Nordic School of Public Health, Gothenburg, Sweden.
Int J Environ Res Public Health. 2010 Jun;7(6):2726-44. doi: 10.3390/ijerph7062726. Epub 2010 Jun 23.
The future toll of the obesity epidemic will likely hit hardest in low- and middle-income countries. Ongoing urbanization promotes risk factors including sedentary lifestyle and fat- and sugar-laden diets. Low-income countries like Nepal experience a double disease burden: infectious diseases as well as rising incidence of noncommunicable diseases (e.g., cardiovascular disease and diabetes mellitus) frequently characterized by obesity. Nepal currently directs efforts towards curing disease but pays little attention to preventive actions. This article highlights obesity prevalence in Nepal, delineates the challenges identified by our pilot study (including low health literacy rates), and suggests strategies to overcome this trend.
肥胖症流行的未来代价可能在中低收入国家最为严重。持续的城市化促进了包括久坐不动的生活方式和高脂肪、高糖饮食在内的危险因素。像尼泊尔这样的低收入国家面临着双重疾病负担：传染病以及非传染性疾病（如心血管疾病和糖尿病）的发病率上升，这些疾病通常以肥胖为特征。尼泊尔目前致力于治疗疾病，但很少关注预防措施。本文重点介绍了尼泊尔的肥胖症流行情况，阐述了我们的试点研究中确定的挑战（包括低健康素养率），并提出了克服这一趋势的策略。
