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Questions and Answers
Why did humans survive periods of sporadic or seasonal hunger as hunter-gatherers?
Why did humans survive periods of sporadic or seasonal hunger as hunter-gatherers?
- They had access to highly palatable beverages with added sugar which sustained them during periods of hunger.
- Drinking water does not interfere with episodic food intake, allowing for gorging when food was available. (correct)
- Modern technology provided a consistent food supply, negating the impact of sporadic hunger.
- They primarily consumed 100% fruit juice, which provided essential nutrients during scarce times.
What is a key reason consumption of beverages with added sugar or 100% fruit juice contributes to weight gain and increased risk of NR-NCDs?
What is a key reason consumption of beverages with added sugar or 100% fruit juice contributes to weight gain and increased risk of NR-NCDs?
- The caloric content of these beverages is negligible compared to solid foods.
- These beverages promote satiety, leading to reduced consumption of solid foods.
- These beverages often replace water intake without causing a corresponding reduction in solid food consumption. (correct)
- These beverages contain essential nutrients that counteract the negative effects of solid foods.
Why might a BMI of 25 kg/m² be a significant cut-off for assessing NCD risk in LMICs?
Why might a BMI of 25 kg/m² be a significant cut-off for assessing NCD risk in LMICs?
- Extensive research has shown that NCD risks are elevated at this BMI level in these populations. (correct)
- Healthcare systems in LMICs are better equipped to manage NCDs at this BMI level.
- Genetic factors in LMICs protect against NCDs until BMI exceeds this threshold.
- Individuals in LMICs generally have lower muscle mass, making BMI less accurate.
For which populations might a lower BMI threshold (e.g., 23-25 kg/m²) be more appropriate when assessing risks of hypertension, diabetes, and other NCDs?
For which populations might a lower BMI threshold (e.g., 23-25 kg/m²) be more appropriate when assessing risks of hypertension, diabetes, and other NCDs?
What is the primary conflict highlighted regarding modern technology and human biology in relation to food intake?
What is the primary conflict highlighted regarding modern technology and human biology in relation to food intake?
According to the information presented, what general trend is observed regarding non-communicable diseases as income levels increase?
According to the information presented, what general trend is observed regarding non-communicable diseases as income levels increase?
Which of the following factors are directly identified as being related to atherosclerosis?
Which of the following factors are directly identified as being related to atherosclerosis?
What can be inferred about the recorded data ('Record') regarding mortality causes?
What can be inferred about the recorded data ('Record') regarding mortality causes?
Based on the information, how are communicable and non-communicable diseases related?
Based on the information, how are communicable and non-communicable diseases related?
What broad categories are used to classify global causes of death?
What broad categories are used to classify global causes of death?
A community health worker observes a child with significantly low weight for their height. According to the information, what specific type of malnutrition is the child likely experiencing?
A community health worker observes a child with significantly low weight for their height. According to the information, what specific type of malnutrition is the child likely experiencing?
Which of the following is the broadest categorization of malnutrition, encompassing both deficiencies and excesses?
Which of the following is the broadest categorization of malnutrition, encompassing both deficiencies and excesses?
If a country transitions from a low-income to a higher-income economy, what change is MOST likely to be observed in the leading causes of mortality?
If a country transitions from a low-income to a higher-income economy, what change is MOST likely to be observed in the leading causes of mortality?
A public health campaign aims to reduce the incidence of atherosclerosis. Based on the information, which intervention strategy would be MOST effective?
A public health campaign aims to reduce the incidence of atherosclerosis. Based on the information, which intervention strategy would be MOST effective?
A public health campaign aims to reduce childhood mortality associated with undernutrition. Based on the information, what is the estimated proportion of child deaths linked to undernutrition?
A public health campaign aims to reduce childhood mortality associated with undernutrition. Based on the information, what is the estimated proportion of child deaths linked to undernutrition?
A child presents with impaired vision, frequent infections and compromised skin health. Deficiency of which micronutrient could be the most likely cause?
A child presents with impaired vision, frequent infections and compromised skin health. Deficiency of which micronutrient could be the most likely cause?
What is the significance of understanding the relationship between income levels and the prevalence of non-communicable diseases for healthcare policy?
What is the significance of understanding the relationship between income levels and the prevalence of non-communicable diseases for healthcare policy?
Suboptimal breastfeeding can directly contribute to which of the following conditions?
Suboptimal breastfeeding can directly contribute to which of the following conditions?
A population is experiencing increased rates of cardiovascular disease, diabetes, and certain cancers. What broad category of nutritional imbalance is MOST likely contributing to this trend?
A population is experiencing increased rates of cardiovascular disease, diabetes, and certain cancers. What broad category of nutritional imbalance is MOST likely contributing to this trend?
A region reports a high prevalence of thyroid dysfunction. Which micronutrient deficiency is MOST likely the primary cause?
A region reports a high prevalence of thyroid dysfunction. Which micronutrient deficiency is MOST likely the primary cause?
A researcher is studying the long-term effects of malnutrition on physical development. Which anthropometric indicator would be MOST useful for assessing chronic undernutrition in children?
A researcher is studying the long-term effects of malnutrition on physical development. Which anthropometric indicator would be MOST useful for assessing chronic undernutrition in children?
Why is Chile's approach to warning labels considered more impactful than those of other countries like Israel, Mexico, Brazil, and Peru?
Why is Chile's approach to warning labels considered more impactful than those of other countries like Israel, Mexico, Brazil, and Peru?
Based on the information, what was the approximate reduction in sugary drink purchases in Chile following the implementation of warning labels?
Based on the information, what was the approximate reduction in sugary drink purchases in Chile following the implementation of warning labels?
What evidence suggests that Chile's warning labels are effective across different socioeconomic groups?
What evidence suggests that Chile's warning labels are effective across different socioeconomic groups?
According to the content, what is one strategy Brazil uses to promote healthier eating habits?
According to the content, what is one strategy Brazil uses to promote healthier eating habits?
Why might some countries choose to implement warning labels similar to Chile's?
Why might some countries choose to implement warning labels similar to Chile's?
What aspect of food marketing is monitored in Chile to assess the impact of warning labels?
What aspect of food marketing is monitored in Chile to assess the impact of warning labels?
Consider a hypothetical country that implements warning labels on processed foods but does not change its school food policies or regulate food marketing. Based on the content, what is the most likely outcome?
Consider a hypothetical country that implements warning labels on processed foods but does not change its school food policies or regulate food marketing. Based on the content, what is the most likely outcome?
A country observes that after implementing warning labels, sugary drink consumption decreases, but the rate of childhood obesity remains unchanged. What additional interventions might be necessary to address childhood obesity effectively?
A country observes that after implementing warning labels, sugary drink consumption decreases, but the rate of childhood obesity remains unchanged. What additional interventions might be necessary to address childhood obesity effectively?
Based on the provided data, which of the following statements accurately reflects the change in rank for Accidents (unintentional injuries) as a leading cause of death in Canada from 2015 to 2023?
Based on the provided data, which of the following statements accurately reflects the change in rank for Accidents (unintentional injuries) as a leading cause of death in Canada from 2015 to 2023?
Which of the following best describes the trend of COVID-19 as a leading cause of death in Canada between 2015 and 2023, based on the provided data?
Which of the following best describes the trend of COVID-19 as a leading cause of death in Canada between 2015 and 2023, based on the provided data?
Considering the data on leading causes of death, which intervention strategy would likely have the broadest impact on public health in Canada?
Considering the data on leading causes of death, which intervention strategy would likely have the broadest impact on public health in Canada?
Which of the following is a valid inference based on the data regarding the listed causes of death in Canada?
Which of the following is a valid inference based on the data regarding the listed causes of death in Canada?
If a public health initiative successfully reduced deaths from chronic lower respiratory diseases by 15% between 2023 and 2024, approximately how many deaths would be prevented?
If a public health initiative successfully reduced deaths from chronic lower respiratory diseases by 15% between 2023 and 2024, approximately how many deaths would be prevented?
What conclusion can be drawn about the relative impact of diabetes mellitus and Alzheimer’s disease on mortality in Canada based on the data provided?
What conclusion can be drawn about the relative impact of diabetes mellitus and Alzheimer’s disease on mortality in Canada based on the data provided?
Considering the trend in deaths due to Diseases of the Heart from 2015 to 2023, what intervention would likely be most effective in further reducing these numbers?
Considering the trend in deaths due to Diseases of the Heart from 2015 to 2023, what intervention would likely be most effective in further reducing these numbers?
Based on the data, which age demographic would benefit most from targeted interventions aimed at reducing deaths from accidents (unintentional injuries)?
Based on the data, which age demographic would benefit most from targeted interventions aimed at reducing deaths from accidents (unintentional injuries)?
Which of the following statements best describes the relationship between chronic liver disease/cirrhosis and other leading causes of death in Canada?
Which of the following statements best describes the relationship between chronic liver disease/cirrhosis and other leading causes of death in Canada?
Suppose the data indicated a significant increase in deaths attributable to both diabetes and heart disease in the coming years. Which combined public health strategy would be most effective?
Suppose the data indicated a significant increase in deaths attributable to both diabetes and heart disease in the coming years. Which combined public health strategy would be most effective?
Based on the graph, which period saw the most significant increase in the number of overweight adults?
Based on the graph, which period saw the most significant increase in the number of overweight adults?
Considering the data provided, what can be inferred about the trend of underweight adults compared to overweight adults?
Considering the data provided, what can be inferred about the trend of underweight adults compared to overweight adults?
If the trend from 2018-2022 continues, what is a likely projection about the number of adults with obesity in 2026?
If the trend from 2018-2022 continues, what is a likely projection about the number of adults with obesity in 2026?
What conclusion can be drawn from the data regarding the global health situation concerning weight?
What conclusion can be drawn from the data regarding the global health situation concerning weight?
Based on the information, which statement best describes the relationship between the number of overweight and obese adults in 2022?
Based on the information, which statement best describes the relationship between the number of overweight and obese adults in 2022?
What factors might contribute to the trend observed in the graph regarding the increase in overweight adults?
What factors might contribute to the trend observed in the graph regarding the increase in overweight adults?
If a public health organization aims to reduce the number of overweight adults, which strategy would be most effective based on the data?
If a public health organization aims to reduce the number of overweight adults, which strategy would be most effective based on the data?
How does the prevalence of being underweight compare to being overweight, based on the 2022 data?
How does the prevalence of being underweight compare to being overweight, based on the 2022 data?
Which of the following statements is a valid interpretation of the data provided?
Which of the following statements is a valid interpretation of the data provided?
What strategies could be implemented to reverse the trend of increasing numbers of overweight adults?
What strategies could be implemented to reverse the trend of increasing numbers of overweight adults?
How might cultural factors influence the trends observed in the prevalence of overweight adults?
How might cultural factors influence the trends observed in the prevalence of overweight adults?
Considering the increasing trend of overweight adults, what potential impacts might this have on healthcare systems globally?
Considering the increasing trend of overweight adults, what potential impacts might this have on healthcare systems globally?
Which of the following is the most accurate comparison of the overweight and obese populations in 2022?
Which of the following is the most accurate comparison of the overweight and obese populations in 2022?
What implications might the high number of overweight adults have on global economic productivity?
What implications might the high number of overweight adults have on global economic productivity?
How can policymakers leverage the data to craft better health policies?
How can policymakers leverage the data to craft better health policies?
Flashcards
Atherosclerosis
Atherosclerosis
The underlying process where arteries harden and narrow.
Tobacco Use
Tobacco Use
A major risk factor linked to atherosclerosis.
Harmful Alcohol Use
Harmful Alcohol Use
Another key modifiable risk factor associated with increased mortality.
Smoking
Smoking
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Non-Communicable Diseases
Non-Communicable Diseases
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Lower income
Lower income
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Global Mortality Causes
Global Mortality Causes
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Communicable Diseases
Communicable Diseases
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Undernutrition (PEM)
Undernutrition (PEM)
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Malnutrition
Malnutrition
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Wasting
Wasting
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Stunting
Stunting
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Underweight
Underweight
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Micronutrient-related malnutrition
Micronutrient-related malnutrition
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Diet-related non-communicable disease
Diet-related non-communicable disease
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Iodine Deficiency
Iodine Deficiency
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Nutrition Transition
Nutrition Transition
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Nutrition Transition Mismatch
Nutrition Transition Mismatch
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NR-NCDs
NR-NCDs
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BMI
BMI
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Behavioral Change (in nutrition)
Behavioral Change (in nutrition)
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Malignant Neoplasms
Malignant Neoplasms
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Disease of the Heart
Disease of the Heart
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COVID-19
COVID-19
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Unintentional injuries
Unintentional injuries
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Cerebrovascular Disease
Cerebrovascular Disease
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Chronic Lower Respiratory Disease
Chronic Lower Respiratory Disease
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Diabetes Mellitus
Diabetes Mellitus
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Influenza/Pneumonia
Influenza/Pneumonia
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Alzheimer’s Disease
Alzheimer’s Disease
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Intentional Self Harm (suicide)
Intentional Self Harm (suicide)
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Chile's Warning Labels
Chile's Warning Labels
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Countries Using Warning Labels
Countries Using Warning Labels
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Comprehensive Policy Linking
Comprehensive Policy Linking
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Food Procurement Policies
Food Procurement Policies
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Brazil's Impactful Policies
Brazil's Impactful Policies
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Banning SSBs
Banning SSBs
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Advertising Monitoring
Advertising Monitoring
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Israel's Policy Adoption
Israel's Policy Adoption
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Overweight
Overweight
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Obesity
Obesity
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Number of overweight adults in 2022
Number of overweight adults in 2022
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Number of obese adults in 2022
Number of obese adults in 2022
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Number of underweight adults in 2022
Number of underweight adults in 2022
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Year of Weight Statistics
Year of Weight Statistics
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Prevalence Rate
Prevalence Rate
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Climate Change Impact
Climate Change Impact
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Body Mass Index (BMI)
Body Mass Index (BMI)
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Morbidity
Morbidity
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Mortality
Mortality
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Body Composition
Body Composition
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Dietary Habits
Dietary Habits
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Exercise Patterns
Exercise Patterns
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Study Notes
- Diet and nutrition are key in:
- Metabolism
- Physiology
- Growth
- Maintaining health
- Promoting health
- Diet and Nutrition Assessment impacts malnutrition and overnutrition, which are both poor for health
- Diet is a key determinant of non-communicable/chronic disease (CD)
- Links between diet and chronic disease:
- High caloric intake, high fat is linked to CVD
- Low fiber diets link to colon cancer
- Calcium & Vitamin D deficiencies link to Osteoporosis
- Low intake of Anti Oxidants link to Cancer
- Folate/B12/B6 deficiencies link to CVD
- Each year 41 million people die from non-communicable diseases (NCD). This is equivalent to 74% of all deaths globally
- 17 million people under age 70 die from NCD, 86% of these deaths occur in low- and middle-income countries
- 80% of all deaths overall are from:
- CVD (18 million)
- cancers (9.3 million)
- chronic respiratory disease (4.1 million)
- diabetes (2 million)
- Ischaemic heart disease, COVID-19 and stroke are the leading global causes of mortality
- Can combine ischaemic heart disease and stroke mortality figures because both related to atherosclerosis
- Chronic obstructive pulmonary disease is related to tobacco intake
- Trachea, bronchus, lung cancers are linked to alcohol and smoking consumption
- Alzheimer is moving up the ranks every year!
- Global causes of death are categorized by income group and by WHO region.
- With higher income comes with higher rates of non-communicable disease
Characteristics of Non-Communicable Disease/Chronic Disease
- Complex risk factors
- Noncontiguous origin (no specific exposure)
- A long latent period occurs between exposure and obvious disease
- There is a long period of illness
- Multiple risk factors
Risk factors of noncommunicable diseases (NCDs)
- Genetic
- Environmental
- Sociodemographic
- Self-management
- Medical Conditions
Causes of Mortality in Low-Income Countries
- Low income Countries have more of the communicable diseases (ex: malaria)
- Recommended zero alcohol intake and especially for throat, esophageal, and other cancers!
Causes of Mortality in High-Income Countries
- Top causes of death are CVD and cancers
- Communicable diseases is only a small fraction of deaths
- The probability of Canadians dying from CVD, diabetes, or cancer is ~10% between 30-70yrs
Number of deaths attributed to non-communicable diseases
- Malignant neoplasms, causes the highest number of deaths in most countries
Global causes of disability
- NCD greatest years lived with disability. YLD: years lived with disability
In 2022;
- 2.5 billion adults were overweight
- 890 million were living with obesity, vs 390 million were underweight.
- A large number of Canadians report multiple chronic conditions: arthritis, mood disorders, bowel disorders and allergies.
Leading Causes of Death in Canada
- Malignant Neoplasms (cancer), Diseases of the Heart, and COVID-19 are primary causes of concern
Global Dietary Burden
- Double burden of malnutrition and overnutrition
- Triple Burden with micronutrient deficiency
- Quadruple if add infectious disease
- Undernutrition (PEM) = childhood stunting or wasting, and micronutrient deficiencies, making up approximately > 1/3 of all child deaths
Malnutrition =
- Deficiency, excess or imbalance in energy intake and/or nutrients
- Undernutrition= wasting (low wt-for-ht), stunting (low ht-for-age), underweight (low st-for-age)
- Micronutrient-related malnutrition associated with deficiency in essential vitamins-minerals or micronutrient excess
- Overweight/obesity and diet related non-communicable disease (CVD, diabetes, some cancers)
Stunting
- Chronic malnutrition, social determinants, maternal health issues,
- Inadequate feeding during infant and childhood
- Wasting is recent severe weight loss due to inadequate intake
- PEM, with/without infection
- Overweight is excess E beyond needs with low PA.
Globalization
- Creates networks of connections among actors at multi-continental distances, mediated through a variety of flows, including people, information and ideas, capital and goods.
- The process erodes national boundaries, integrates national economies, cultures, technologies and governance and produces complex relations of mutual interdependence
- Canada is considered highly globalized and relies on other countries for food
Globalization and Food Policy
- Leads to rapid change in lifestyle
- Affects the economies of food suppliers markets
- Impacts countries in nutritional transition.
- Has resulted in industrialization of farming and food creation
How diet has changed?
- In short it has become more modified
- "The nutrition transition refers to shift from traditional diets made of whole ingredients to processed foods"
- HIGH energy-dense diets with low macro-micro nutrient density and Ultraprocessed foods increase the risk of CVD and cancer as well as micronutrient deficiencies
- There has been a decrease PA(Physical Activity) due to the technological advances.
- Biology which evolved over millennia clashes with modern technology
- *Sweet preferences, Thirst, hunger/satiety mechanisms aren't linked!**",
Globalization of Food Supply
- →→Dietary Convergence and Acculturation is occurring
- While whole food intake is going down pre-prepared-highly-ultra-processed packaged foods with similar ingredients are being consumed regularly
- We don’t even know where ingredients come from
- It's important to reduce consumption of UPF!
Nutrient Deficiency and Health
- It's possible to subsist entirely off nutritionally deficient yet calorically satiating compounds such as chips
WHO life-course model
- Risk positively accumulates throughout the life-course, and disease becomes more prevalent, manifesting in later life.
Nutrition & Chronic Disease
- Concept of reducing chronic disease risks and preventing chronic by diet
- WHO emphasis on chronic disease prevention, late 80's
Prevention Chronic Disease
- Unmodifiable Factors: Age, sex, genetic susceptibility (not modifiable at this time)
- Modifiable Factors: -Diet -Behaviour -lifestyle risks are potentially modifiable"
- Biological-Metabolic (dyslipidemia, hypertension, body weight, IR)
- Social determinants of health including access to medical technology, preventative/treatment health care, education, SES”
The world is off track to achieve the triple billion targets by 2025
- Need to change to advocate to all levels
- Global: WHO, UN
- Country level
- Society Level (schools, workplace)
- Individual Level.
- Follow healthy lifestyle"
Disease Risk Reduction Health Claims
- Well-established link between nutrient and developing diet-related disease" –A healthy diet low in saturated and trans fats may reduce the risk of heart disease" –A healthy diet with adequate calcium and vitamin D, and regular physical activity, helps to achieve strong bones and may reduce the risk of osteoporosis. –A healthy diet rich in vegetables and fruit may help reduce the risk of some types of cancer –A healthy diet containing foods low in sodium and high in potassium may reduce the risk of high blood pressure, a risk factor for stroke and heart disease –Reduction in dental caries/does not promote dental caries" –Reformulation of food supply
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Description
Explore Nutrition-Related Non-Communicable Diseases (NR-NCDs), BMI cut-offs, and the impact of modern technology on human biology concerning food intake. Understand the factors related to atherosclerosis and the trends observed between income levels and non-communicable diseases.