Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago CP 83300024, Chile.
Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago CP 83300024, Chile.
Int J Environ Res Public Health. 2020 Nov 16;17(22):8482. doi: 10.3390/ijerph17228482.
Chile is currently experiencing a progressive epidemiological transition towards chronic diseases. In this country, >50% of annual deaths are attributed to cardiovascular disease and cancer. Moreover, health surveys have shown high prevalence of obesity, diabetes, hypertension, and elevated cardiovascular disease risk. In addition, mental health issues are also frequent among Chilean adults. On the other hand, the agri-food system contributes to 21-37% of greenhouse gases emissions worldwide. Overall, current health and food chain situation calls out for design and implementation of evidence-based feasible and effective nutritional interventions needed to promote physical and mental health along with addressing food sustainability in Chile. Nowadays, the Mediterranean diet is recognized as one of the healthiest dietary patterns based on observational and interventional studies linked to a wide variety of health outcomes. However, a Mediterranean lifestyle goes well beyond food intake: it includes promotion of psychosocial resources, community life as well as cultural traditions. Indeed, Mediterranean lifestyle is a true that integrally promotes physical, mental, and social well-being. In addition, the Mediterranean diet stands out for its environmental sustainability because it is characterized mainly as a plant-based dietary pattern with low carbon and water footprints. Remarkably, Central Chile has a Mediterranean-like setting with plant and animal food production and availability patterns comparable to those present in countries located around the Mediterranean Sea. Therefore, this article reviews how promotion of Mediterranean lifestyle adherence in Chile offers great potential for management of the ongoing epidemiological transition to chronic diseases as well to promote psychological well-being within a unique food system and dietary sustainability vision for this Latin American country.
智利目前正经历着向慢性病的渐进性流行病学转变。在这个国家,超过 50%的年死亡率归因于心血管疾病和癌症。此外,健康调查显示肥胖、糖尿病、高血压和心血管疾病风险升高的患病率很高。此外,心理健康问题在智利成年人中也很常见。另一方面,农业食品系统对全球 21-37%的温室气体排放负有责任。总的来说,当前的健康和食物链状况要求设计和实施基于证据的可行和有效的营养干预措施,以促进智利的身心健康,同时解决食品可持续性问题。如今,地中海饮食被认为是最健康的饮食模式之一,这是基于与各种健康结果相关的观察性和干预性研究。然而,地中海式生活方式不仅仅是饮食:它包括促进心理社会资源、社区生活以及文化传统。事实上,地中海式生活方式是一种真正的综合促进身心健康和社会福祉的方式。此外,地中海饮食因其环境可持续性而引人注目,因为它主要以植物为基础的饮食模式为特征,碳和水足迹低。值得注意的是,智利中部地区的植物和动物食品生产和供应模式与地中海地区国家相似,具有类似的地中海环境。因此,本文综述了在智利推广地中海式生活方式对管理当前向慢性病的流行病学转变以及在这一拉丁美洲国家独特的食品系统和饮食可持续性愿景下促进心理健康的潜在作用。