Albala C, Vio F, Kain J
Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile, Santiago, Chile.
Rev Med Chil. 1998 Aug;126(8):1001-9.
Socioeconomic and demographic changes in Chile, have modified its epidemiological profile. At the present time, the most important public health problems are non communicable chronic diseases, specially cardiovascular ailments. The prevalence of cardiovascular risk factors has also increased and obesity stands out. This review analyzes the present situation of obesity and other cardiovascular risk factors of nutritional origin, in Chile, and proposes intervention alternatives. At the present time 7% preschool children, 12% of school children, 24% of pregnant women, 10% of male adults and 24% of female adults are obese. This higher prevalence is even more pronounced in women of low socioeconomic level. Risk factors associated to obesity are an inadequate diet, with a higher consumption of fats and refined foods, sedentariness and hyperlipidemia. Primary and secondary care strategies must be devised to face this growing problem.
智利的社会经济和人口结构变化改变了其流行病学特征。目前,最重要的公共卫生问题是非传染性慢性病,尤其是心血管疾病。心血管危险因素的患病率也有所上升,肥胖问题尤为突出。本综述分析了智利肥胖及其他营养源性心血管危险因素的现状,并提出了干预方案。目前,7%的学龄前儿童、12%的学龄儿童、24%的孕妇、10%的成年男性和24%的成年女性肥胖。这种较高的患病率在社会经济水平较低的女性中更为明显。与肥胖相关的危险因素包括饮食不当、脂肪和精制食品摄入量较高、久坐不动和高脂血症。必须制定初级和二级护理策略来应对这一日益严重的问题。