Nutrition, Health & Disease
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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?

  • 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?

  • 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?

<p>Hispanic, South and Southeast Asian, and Arabic populations (C)</p> Signup and view all the answers

What is the primary conflict highlighted regarding modern technology and human biology in relation to food intake?

<p>Modern technology provides constant access to highly palatable foods, conflicting with our evolved biology adapted to sporadic food availability. (B)</p> Signup and view all the answers

According to the information presented, what general trend is observed regarding non-communicable diseases as income levels increase?

<p>There is an inverse relationship where higher income is associated with a higher prevalence of non-communicable diseases. (A)</p> Signup and view all the answers

Which of the following factors are directly identified as being related to atherosclerosis?

<p>Tobacco smoking and alcohol consumption. (A)</p> Signup and view all the answers

What can be inferred about the recorded data ('Record') regarding mortality causes?

<p>It indicates that the impact of non-communicable diseases is increasing every year. (D)</p> Signup and view all the answers

Based on the information, how are communicable and non-communicable diseases related?

<p>They can be related due to shared risk factors like atherosclerosis. (C)</p> Signup and view all the answers

What broad categories are used to classify global causes of death?

<p>Communicable diseases, non-communicable diseases, and injuries. (B)</p> Signup and view all the answers

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?

<p>Wasting (C)</p> Signup and view all the answers

Which of the following is the broadest categorization of malnutrition, encompassing both deficiencies and excesses?

<p>Malnutrition (A)</p> Signup and view all the answers

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?

<p>A shift towards a higher proportion of deaths from non-communicable diseases. (A)</p> Signup and view all the answers

A public health campaign aims to reduce the incidence of atherosclerosis. Based on the information, which intervention strategy would be MOST effective?

<p>Encouraging healthier lifestyle choices, such as reducing tobacco and alcohol consumption. (C)</p> Signup and view all the answers

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?

<p>Approximately 1/3 (B)</p> Signup and view all the answers

A child presents with impaired vision, frequent infections and compromised skin health. Deficiency of which micronutrient could be the most likely cause?

<p>Vitamin A (B)</p> Signup and view all the answers

What is the significance of understanding the relationship between income levels and the prevalence of non-communicable diseases for healthcare policy?

<p>It allows for targeted resource allocation and preventive measures based on socioeconomic context. (B)</p> Signup and view all the answers

Suboptimal breastfeeding can directly contribute to which of the following conditions?

<p>Micronutrient deficiency (C)</p> Signup and view all the answers

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?

<p>Overweight/Obesity (A)</p> Signup and view all the answers

A region reports a high prevalence of thyroid dysfunction. Which micronutrient deficiency is MOST likely the primary cause?

<p>Iodine (B)</p> Signup and view all the answers

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?

<p>Height-for-age (C)</p> Signup and view all the answers

Why is Chile's approach to warning labels considered more impactful than those of other countries like Israel, Mexico, Brazil, and Peru?

<p>Chile coordinates warning labels with mutually reinforcing policies related to marketing and school food environments, unlike the other countries. (D)</p> Signup and view all the answers

Based on the information, what was the approximate reduction in sugary drink purchases in Chile following the implementation of warning labels?

<p>24% (A)</p> Signup and view all the answers

What evidence suggests that Chile's warning labels are effective across different socioeconomic groups?

<p>Households with lower educated heads showed similar absolute reductions in sugary drinks as households with higher educated heads after the labels were introduced. (A)</p> Signup and view all the answers

According to the content, what is one strategy Brazil uses to promote healthier eating habits?

<p>Establishing food procurement and feeding policies. (B)</p> Signup and view all the answers

Why might some countries choose to implement warning labels similar to Chile's?

<p>To reduce healthcare costs associated with unhealthy diets. (C)</p> Signup and view all the answers

What aspect of food marketing is monitored in Chile to assess the impact of warning labels?

<p>Television advertising targeting children and food preferences reported by parents. (A)</p> Signup and view all the answers

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?

<p>A moderate decrease in sugary drink consumption, but limited impact on overall dietary habits. (B)</p> Signup and view all the answers

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?

<p>Implementing comprehensive policies targeting marketing of unhealthy foods and improving school food environments. (C)</p> Signup and view all the answers

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?

<p>Accidents increased in rank from 4th to 3rd, indicating a rise in unintentional injury-related deaths. (C)</p> Signup and view all the answers

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?

<p>COVID-19 increased as a leading cause of death, moving from outside the top 10 in 2015 to 3rd in 2022, then decreased to 6th in 2023. (A)</p> Signup and view all the answers

Considering the data on leading causes of death, which intervention strategy would likely have the broadest impact on public health in Canada?

<p>Focusing resources on the prevention and treatment of malignant neoplasms (cancer). (C)</p> Signup and view all the answers

Which of the following is a valid inference based on the data regarding the listed causes of death in Canada?

<p>The prevalence of chronic diseases, such as heart disease and cancer, contributes significantly to mortality rates. (D)</p> Signup and view all the answers

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?

<p>Approximately 1,950 deaths. (A)</p> Signup and view all the answers

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?

<p>Diabetes mellitus contributes to a higher number of deaths than Alzheimer’s disease. (A)</p> Signup and view all the answers

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?

<p>Implementing broader public health campaigns focused on cardiovascular health and risk factor management. (C)</p> Signup and view all the answers

Based on the data, which age demographic would benefit most from targeted interventions aimed at reducing deaths from accidents (unintentional injuries)?

<p>Older adults aged 65 and over. (D)</p> Signup and view all the answers

Which of the following statements best describes the relationship between chronic liver disease/cirrhosis and other leading causes of death in Canada?

<p>Chronic liver disease/cirrhosis contributes to mortality, but to a lesser extent than conditions like cancer and heart disease. (C)</p> Signup and view all the answers

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?

<p>A strategy combining lifestyle interventions, such as promoting healthy diets and exercise, along with improved access to diabetes and cardiovascular care. (C)</p> Signup and view all the answers

Based on the graph, which period saw the most significant increase in the number of overweight adults?

<p>2018-2022 (A)</p> Signup and view all the answers

Considering the data provided, what can be inferred about the trend of underweight adults compared to overweight adults?

<p>The number of underweight adults is decreasing, while overweight adults are increasing. (D)</p> Signup and view all the answers

If the trend from 2018-2022 continues, what is a likely projection about the number of adults with obesity in 2026?

<p>A substantial increase is expected, potentially surpassing 1 billion. (D)</p> Signup and view all the answers

What conclusion can be drawn from the data regarding the global health situation concerning weight?

<p>Overweight and obesity are becoming increasingly prevalent global health issues. (C)</p> Signup and view all the answers

Based on the information, which statement best describes the relationship between the number of overweight and obese adults in 2022?

<p>The number of obese adults is a subset of the total number of overweight adults. (A)</p> Signup and view all the answers

What factors might contribute to the trend observed in the graph regarding the increase in overweight adults?

<p>Changes in lifestyle leading to more sedentary behaviors and increased consumption of processed foods. (D)</p> Signup and view all the answers

If a public health organization aims to reduce the number of overweight adults, which strategy would be most effective based on the data?

<p>Implementing broad public health campaigns promoting balanced diets and regular exercise. (C)</p> Signup and view all the answers

How does the prevalence of being underweight compare to being overweight, based on the 2022 data?

<p>Being underweight is significantly less prevalent than being overweight. (A)</p> Signup and view all the answers

Which of the following statements is a valid interpretation of the data provided?

<p>There is a growing global health crisis related to weight issues. (C)</p> Signup and view all the answers

What strategies could be implemented to reverse the trend of increasing numbers of overweight adults?

<p>Encouraging physical activity, balanced diets, and policies that support healthier food choices. (D)</p> Signup and view all the answers

How might cultural factors influence the trends observed in the prevalence of overweight adults?

<p>Cultural norms around food consumption and physical activity can significantly impact weight. (C)</p> Signup and view all the answers

Considering the increasing trend of overweight adults, what potential impacts might this have on healthcare systems globally?

<p>Increased strain on healthcare systems due to more weight-related health issues. (D)</p> Signup and view all the answers

Which of the following is the most accurate comparison of the overweight and obese populations in 2022?

<p>Obese adults represented a significant portion, but less than half, of the total overweight population. (D)</p> Signup and view all the answers

What implications might the high number of overweight adults have on global economic productivity?

<p>Reduced economic productivity due to health complications and absenteeism. (B)</p> Signup and view all the answers

How can policymakers leverage the data to craft better health policies?

<p>By implementing targeted interventions, educational programs, and supportive environments to promote healthy weight. (D)</p> Signup and view all the answers

Flashcards

Atherosclerosis

The underlying process where arteries harden and narrow.

Tobacco Use

A major risk factor linked to atherosclerosis.

Harmful Alcohol Use

Another key modifiable risk factor associated with increased mortality.

Smoking

A preventable cause that significantly contributes to global mortality.

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Non-Communicable Diseases

Group of diseases not caused by infectious agents.

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Lower income

Tendency for non-communicable diseases to be higher

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Global Mortality Causes

The causes of death includes factors such as communicable, non-communicable diseases and injuries.

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Communicable Diseases

Refers to diseases caused by infectious agents or their products.

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Undernutrition (PEM)

Protein-Energy Malnutrition, causing stunting or wasting & micronutrient deficiencies.

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Malnutrition

Deficiency, excess, or imbalance in energy and/or nutrients.

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Wasting

Low weight-for-height.

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Stunting

Low height-for-age.

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Underweight

Low weight-for-age.

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Micronutrient-related malnutrition

Malnutrition from vitamin/mineral deficiencies or excesses.

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Diet-related non-communicable disease

Non-communicable diseases linked to diet (e.g., CVD, diabetes).

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Iodine Deficiency

Affects thyroid function and overall metabolism.

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Nutrition Transition

The shift in dietary consumption and energy expenditure patterns.

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Nutrition Transition Mismatch

Mismatch between modern technology and our evolutionary biology, leading to health issues.

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NR-NCDs

Non-communicable diseases, such as diabetes and heart disease, linked to nutrition.

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BMI

Body Mass Index, a measure of body fat based on height and weight.

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Behavioral Change (in nutrition)

Adopting new eating habits to improve health outcomes.

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Malignant Neoplasms

Abnormal growth of cells that can invade other parts of the body.

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Disease of the Heart

A disease of the heart or blood vessels.

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COVID-19

An infectious disease caused by the SARS-CoV-2 virus.

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Unintentional injuries

Unintended injuries from accidents

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Cerebrovascular Disease

A disease that affects the blood vessels of the brain.

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Chronic Lower Respiratory Disease

Diseases that affect the lungs and airways, making breathing difficult.

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Diabetes Mellitus

A metabolic disorder characterized by high blood sugar levels.

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Influenza/Pneumonia

Infections of the lungs and airways.

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Alzheimer’s Disease

A progressive disease that destroys memory and other important mental functions.

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Intentional Self Harm (suicide)

The act of intentionally causing one's own death.

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Chile's Warning Labels

Warning labels that have decreased sugary drink purchases.

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Countries Using Warning Labels

Countries that have implemented warning labels in a similar fashion to Chile.

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Comprehensive Policy Linking

Linking marketing restrictions and school food policies to warning labels.

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Food Procurement Policies

Food purchasing policies impacting nutrition

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Brazil's Impactful Policies

Policies enacted to promote healthier eating.

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Banning SSBs

Banning these from schools is a strategy for promoting healthier options.

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Advertising Monitoring

The impact of unhealthy marketing on children and their parents.

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Israel's Policy Adoption

A country which has embraced similar policies to Chile's approach on health regulations.

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Overweight

Having a weight greater than what is considered healthy for a given height.

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Obesity

A more severe form of being overweight, characterized by excessive body fat accumulation.

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Number of overweight adults in 2022

In 2022, 2.5 billion adults were classified as overweight.

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Number of obese adults in 2022

In 2022, 890 million adults globally were classified as obese.

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Number of underweight adults in 2022

In 2022, 390 million adults were classified as underweight.

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Year of Weight Statistics

The year being referenced in the data about overweight, obese, and underweight adults.

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Prevalence Rate

A statistical value that indicates the proportion of a population with a particular characteristic.

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Climate Change Impact

A long-term shift in average weather patterns, which can affect weight-related factors.

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Body Mass Index (BMI)

A measurement of body fat based on height and weight.

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Morbidity

A measure of ill-health or disease within a population.

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Mortality

The number of deaths in a given population or from a specific cause.

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Body Composition

The physical aspects of the human body, including fat, muscle, water, and bone.

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Dietary Habits

The range of habits or practices related to diet.

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Exercise Patterns

Physical activity undertaken for health or fitness.

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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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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.

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