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通过均衡营养预防非传染性疾病:发展中国家针对特定人群的有效公共卫生方法

Prevention of Non-communicable Diseases by Balanced Nutrition: Population- specific Effective Public Health Approaches in Developing Countries.

作者信息

Passi Santosh J

机构信息

D1/1073, Sector D, Pocket 1, Vasant Kunj, New DelhI, India.

出版信息

Curr Diabetes Rev. 2017;13(5):461-476. doi: 10.2174/1573399812666160905105951.

Abstract

INTRODUCTION

Currently, the developing countries are afflicted with the dual burden of disease - non-communicable diseases (NCDs) becoming a major public health challenge. It is projected that in near future, NCDs will account for nearly 70% of the mortality in developing world. Caused due to lifestyle related factors, there is an upsurge in the incidence of overweight/obesity, cardiovascular diseases, type 2 diabetes mellitus, cancers, respiratory diseases and mental illnesses. Appropriate dietary practices, increased physical activity, weight management, abstinence from tobacco/substance use and alcohol abuse play an important role in their prevention and management. This narrative review highlights the role of various dietary components - both nutrient and non-nutrient, in the prevention and risk reduction of NCDs.

METHOD

It is a comprehensive overview of various experimental researches, observational studies, clinical trials, epidemiological studies, pooled/meta-analyses and reviews carried out globally, particularly the developing nations. Studies were retrieved by an extensive search of the online PubMed/Medline, SciVerse Scopus databases using individual/combination of several keywords like non-communicable diseases, energy, various nutrients, sugar sweetened beverages, functional foods, tea, coffee, spices/condiments/herbs, animal foods, nuts and oil seeds, physical activity, dietary practices, cancer, cardiovascular diseases, T2DM, respiratory diseases, lifestyle modifications, tobacco, smoking, alcohol and public health approaches. The review also highlights several preventive approaches for curbing NCDs in the developing world with special emphasis on dietary factors.

CONCLUSION

Since the occurrence of NCDs is marked by a cumulative effect of various risk factors, urgent collective actions are needed to avert/prevent the same effectively.

摘要

引言

目前,发展中国家正遭受疾病的双重负担——非传染性疾病(NCDs)成为一项重大的公共卫生挑战。预计在不久的将来,非传染性疾病将占发展中世界近70%的死亡率。由于与生活方式相关的因素,超重/肥胖、心血管疾病、2型糖尿病、癌症、呼吸系统疾病和精神疾病的发病率急剧上升。适当的饮食习惯、增加体育活动、体重管理、戒烟/戒毒和戒酒在其预防和管理中发挥着重要作用。本叙述性综述强调了各种饮食成分——包括营养成分和非营养成分——在预防非传染性疾病和降低其风险方面的作用。

方法

这是对全球尤其是发展中国家开展的各种实验研究、观察性研究、临床试验、流行病学研究、汇总/荟萃分析及综述的全面概述。通过广泛检索在线PubMed/Medline、SciVerse Scopus数据库来获取研究,使用了多个关键词的单独或组合,如非传染性疾病、能量、各种营养素、含糖饮料、功能性食品、茶、咖啡、香料/调味品/草药、动物性食品、坚果和油籽、体育活动、饮食习惯、癌症、心血管疾病、2型糖尿病、呼吸系统疾病、生活方式改变、烟草、吸烟、酒精及公共卫生方法。该综述还强调了发展中世界控制非传染性疾病的几种预防方法,并特别强调了饮食因素。

结论

由于非传染性疾病的发生具有各种风险因素的累积效应,因此需要紧急采取集体行动以有效避免/预防非传染性疾病。

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