Professional Documents
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Cancers
Diabetes
Cardiovascular Disease
Mental Disorders
Alcoholism
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Key Terms
Cardiovascular Disease: A disease of the heart or blood vessels. This term encompasses both ischemic heart disease and stroke. Ischemic Heart Disease: A disturbance of the heart function due to inadequate supply of oxygen to the heart muscle. Stroke: Sudden loss of function of the brain due to clotting or hemorrhaging Cholesterol: A fat-like substance that is made by the body and is found naturally in animal-based foods such as meat, fish, poultry, eggs Diabetes: An illness caused by poor control by the body of blood sugar Blood glucose: Main source of energy for the body
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http://gamapserver.who.int/gho/interactive_charts/nc d/mortality/total/atlas.html
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Pace of the transition is accelerating in developing countries, and is occurring at a faster rate than it did for Western countries!
A series of changes in diet, physical activity, health and nutrition, collectively known as the nutrition transition (FAO 2002)
Starchy, low variety, low fat, high fiber water Labor-intensive work job/home
Increased fat, sugar, processed foods caloric beverages Shift in technology of work and leisure
Reduced fat, increased fruit, veg, CHO, fiber Increase water, Reduce caloric beverage intake Replace sedentarianism w/ purposeful activity
Cardiovascular disease Cause of about 30% of all deaths worldwide Leading cause of death in low- and middle-income countries, and highincome countries Rates vary by region 80% of burden of CVD is due to ischemic heart disease, stroke, and congestive heart failure
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Risk Factors
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Economic Consequences
Obesity reduces productivity as people develop chronic health conditions and experience activity limitations Chronic disease is estimated to cost developing countries $84 billion by 2015 if nothing is done to curb growth
Loss of Resource s
Diabetes
High Cost
Double burden of Infectious and Chronic disease can have disastrous effects on a developing economy!
Prevalence of overweight [BMI (in kg/m2) 25] and underweight (BMI < 18.5) in women aged 2049 y in 36 developing countries ranked by per capita gross national income (GNI; in brackets).
Prevention
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Why is the death rate due to CVD lower in France than the US?
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Could the adoption of practices of the French culture of care improve CVD outcomes in the US?
Doctor-Patient Relationship
Motivation of Doctor
Culture of Care
EMRs Doctor Knowledge
Use of Guidelines
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