Lecture 11 - Populaion health approach to Managing metabolic syndrome Flashcards
Whats different about diabetes in india?
you don’t have to be fat to get it - big drain on the economy
What are some of the causes/triggers of metabolic syndrome?
Genetics, epigenetics
external food supply and its availablilty (processed food diet)
Behaviour - choices, not much money - big Mac meals
Psycho-social: countries with biggest gap in waeth have the largest levels of metabolic syndromes. Obese people seem as “deficient”, especiialy in childhood
Complexity of the condition and its associated morbidities that have to be treated, alleviates
What are the traditional management options open to public health?
Education and incentives - change populations knowledge base
Regulation of the food found to be dangerous to health
Consuder behaviour modification - taxing alcohol for instance
Regulation of advertising
Economic policy to reduce price of frest food at the expense of fast good
What is the results of health promotion broadly?
Necessary but over time has shwon limited effectiveness in making a significant and sustainable difference
colac trial - interventions still results in experimental and control group both had obesity increases
alone this education won’t solve the problem
the 1905 victorian pure foods act + regulation of hotels is an example of …
Regulation of food for quality and safety
What are some ways to reguluate fast food?
ban trans-fats as a toxic substance - forcing replacement with unsaturated oils
legislate for a staged reduction in the use of HFCS as a sweetener and as a preservating - stops supermarkets stocking shelves with long life produce
What are the problems with food regulation?
millions of people depend on food manufacturing and retailing for their livlihoods
Do tax rises on products work to modify behaviour?
shown to work with alcohol - alcopops
In Australia concerted action is needed from governments in four broad areas, what are they?
provide leadership to set the agenda and show the way
Advocate for a multi-sector response and establish the mechanisms for all sectors to engage and enhance action
develop and implement policies to create healthier food and activity environments
secure increased and continued funding of reduce obesogenic environments and promote healthy eatingand physical activity
What is being asked for by rural Australia?
Withdraw from “Free trade agreements” that permit importing into Australia of fresh food (e.g oranges from California)
Follow example of USA, EU and subsidise food producing agriculture to make farming viable, save rural economies and bring price of fresh food down in shops
Fund subsidisation of agriculture by taxes on tobacco, alcohol, fast food chains, dangerous preservatives
Invest in high-tech solutions/relocation to survive climate change effects and summer heat
