Lilas

Information about Lilas

Published on August 9, 2007

Author: Amateur

Source: authorstream.com

Content

Regional Overview on Obesity:  Regional Overview on Obesity Lilas A. Tomeh, M.S. Technical Officer-Nutrition Eastern Mediterranean Regional Office-WHO EMR Characteristics :  EMR Characteristics Poor resourced countries: food insecurity and malnutrition, underweight infants Countries in nutritional transition: industrialized, diet-related chronic diseases, overweight and obesity Countries in conflict: emergencies, malnutrition Affluent countries: obesity and micronutrients malnutrition EMR Characteristics:  EMR Characteristics Many countries face the dual burden of over and under-nutrition in their populations which: Place increased strain on health systems, Reduce economic performance Impact social and economic development Population Affected:  Population Affected One billion adults andamp; 20 million children are overweight More than half the world population are affected by some form of diet and nutrition related chronic diseases EMRO Nutrition overall Goal:  EMRO Nutrition overall Goal To prevent, reduce and eliminate malnutrition in all its forms and promote well-being through healthy diet, nutrition and life styles Strategic Approaches:  Strategic Approaches To support evidence based actions to tackle all forms of malnutrition across the life-course maternal, infant, and adolescent malnutrition through strengthening and promoting: National nutrition polices and programmes to control malnutrition National nutrition surveillance systems Public advocacy and mobilization of public health authorities Partnerships with relevant stakeholders and civil society Regional facts:  Regional facts Overweight and obesity are encountered in all strata. Overweight / obesity are reported higher in males from high-income/high-education group and in females from low-income/low-education group. Obesity and overweight are often perceived as signs of good health and prosperity. BMI increases progressively with age for both males and females, reaching a maximum in the fifth decade of life. Mean BMI for both males and females is reported to be higher in urban as compared to rural areas. Rural living is still associated with more activity and limited food availability. Prevalence of overweight & obesity rates from selected EMR countries:  Prevalence of overweight andamp; obesity rates from selected EMR countries Prevalence of overweight/obesity in children under-five years from selected EMR countries:  Prevalence of overweight/obesity in children under-five years from selected EMR countries Prevalence of overweight/obesity in school age children from selected EMR countries Slide10:  Prevalence of overweight andamp; obesity in College / University students from selected EMR countries Slide11:  Factors InfluencingObesity Obesity Biological Behavioural Influences Age Gender Ethnicity Hormonal Genetic Environmental Habits Emotions Attitudes Beliefs Cognition Modified from Eggen andamp; Swinburn. BMJ 1997;315:477-480 Climate Changes in living conditions Urbanization Labor-saving devices Changes in transportation Changes in working conditions Reasons for increased obesity:  Reasons for increased obesity ► Genetic predisposition ► Sedentary lifestyle (Television viewing / Car vs. walking) ► Lack of physical activity ► Snack food / Fast foods ► High fat diet ► Domestic help ► Attitude towards obesity – sign of affluence ► Loose garments – prevents noticing weight gain Variables to be addressed:  Variables to be addressed Food availability Tradition Culture Environment Public health concerns Main Factors leading to reduced physical activity:  Main Factors leading to reduced physical activity Relationship between overweight and TV viewing:  Relationship between overweight and TV viewing 11.7 15.8 19.5 21.3 24.5 34.9 0 10 20 30 40 andlt;1 2-5 6-10 11-20 21-40 41+ Prevalence of Overweight (%) TV Viewing (Hrs/Week) Ching et al, Am J Public Health 1996 Steps in the right direction:  Steps in the right direction Expert consultation on diet, nutrition, and the prevention of chronic diseases (TRS 916) 2003: WHO/FAO Changes in dietary patterns, relationship to emergence of chronic diseases (obesity) Review of scientific evidence Gene/nutrient interactions Recommendations to prevent chronic diseases WHO global strategy for diet, physical activity, and health WHO global strategy for diet, physical activity, and health:  WHO global strategy for diet, physical activity, and health Goal: To guide in the development of actions at local, national, and international levels that will lead to measurable improvements in risk factor levels with reduced disease and death rates due to chronic diseases related to diet and physical activities Recommendations:  Recommendations Increase intake of fruits and vegetables as well as legumes, whole grains and nuts Substantially increase levels of physical activity across life span Increase intake of fish and lean meats Reduce salt consumption Reduce heavy marketing of foods high in fat and sugar Principals of Action:  Principals of Action Each government should select the optimal mix of policies and programmes that are in accord with its national capabilities and economic realities Guidelines should be scientific based Guidelines should be gender-senstive Guidelines should be attainable for the poorest countries How can we achieve it?:  How can we achieve it? Gain the support and work in collaboration with: Policy makers Governmental bodies International community Thank You:  Thank You

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