PHPC 2007 Nutrition for Health & Exercise Lecture 1 PDF

PHPC 2007 Nutrition for Health & Exercise Introduction to nutrition and health & The Fundamental (I): Carbohydrates Dr. Tony Yung Senior Lecturer JC School of Public Health and Primary Care Introduction to nutrition and health  Introduction to nutrition and health Relation bet...

PHPC 2007 Nutrition for Health & Exercise Introduction to nutrition and health & The Fundamental (I): Carbohydrates Dr. Tony Yung Senior Lecturer JC School of Public Health and Primary Care Introduction to nutrition and health  Introduction to nutrition and health Relation between nutrition, health and lifespan Importance of good nutrition Trend of dietary intake worldwide and locally The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Introduction to nutrition and health Relation between nutrition, health and lifespan Importance of good nutrition Trend of dietary intake worldwide and locally The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Consequences of Obesity Stroke Psychosocial Respiratory disease CVD* & risk factors Heart disease Gall bladder disease Diabetes* Osteoarthritis Hormonal Cancer abnormalities *BMI biggest predictor of CVD and T2DM Hyperuricaemia and gout Adopted from G. Guldan The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Lifespan Live longer Live shorter Health The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Introduction to nutrition and health Relation between nutrition, health and lifespan Importance of good nutrition Trend of dietary intake worldwide and locally The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Forty per cent of global deaths are due to Child and maternal underweight  High blood pressure  Tobacco  Alcohol  High cholesterol  Unsafe sex Unsafe water Poor sanitation and hygiene Indoor smoke from solid fuels  Iron deficiency  Overweight/obesity  WHO The World Health Report The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Projected global distribution of total deaths by major cause, 2005 Diabetes mellitus 2% Cancer 13% Communicable, maternal, and perinatal conditions, Globally 58 million people and nutritional died in 2005 deficiencies 30% Over 35 million people died from chronic non- communicable diseases, double the number from all infectious diseases Cardiovascular disease is the leading single cause of death worldwide Chronic respiratory Cardiovascular diseases diseases 7% 30% Other Injuries chronic Strong, Lancet 2005 9% diseases 9% The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Nutrition: a major modifiable determinant of chronic disease WHO http://www.who.int/dietphysicalactivity/publications/trs916/en/ The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Healthy People 2020 About Healthy People 2020 Provides science-based, 10-year national objectives for improving the health of all Americans. http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx 21 out of 42 focus area of Healthy People 2020 are related to food and nutrition!!! i.e. half of all health objectives need good nutrition to achieve. The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Healthy People 2020 No Focus area No Focus area 1 Access to Health Services 8 Diabetes 2 Adolescent Health 9 Disability and Health 3 Arthritis, Osteoporosis, and 10 Early and Middle Childhood Chronic Back Conditions 4 Blood Disorders and Blood 11 Educational and Safety Community-Based Programs 5 Cancer 12 Environmental Health 6 Chronic Kidney Disease 13 Family Planning 7 Dementias, Including 14 Food Safety Alzheimer's Disease The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Healthy People 2020 No Focus area No Focus area 15 Genomics 22 HIV 16 Global Health 23 Immunization and Infectious Diseases 17 Health Communication and 24 Injury and Violence Prevention Health Information Technology 18 Healthcare-Associated Infections 25 Lesbian, Gay, Bisexual, and Transgender Health 19 Health-Related Quality of Life & 26 Maternal, Infant, and Child Health Well-Being 20 Hearing and Other Sensory or 27 Medical Product Safety Communication Disorders 21 Heart Disease and Stroke 28 Mental Health and Mental Disorders The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Healthy People 2020 No Focus area No Focus area 29 Nutrition and Weight Status 36 Respiratory Diseases 30 Occupational Safety and 37 Sexually Transmitted Health Diseases 31 Older Adults 38 Sleep Health 32 Oral Health 39 Social Determinants of Health 33 Physical Activity 40 Substance Abuse 34 Preparedness 41 Tobacco Use 35 Public Health Infrastructure 42 Vision The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Risk Factors of Leading Causes of Death (US) Environ- ment 20% Lifestyle 50%...Diet Biology Physical Activity 20% Drugs, Alcohol Smoking Health Seat Belts care 10% Adopted from G. Guldan The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Diseases of nutrition responsiveness Sickle-cell anaemia Hemophilia Nutrition- unresponsiveness Adult bone loss disease (osteoporosis) Cancer Arthritis Nutrition- Diabetes responsiveness Hypertension disease Heart disease Anaemia Vitamin deficiencies Mineral deficiencies Poor resistance to disease Personal nutrition. Marie A. Boyle, Sara Long Anderson. 7th ed. The Wadsworth Cengage Learning, 2010, 2007. contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Global Risk Factors for Cancer 35% of 7 million cancer deaths in 2001 worldwide attributable to 9 major behavioral and environmental risk factors Major risk factors: – Worldwide and in low- and middle-income countries: smoking, alcohol use, and low fruit and vegetable intake – In high-income countries: smoking, alcohol use and overweight and obesity. Lancet, Vol 366, 19 Nov 05 The contents of this class are protected by copyright under international conventions and the reproduction, distribution, replication, and/or re-transmission of the contents of this class are prohibited without the prior written consent of The Jockey Club School of Public Health and Primary Care of the Chinese University of Hong Kong  Estimated preventable deaths in Hong Kong Cause of death Major Risk factors No. deaths No. preventable CHD Diet, tobacco, exercise 3,181 722 Stroke and hypertensive Diet, alcohol, exercise 4,359 733 HD Lung cancer Tobacco 2,761 2,008 Liver cancer Hepatitis B, alcohol 1,157 837 Esophageal cancer Diet, tobacco, alcohol 367 312 Traffic accidents Attitudes, alcohol, 305 270 environment Other accidents Attitudes, alcohol 354 282 Child