The Cost of Zambia's Changing Diet

Cardiovascular disease is affecting younger people across Zambia, and our changing diets may be part of the reason.

By Bwalya S. Kondwani •
The Cost of Zambia's Changing Diet

The rising shift in Zambia's cardiovascular demographics can be traced back to the contents of your supermarket shopping cart, through your kitchen cabinet, glistening side plate, and straight to the doctor’s office.

Why More Young Zambians Are Living With Cardiovascular Disease

Cardiovascular diseases (CVD) were once only heard of from our parents and grandparents, along with other aches and symptoms that seemed like the inevitable markings of old age. Unfortunately, in recent years, a concerning shift in the age of onset has been noticed. Healthcare professionals are reporting increasing numbers of younger adults living with hypertension, diabetes and other non-communicable diseases, reflecting a wider global trend. One possible explanation begins in our kitchens.

Fresh fruits, vegetables and whole grains provide essential nutrients that help support heart health and reduce the risk of cardiovascular disease.
Fresh fruits, vegetables and whole grains provide essential nutrients that help support heart health and reduce the risk of cardiovascular disease.

It is no coincidence that alongside this shift, we also notice a change in the contents of the pots in our homes. Where the aroma of a grandmother’s millet porridge once floated like morning mist, the convenience of refined cereals and highly processed alternatives now sits.

Many traditional meals centred around minimally processed grains, legumes and leafy vegetables, whereas modern urban diets increasingly rely on highly processed convenience foods.

Foods high in added sugars, excess salt and unhealthy fats have become increasingly common in many diets. This change was neither dramatic nor abrupt; it happened over time. Following Zambia's spreading urbanisation, a nation experiencing evolving lifestyles, and a growing food market.

Busy Lifestyles and the Rise of Convenience Foods

The changing landscape of modern life demands more time to focus on productivity, at the expense of self-care. For most households, the question around food becomes less about what could nourish the body, and more about what could keep life moving at a pace accommodating of work, school, and daily responsibilities.

The growing popularity of highly processed convenience foods has changed the way many households eat, bringing long-term health consequences. (Image is artists impression).
The growing popularity of highly processed convenience foods has changed the way many households eat, bringing long-term health consequences. (Image is artists impression).

For the nine-to-five worker, breakfast becomes a race against the clock. So to save time for the commute, a more convenient option may be more practical when every minute lost at the table is one gained in traffic. For students rushing for classes, the same calculations are made: what can be prepared quickly? What can be eaten quickly? And what can allow the day to carry on uninterrupted?

The lunch hour rush has become a good example of this. With only an hour-long lunch break, many people are forced to turn to the fastest available options: a deep-fried meal paired with a fizzy drink from the tuck shop fridge. Not only are these options often easier to access, but they are also cheaper and easier to find than balanced meals prepared with fresh ingredients.

By the time a working day ends, exhaustion is the last challenge one must face, a fight lost by most. This can sometimes feel less like an act of self-care, and more like another task added to an already overwhelming day. The more appealing option becomes eating whatever is easiest to access, and retreating to bed. So the cycle continues.

Small Dietary Changes Can Protect Heart Health

It is important to understand that the choices made out of necessity today impact our health status tomorrow. If we wish to eradicate cardiovascular diseases, or at the very least reduce their occurrence, we must transform the questions around our diets. We must ask, instead, what can sustain us? We must start to recognise food as a foundational part of our health.

Simple cooking methods such as steaming, boiling and grilling can help reduce excess fat intake without sacrificing flavour.
Simple cooking methods such as steaming, boiling and grilling can help reduce excess fat intake without sacrificing flavour.

This does not mean abandoning the foods we know and love; small but consistent changes in our daily intake could have a lasting effect.

  1. Add a few more fruits and vegetables to your shopping cart.
  2. Incorporate grains such as sorghum or millet into your diet where possible.
  3. Limit the amount of salt added to your food while cooking, and be mindful of salt content in processed foods.
  4. Where possible, replace deep frying with boiling, steaming, grilling, or using less oil.
  5. Plan for meals. Remember that meals are just as important as any other task you may have, and remember to maintain balance.

A healthier nation will not be built by simply placing the burden on individuals. It requires better public awareness, health education and policies that recognise the connection between policies that encourage healthier food environments and improve access to nutritious foods.

The true cost of Zambia’s changing diet is not measured in kwacha, but in every heartbeat behind the devastating statistics.

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