Fat Chance

Two states were in the news last week and established that corpulence is rampant across the country. One posed a problem the other offered a solution. A recently concluded study pointed to the growing girth of the average Punjabi and India’s wellness hotspot Kerala became the first Indian state to impose a “fat tax”.

A fat tax is a surcharge that is placed upon fattening food, beverages or overweight individuals to discourage unhealthy habits. An example of Pigovian taxation, it aims to offset the economic costs of obesity. It is not a new concept and has been used around the world with mixed results. It has been established that eating behaviour is more responsive to price rise than toimagenutritional education. Numerous studies suggest that as the price of food decreases, individuals get fatter. Experience has shown that cost is the single biggest factor in reducing tobacco usage rather than awareness or self-control. Similarly, consumption of alcohol and sugar laden carbonated drinks declined as their prices increased. The World Health Organization has proposed that nations consider taxing junk foods to encourage people to make healthier food choices.

In addition to its contribution to the ungainliness from extra weight, unhealthy eating is the cause of many diseases like diabetes, Alzheimer’s, heart disease and some types of cancer. It affects the quality of life due to hormone imbalance, chronic inflammation and fatigue. For this reason, some health authorities want to rename junk food which means ‘zero value’ to pathogenic ( disease causing) food. But due to obvious economic implications this has not happened and marketing campaigns continue to portray them as convenient wonder foods

In a bid to counter rising obesity, Kerala’s finance minister Thomas Isaac announced a 14.5 % tax on fattening foods items like burgers, pizzas, tacos and sandwiches sold at branded restaurants and fast-food chains. The government said it hopes that the move will generate additional revenue for the state and also deter people from consuming junk food. Though it seems to be a step in the right direction it raises two concerns. First, since the poor spend a greater proportion of their income on food, it will add to their misery. To make it less burdensome proponents recommend earmarking the revenues thus collected to subsidise healthy foods and habits like gymming. Fat tax should not be used as a ploy to increase the tax burden, it should only be a means to redistribute it. Also, for it to work it is necessary to choose the targeted food and beverages carefully. Taxing edibles based on preconceived notions of ‘Junk Food’ and ‘Fast Food’ will have perverse effects and defeat the purpose.

To identify junk food, it is necessary to define the essentials of a healthy diet. Wholesome food is naturally occurring, unadulterated, unprocessed and nutrient-rich. If you can grow or raise it, it’s real. Included are fresh fruits and vegetables, lentils and beans, eggs, real cheese, whole pieces of meat, nuts, seeds etc. Junk food is everything else. Broadly speaking if it comes in a tin, jar or box it is probably junk. Food fortification is used to make junk food appear healthy. The benefits of adding synthetic vitamins to items like processed flour is debatable because vitamins are not the only nutrients removed from it. Healthy fats, minerals, fibre and many phytonutrients are also lost in processing . More over adding vitamins gives the company freedom to put misleading claims like “contains 18 vitamins” or “100% of the daily need for folic acid” on its label. Another great deception is the word “whole grain”. The only true whole grains are the kernels of oats, rice, wheat, rye, pulses etc. They take longer to cook and some need to be soaked. So if it is labor-saving and cooks fast, it is probably too good to be true!

For most Indians the mention of unhealthy fast food conjures images of Pizzas, Burgers and fries. Though it is the truth it is not the whole truth. We need to recognise the enemy within. Our own samosa, pakoda, bhatura, alu tikki, bada paav, uttapam, dosa, vada, bonda and the desi version of chowmein etc are loaded with trans fats and have little nutritional value. The government is considering a “sin tax” on sugary carbonated drinks, but the sweets we eat to celebrate every occasions are worse. They have hydrogenated oil in addition to the dreaded sugar. The chuski and bante wala soda ( popular in rural areas) is as unhealthy as a cola drink and runs the additional risk of being prepared in unhygienic surroundings.

The truth is that in India most high-fat snacks and fast-food items are sold by unregulated street vendors rather than branded food chains. So it is debatable how effective the proposed “fat tax” in Kerala would be. The state stood second in India in child obesity in 2015, but ‘fast food’ ,as we know it, is not particularly popular. As compared to other parts of India, fast food outlets are few and far between. Holding them responsible for the fat epidemic is unfair.

A Malabari Parotta is as much to blame as a Double Cheese Crust Pizza and the nutritional value of Bada paav and Vegatable Burger is similar. Deep frying thinly sliced banana or thinly rolled out cornmeal makes the deliciously crisp banana chips and nachos equally sinful. We need to open our eyes to the truth and with umami ( rich savoury) being our preferred flavour it shouldn’t be difficult to identify junk food. As one of my patients sorrowfully said,” If it tastes good, it is probably not good for you!”

Frankly speaking, until we accept the shortcomings in our own dietary habits there is a slim chance that we will whittle down our waistlines….
Or more exactly.. …a fat chance!!
( published in my Sunday Column in Tribune on 17/7/2016).

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9 thoughts on “Fat Chance

  1. Dr. Ritu Agrawal says:

    Precisely written !!but i beg to differ !the part of country where i live n the section of society who is toiling and sweating out the whole day fr a square meal will not b able to decipher and relate to FAT tax ~~unhe toh pet bhar khaana chaahiye be it a₹3samosa or kachori which is selling like hot cakes in every nook n corner !!

    1. Manju Gupta says:

      I agree with you. In our country malnutrition is a bigger problem than obesity. My point is why single out some for fat tax and leave the others. Tax them all and use the money to subsidise health foods.

  2. Dr R.P.Gupta says:

    Your recent article in Sunday’s Tribune is very well written. The cunclusion Change in dietary habits and an open mind is needed. It tells all one wants to know

  3. Mitrasaxena@hotmail.com says:

    Our common grudge rightly said by your patient …if it tastes good its not right for you …calorically.

    Well written ..

  4. Rohini says:

    The first line of second paragraph has made me wonder how fat tax will be put on on overweight individuals.
    However I agree that our own namkeens,stuffed dosas,bhaturas etc are equally sinful.
    Fat tax though desired cannot be selective

    1. Manju Gupta says:

      It has been done, even though it seems improbable. As early as 1942, U.S. physiologist A. J. Carlson suggested levying a fee on each pound of extra weight, both to counter an “injurious luxury” and to make more food available during the war. To curb metabolic diseases associated with obesity Japan has implemented the ‘metabo’ law which penalises people with large waistlines.

  5. Harinder Kaur says:

    Dear Doctor ,
    The article “Can we win the battle of bulge?” is really informative. It will certainly inspire to adopt healthy foods. People of all age groups must not take fast food. Easy access to burgers , pizzas etc has an adverse effect on the health of the Punjabis. We must change our lifestyle and stay away from fattening traditional snacks too and begin to take healthy food before it is too late. LET US TRY TO BE SLIM.
    Kind regards
    Harinder Kaurg

  6. Amarjot Teja says:

    Hello Dr.,
    I read your article about the battle of bulge in today’s The Tribune ( 17 July 2016 ). It was a very informative article i agree. I wish to ask you two questions –
    1. How do you make flour of oats? My folks back in village tried the atta chakki in town and the humble chakki at home but always had flakes in flour.
    2. If i were to make multi vrain atta, what all grains should i add and in what ratio?

    I would be delighted to get answers for the above from you.

    Yours Truly,
    Amarjot S. Teja

    1. Manju Gupta says:

      Thanks sir for your appreciation. I think you are talking about oat groats before the husk is separated. As I don’t have access to them I don’t know much about their usage. I use rolled oats, both as is and after grinding to flour in cakes and cookies.
      I add Soya Bean , jau ( millet) and chana ( black gram) to whole wheat flour in the proportion 1:1:1:4.

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