them.

IMPORTANCE OF SCREENING

We must emphasise the importance of regular health screenings for children. Knowing their blood sugar levels and other vital health metrics is crucial in catching any early signs of diabetes. Early detection can lead to better management and, in many cases, prevent the progression of the disease. We urge parents, caregivers, and schools to prioritise health screenings as part of their routine care for children.

COLLECTIVE RESPONSIBILITY

Empowering global health starts at home, in the communities, and in schools. It is a shared responsibility that requires the commitment of all sectors of society. By coming together, by understanding, caring, and acting, we can reduce and even eliminate diabetes in children.

We have the power to make a difference — one informed decision, one policy change, one healthy meal at a time. Together, we can turn the tide against childhood diabetes in Jamaica, ensuring a healthier, brighter future for children.

Dr Alverston Bailey is an occupational and family physician and co-chair of The University Diabetes Outreach Programme. Send Feedback to ghapjm@gmail.com and columns@gleanerjm.com