Eating for disease prevention

This article was written for the Medical Aid Society of Malawi (MASM) for their magazine

Dr Yankho Kaimila

2/27/20234 min read

green food is medicine! graffiti
green food is medicine! graffiti

Did you know that you can reverse certain diseases such as hypertension (high blood

pressure) and type 2 diabetes through the foods you eat? Yes, by changing your diet to

incorporate certain foods and lowering others, you could stop taking the medication that you

are on because your body will be restored to normal functioning.

Over the next coming months, we will explore how we can use our diet to prevent and

manage different types of diseases. This month will link how diet causes diseases so that you

can appreciate why it is important to eat healthy foods.

What we know

The scientific community agrees that adding a lot of salt to our food is associated with

hypertension, this is the reason why the doctors have been telling us to reduce our salt intake.

The current global recommendation for salt intake is 5-6g per day per person; this translates

to about 1 teaspoon per day. Research done in Malawi shows that we consume an average of

11g of salt per day which is almost double the recommended. This is bad because the number

of people being diagnosed with hypertension is increasing rapidly and many people do not

even know they have high blood pressure. One study done in Malawi found that 41% of the

people they studied did not know they were hypertensive. It is very important for you to

know whether you are hypertensive or not because if you do not know, the disease will

progress and put you at risk of developing type 2 diabetes and heart disease which can lead to

a heart attack or a stroke.

What should you do then? Go to the hospital and get tested for hypertension and reduce your

salt intake. The good news is, once salt intake is lowered to less than 1 teaspoon per day,

blood pressure reduces, and this can be seen from as little as 4 weeks.

A study conducted in Malawi showed a high consumption of added sugar averaging more

than 6 teaspoons per day, which is the global recommendation. Added sugars are all

sweeteners such as table sugar, honey and syrups that are added to food and drinks as they are

processed or prepared. Sugars found in milk, fruits and vegetables are referred to as natural

sugars and they do not fall in this category. So, why is a high consumption of added sugar

bad? Because research has shown its association with diseases such as hypertension, certain

cancers, type 2 diabetes, and heart diseases. Added sugars lead to increasing body weight

which makes individuals overweight and obese, this deposits fat around the stomach thereby

increasing risk of diseases. It is therefore important to reduce the amount of added sugar in

the diet by avoiding foods and drinks processed with sugar such as biscuits, chocolates,

cakes, mandasi, sobo, fanta, coke, frozzy and even 100% juice should be drunk in

moderation. Also reduce the amount of sugar you add to tea, coffee, porridge and other foods.

I am sure you have heard that eating a diet high in fat is bad and indeed this is true, but it is

not the ultimate truth. They are two different types of dietary fats, those that are good and

those that are bad for health. The good fats are the type that are liquid at room temperature

such as sunflower oils and the bad ones are those that are solid at room temperature such as

margarine. Studies show that a high consumption of bad fats is associated with increasing

your risk for getting a stroke, heart attack and other heart diseases. Some studies have shown

that people who eat more bad fats have a higher risk of developing type 2 diabetes,

hypertension, and some cancers such as breast, endometrial and colon cancer. Because fats

have more energy than other foods, eating a small amount increases the total amount of

energy eaten in a day, thereby increasing body weight which leads to overweight and obesity.

The global recommendation is that a maximum of 30% of the diet should be from fat. Studies

show a reduced risk of diseases through increasing intake of good fats and reducing bad fat

intake. So, eat more avocados, nuts and seeds and oily fish such as butterfish and bombe.

Choose cooking oils that are clear and do not start clotting (turning white or milky) on the

shelf. Avoid cuts of meat that have fat on them, choose the lean cuts with as little white on

them as possible.

As Malawians, we love to eat beef, pork, goat and even sheep meat; these are generally

categorized as red meat. A lot of research has been conducted on the impact of red meat on

health and while the agreement on the strength of the evidence is poor, some studies have

shown that a high consumption of red meat is associated with colon cancer, type 2 diabetes,

and heart diseases. There is stronger agreement however that ultra-processed red meats such

as bacon, polonies, ham and Vienna sausages among others are associated with increased risk

for heart disease and type 2 diabetes. It is better for us to eat more white meat which comes

from poultry and fish than red meat. This does not mean we should stop eating red meat, it

means that we should lower the amounts of red meat we eat to 3 times per week and avoid

eating the processed versions of red meats.

As you can see, what you eat influences your health tremendously and hence must be given

specific attention. Make good food choices to prevent and manage chronic disease.

Interact with us

Nutrition is not a one size fits all, the advice given above is general for all. For specific

recommendations, reach out to us so that we can work with you to improve the quality of

your life. Send us an email at ykaimila@nuwece.com or WhatsApp us at +265886273455.

We would love to hear your thoughts on what we have shared and what you would like for us

to discuss next.