Obesity is defined as an increase in energy intake compared to expenditure, resulting in depletion of body fat and eventually wearing weight. The prevalence of obesity has increased sharply in the ...Asia Pacific region. Many factors cause obesity. Based on data obtained from the Gorontalo District Health Office in 2018, it shows that the incidence of obesity was 8.795 cases (30.9%) consisting of 1.971 men (6.9%) and 6.824 women (24.0%). Objective: To determine several factors related to the incidence of obesity in adolescents in several high schools in Gorontalo District. This type of research uses observational analytic with a cross sectional study design. The population in this study were all students of class X and XI in SMA Negeri 1 Telaga and SMA Negeri 1 Tibawa, Gorontalo Regency as many as 1.341 students. By using the sampling technique of Proportional Stratified Random Sampling as many as 171 samples. With data analysis techniques using thetest Chi Square. The results of the study of physical activity and consumption of fruits and vegetables had no relationship with the incidence of obesity in adolescents in several high schools in Gorontalo District. Meanwhile, family income has a relationship with the incidence of obesity in adolescents in several high schools in Gorontalo Regency in 2019. It is hoped that each school can increase various activities that can reduce obesity problems and can also provide education in the form of health education to students.
Introducción: los buenos hábitos de alimentación, como el consumo de frutas y verduras, permiten tener una mejor salud y, consecuentemente, minorar el consumo de recursos sanitarios. Es importante ...establecer una asociación entre consumo de frutas y verduras y el uso de los servicios sanitarios en la población española para considerar la necesidad de intervenir.Métodos: se empleó la Encuesta Europea de Salud en España del año 2014 y, mediante la utilización de modelos Hurdle, se valoró si existían diferencias en el acceso y la frecuentación al médico de familia, especialista y urgencias, dependiendo de los hábitos de consumo de frutas y verduras. Posteriormente, mediante la técnica propensity score matching se generaron dos grupos con los que poder comparar las diferencias en la frecuentación de los servicios sanitarios dependiendo del consumo de frutas y/o verduras y otras covariables de ajuste. Finalmente, se estima el coste de dichas diferencias por grupos de consumo.Resultados: se revela la existencia de diferencias en el acceso al servicio de urgencias, tanto por los sujetos que no consumen nunca fruta como por parte de los sujetos que no consumen nunca verdura. En el primer caso hay un incremento de 420 visitas al año por cada 1.000 personas con un coste atribuible de 75.000 €, mientras que en el segundo caso se observa un incremento de 780 visitas al año por cada 1.000 personas, con un coste equivalente de 139.000 €.Conclusiones: determinados hábitos de alimentación de la población española como no consumir nunca fruta o verdura producen importantes gastos evitables en el sistema sanitario. Es de gran interés implementar políticas de prevención para minorar dichos gastos y emplear los recursos de forma adecuada.
BackgroundPrevious studies have concluded that minimum wages increase workers' wages. However, whether this effect will continue to improve households' food insecurity is an interesting question, ...especially in Indonesia, where food insecurity is still a public policy challenge. This study explores the ongoing impact of minimum wages on household food insecurity in Indonesia, leveraging data from the National Socioeconomic Survey (2017–2019) and provincial-level variations in minimum wages. The study employs unconditional quantile regression to provide nuanced insights by analyzing three food insecurity indicators: per capita calorie intake, per capita consumption of vegetables and fruits, and food diversity. We also investigate potential mechanisms driving the link between the minimum wage and food insecurity.ResultsThe study revealed that the real minimum wage reduced food insecurity, especially at specific distribution points. Significantly, the effect on per capita calorie intake was observed in lower deciles. The impact on dietary diversity was observed up to the seventh decile. However, the minimum wage increase did not significantly improve the consumption of nutritious foods like fruits and vegetables, except for the top deciles. The study confirmed that the minimum wage's impact on food insecurity operated through wage increases, particularly in the bottom-to-median wage distribution within the manufacturing sector.ConclusionsThe study concluded that the minimum wage policy ameliorated household food insecurity indicators in specific distribution segments. Our results support the effectiveness of government policies in increasing the minimum wage as a viable approach to mitigating food insecurity among formal worker households, especially within the manufacturing sector. However, additional policies targeting the lower end of the per capita calorie intake distribution are necessary, as the minimum wage was recognized to have no impact on this group.
This study aimed to evaluate the consumption of fruits and vegetables (FV) by low-income students participating in the Brazilian Student Assistance Program.
For three days, we measured participants' ...consumption through direct observation of food intake at the University Restaurant (UR) and 24-h recall outside the restaurant. The 174 undergraduates were divided into two groups to obtain data on FV intake at the weekend (Sunday) and two days of the week. Group 1 included low-income undergraduates who received their meals for free, and Group 2 included students who paid for their meals at the UR.
Both groups presented a very low consumption of FV. On the weekend, Group 1 consumption was equal to Group 2, but it was higher than Group 2 on weekdays, demonstrating how important the UR is for this population. The lowest contribution of the UR to the daily consumption of FV was 59%, reaching a percentage of 87.27%. Fruit supply in the restaurant menu may have positively influenced this consumption.
The consumption of FV varied according to the menu offered at the UR. The UR should be a space to promote healthy eating habits including more FV in its menus.
Food insecurity is a complex ‘wicked’ problem that results from a range of unstable and uncertain physical, social, cultural and economic factors that limits access to nutritious food. Globally, 800 ...million people are under-nourished, and around 2 billion are overweight/obese or have micronutrient deficiency. These populations are largely positioned in developing countries where disease burden is high and impacts health budgets and productivity. Similarly developed countries, cities and neighbourhoods are experiencing a greater emergence of vulnerable populations. This is in part explained by the change in the food production and manufacturing, the retraction in economic climates, the increase in food price, and in some regions reduced food availability and access.Vulnerable groups include but are not limited to migrant populations, Indigenous people, elderly, pregnant women, those with disability, homeless, young children and youth. Poor nutrition at significant periods of growth and development and during life impact long term health outcomes increasing non-communicable disease prevalence, health cost and reducing economic productivity.
There is evidence that if a health professional is active and has a healthy diet, he/she is more likely to advise patients about the benefits of physical activity and healthy eating The aims of this ...study were to: (1) describe the personal physical activity, consumption of fruits and vegetables behaviors and nutritional status of community health workers; (2) evaluate the association between knowledge, delivery of preventive counseling and personal behaviors among community health workers.
This was a cross-sectional study conducted in a nationally sample of health professionals working in primary health care settings in Brazil in 2011. This survey was part of the second phase of the Guide for Useful Interventions for Activity in Brazil and Latin America project, and data were collected through telephone interviews of 269 community health workers from the Unified Health Care system of Brazil. We applied questionnaires about personal reported behaviors, knowledge and preventive counseling in physical activity and consumption of fruits and vegetables. We calculated the prevalence and associations between the variables with logistic regression.
The proportion of community health workers that practiced 150 minutes per week of physical activity in leisure time or transportation was high (64.9%). Half of community health workers were overweight and only 26.2% reported consuming five portions/day of fruits or vegetables. Most community health workers reported counseling about physical activity for more than six months (59.7%), and most were not knowledgeable of the fruits and vegetables and physical activity recommendations. Meeting the fruits and vegetables recommendations was associated with correct knowledge (OR = 4.5; CI95% 1.03;19.7), with reporting 150 minutes or more of physical activity per week (OR = 2.0; CI95% 1.03;3.7) and with reporting physical activity in leisure time (OR = 2.0; CI95% 1.05;3.6). Regular physical activity counseling was associated with reporting 10-149 minutes per week (OR = 3.8; CI95% 1.1;13.3) and with more than 150 minutes of physical activity per week (OR = 4.9; CI95% 1.5;16.5).
Actions to promote physical activity and healthy eating and to improve knowledge among community health workers within the health care system of Brazil could have a potential positive influence on delivery of preventive counseling to patients on this topic.
In Yakutia for 30 thousand years people live, and for centuries they were constantly fighting with the cold for survival 5, 6. Situation began to change only in the second half of the twentieth ...century. In 20-ies of the last century a campaign for the reconstruction of traditional Yakut home began. As a result of the transition from balagan (yurts) to houses with stove heating, and then to centralized and gas heating, the temperature inside residential buildings has significantly increased. A fairly extensive literature has now accumulated linking rising residential temperatures with obesity-related morbidity.
In order to determine the role of climate warming, an increase in the average temperature in the houses of the region, and changes in the diet on the incidence of type 2 diabetes, we built a multiple regression equation with 10 factors over 20 years (1994-2013). The following factors were included in the multiple regression model: the average annual temperature in Yakutsk, the average temperature of houses in the region during the heating period, the consumption of vegetables, fruits, sugar, proteins, fats, carbohydrates per year per person, and the daily calorie content of the diet.
The conducted studies made it possible to find out that there are positive linear statistically significant pair correlations between the incidence of DM2 and the consumption of fruits and berries, the average housing temperature, the consumption of vegetables and melons, and the calorie content of the diet, but when analyzing multiple regression, the role of each factor in the development of DM2 turns out to be statistically unreliable, except the level of consumption of fruits and berries (at p > 0.05). It should be noted that a sharp increase in the incidence of DM2 in the population of Yakutia (including indigenous people) is associated with many factors, but the role of increased consumption of fruits and berries in its development should be considered causal, probably due to the lack of adaptation of the body of northerners to intake of large amounts of fructose, with a high level of fat intake.
El sobrepeso y la obesidad son condiciones patológicas que están incrementándose en el país y que sus complicaciones limitan significativamente la calidad de vida y el bienestar de los individuos que ...las padecen. Los cambios demográficos, la inversión en la composición de la población rural vs. urbana, los cambios en la mortalidad y las tendencias crecientes reportadas de sobrepeso y obesidad son evidencias, para empezar a desarrollar actividades de prevención de enfermedades crónicas. Ejecutar las acciones que propone 5 al día incentivando el consumo de 400 g de frutas o verduras y la práctica de 30 minutos de actividad física diarios, son actividades concretas, cuya implementación corresponderá a la sociedad organizada en su conjunto, a través de diversas instituciones públicas y privadas, de grupos de profesionales multidisciplinarios y diversas instancias de la sociedad, que en conjunto deberán de viabilizar las estrategias adecuadas para el logro de los objetivos de 5 al día Perú
Background: Many observational studies support the recommendation to eat sufficient amounts of fruit and vegetables as part of a healthy diet.
Objective: The present study aimed to investigate the ...association between consumption of fruit, vegetables, and olive oil and the incidence of coronary heart disease (CHD) in 29,689 women enrolled between 1993 and 1998 in 5 European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts in northern (Turin and Varese), central (Florence), and southern (Naples and Ragusa) Italy.
Design: Baseline dietary, anthropometric, and lifestyle characteristics were collected. Major events of CHD (fatal and nonfatal myocardial infarction and coronary revascularization) were identified through a review of clinical records. Analyses were stratified by center and adjusted for hypertension, smoking, education, menopause, physical activity, anthropometric measures, nonalcohol energy, alcohol, total meat, vegetables in analyses for fruit, and fruit in analyses for vegetables.
Results: During a mean follow-up of 7.85 y, 144 major CHD events were identified. A strong reduction in CHD risk among women in the highest quartile of consumption of leafy vegetables (hazard ratio: 0.54; 95% CI: 0.33, 0.90; P for trend = 0.03) and olive oil (hazard ratio: 0.56; 95% CI: 0.31, 0.99; P for trend = 0.04) was found. In contrast, no association emerged between fruit consumption and CHD risk.
Conclusion: An inverse association between increasing consumption of leafy vegetables and olive oil and CHD risk emerged in this large cohort of Italian women.
Increasing longevity, along with an aging population in Europe, has caused serious concerns about diet-related chronic diseases such as obesity, diabetes, cardiovascular diseases, and certain ...cancers. As recently noted during the coronavirus pandemic, regular exercise and a robust immune system complemented by adequate consumption of fruit and vegetables are recommended due to their known health benefits. Although the volume of fresh vegetable consumption in the EU is barely growing, demand for diversified, nutritious, and exotic vegetables has been increasing. Therefore, the European market for fresh Asian vegetables is expected to expand across the EU member states, and the introduction of new vegetables has enormous potential. We conducted this review to address the high number and wide range of Asian vegetable species with a commercial potential for introduction into the current European vegetable market. Many of them have not received any attention yet. Four Asian vegetables: (1) Korean ginseng sprout, (2) Korean cabbage, (3) Coastal hog fennel and (4) Japanese (Chinese or Korean) angelica tree, are further discussed. All of these vegetables possess several health benefits, are increasingly in demand, are easy to cultivate, and align with current trends of the European vegetable market, e.g., vegetables having a unique taste, higher value, are decorative and small. Introducing Asian vegetables will enhance the diversity of nutritious horticultural products in Europe, associated with all their respective consumption benefits. Future research on the Asian vegetable market within Europe is needed. In addition, experimental studies of Asian vegetables under practical conditions for their production in different European environments are required. Economic, social, and ecological aspects also ought to be considered.