Recomendaciones para luchar contra el cambio climático mediante la alimentación
1. Comer poca carne
2. Reducir el sobre consumo de energía (disminuir las tasas de obesidad)
The PREDIMED study was a randomized controlled trial that assigned 7,447 subjects at high risk of cardiovascular disease to one of three diets: a Mediterranean diet supplemented with extra virgin olive oil, a Mediterranean diet supplemented with nuts, or a control low-fat diet. The study found that both Mediterranean diet groups had a 30% reduction in the primary composite endpoint of myocardial infarction, stroke, or cardiovascular death compared to the control diet after a median follow up of 4.8 years. Adherence to a Mediterranean diet was shown to provide cardiovascular benefits for primary prevention.
- Unhealthy diets high in trans and saturated fats, sugar and sodium are linked to non-communicable diseases like heart disease and diabetes.
- Evidence shows replacing red meat with plant-based proteins or fish, and increasing intake of fruits and vegetables can significantly reduce risk of chronic diseases.
- Agricultural policies and research priorities should promote production of nuts, legumes, fish, and whole grains while limiting red meat and refined grains to guide healthier global diets.
This document is a presentation by Dr. Jered Cook on low carbohydrate high fat diets. It begins by discussing the obesity and diabetes epidemics in the US and how current dietary guidelines recommending low fat intake may have contributed to increased sugar and carbohydrate consumption. It then reviews the current USDA and ACC/AHA dietary guidelines. Various food items are discussed, with potatoes being linked to increased diabetes and hypertension risk, while tree nuts, coffee and fiber intake are associated with reduced cardiovascular disease risk. Dairy fat intake also does not appear to increase disease risk. The presentation concludes by discussing the basics of the ketogenic diet and its potential effects on cardiovascular health.
This document discusses inflammation and diet. It begins by defining inflammation and listing conditions it can cause or prompt. It then contrasts historical diets with modern Western diets, noting people historically ate equal amounts of anti-inflammatory omega-3 and pro-inflammatory omega-6 fatty acids, unlike today. Foods are categorized by their omega-6 to omega-3 ratios, with whole foods like fruit and fish generally anti-inflammatory and refined foods pro-inflammatory. Dietary modifications, grains, supplements like fish oil and vitamin D that fight inflammation are also outlined.
This document discusses the best diet for preventing coronary heart disease (CHD). It reviews evidence from epidemiological studies and clinical trials showing that a diet low in saturated fat and cholesterol and high in monounsaturated fat, fish, fruits and vegetables can significantly reduce CHD risk and mortality. Specifically, it recommends a diet that is low in saturated fat and cholesterol, includes fish 2+ times per week, 7+ servings of fruits and vegetables daily, whole grains, nuts, soy protein, soluble fiber and phytosterols as part of a heart-healthy dietary pattern. This "polymeal" approach could potentially reduce cardiovascular disease risk by over 75% according to the evidence presented.
This randomized study compared the effects of a Nordic diet versus a control diet high in refined wheat and butter on insulin sensitivity, lipid profiles, and inflammation markers in individuals with metabolic syndrome. 200 participants were randomized to either the Nordic diet rich in berries, root vegetables, fish, rye, and canola oil or the control diet for 18-24 weeks. The Nordic diet led to improvements in some lipid parameters and the inflammatory marker IL-1Ra compared to the control diet. However, there were no differences between the diets in terms of LDL, HDL cholesterol, insulin sensitivity, blood glucose, blood pressure, or other inflammation markers. The control diet was not representative of participants' usual diets and may have been
The document discusses the Cretan diet and its potential health benefits that have been studied since the 1950s. Some key findings from studies include very low mortality rates in Crete compared to other Mediterranean and Western countries. The Seven Countries Study in the 1960s first revealed the relationship between diet and heart disease. While olive oil consumption has been linked to benefits, more research is still needed to identify the specific dietary components or patterns responsible for the positive health effects associated with the traditional Mediterranean diet.
The document summarizes findings from the Adventist Health Study, a long-term study of lifestyle factors and disease risk among Seventh-day Adventists in California. The study compared disease rates between vegetarian and non-vegetarian Adventists, finding that vegetarians had lower risks of obesity, heart disease, diabetes and certain cancers. Vegetarian diets high in fruits, vegetables and nuts were associated with numerous health benefits.
The PREDIMED study was a randomized controlled trial that assigned 7,447 subjects at high risk of cardiovascular disease to one of three diets: a Mediterranean diet supplemented with extra virgin olive oil, a Mediterranean diet supplemented with nuts, or a control low-fat diet. The study found that both Mediterranean diet groups had a 30% reduction in the primary composite endpoint of myocardial infarction, stroke, or cardiovascular death compared to the control diet after a median follow up of 4.8 years. Adherence to a Mediterranean diet was shown to provide cardiovascular benefits for primary prevention.
- Unhealthy diets high in trans and saturated fats, sugar and sodium are linked to non-communicable diseases like heart disease and diabetes.
- Evidence shows replacing red meat with plant-based proteins or fish, and increasing intake of fruits and vegetables can significantly reduce risk of chronic diseases.
- Agricultural policies and research priorities should promote production of nuts, legumes, fish, and whole grains while limiting red meat and refined grains to guide healthier global diets.
This document is a presentation by Dr. Jered Cook on low carbohydrate high fat diets. It begins by discussing the obesity and diabetes epidemics in the US and how current dietary guidelines recommending low fat intake may have contributed to increased sugar and carbohydrate consumption. It then reviews the current USDA and ACC/AHA dietary guidelines. Various food items are discussed, with potatoes being linked to increased diabetes and hypertension risk, while tree nuts, coffee and fiber intake are associated with reduced cardiovascular disease risk. Dairy fat intake also does not appear to increase disease risk. The presentation concludes by discussing the basics of the ketogenic diet and its potential effects on cardiovascular health.
This document discusses inflammation and diet. It begins by defining inflammation and listing conditions it can cause or prompt. It then contrasts historical diets with modern Western diets, noting people historically ate equal amounts of anti-inflammatory omega-3 and pro-inflammatory omega-6 fatty acids, unlike today. Foods are categorized by their omega-6 to omega-3 ratios, with whole foods like fruit and fish generally anti-inflammatory and refined foods pro-inflammatory. Dietary modifications, grains, supplements like fish oil and vitamin D that fight inflammation are also outlined.
This document discusses the best diet for preventing coronary heart disease (CHD). It reviews evidence from epidemiological studies and clinical trials showing that a diet low in saturated fat and cholesterol and high in monounsaturated fat, fish, fruits and vegetables can significantly reduce CHD risk and mortality. Specifically, it recommends a diet that is low in saturated fat and cholesterol, includes fish 2+ times per week, 7+ servings of fruits and vegetables daily, whole grains, nuts, soy protein, soluble fiber and phytosterols as part of a heart-healthy dietary pattern. This "polymeal" approach could potentially reduce cardiovascular disease risk by over 75% according to the evidence presented.
This randomized study compared the effects of a Nordic diet versus a control diet high in refined wheat and butter on insulin sensitivity, lipid profiles, and inflammation markers in individuals with metabolic syndrome. 200 participants were randomized to either the Nordic diet rich in berries, root vegetables, fish, rye, and canola oil or the control diet for 18-24 weeks. The Nordic diet led to improvements in some lipid parameters and the inflammatory marker IL-1Ra compared to the control diet. However, there were no differences between the diets in terms of LDL, HDL cholesterol, insulin sensitivity, blood glucose, blood pressure, or other inflammation markers. The control diet was not representative of participants' usual diets and may have been
The document discusses the Cretan diet and its potential health benefits that have been studied since the 1950s. Some key findings from studies include very low mortality rates in Crete compared to other Mediterranean and Western countries. The Seven Countries Study in the 1960s first revealed the relationship between diet and heart disease. While olive oil consumption has been linked to benefits, more research is still needed to identify the specific dietary components or patterns responsible for the positive health effects associated with the traditional Mediterranean diet.
The document summarizes findings from the Adventist Health Study, a long-term study of lifestyle factors and disease risk among Seventh-day Adventists in California. The study compared disease rates between vegetarian and non-vegetarian Adventists, finding that vegetarians had lower risks of obesity, heart disease, diabetes and certain cancers. Vegetarian diets high in fruits, vegetables and nuts were associated with numerous health benefits.
The document summarizes research on dietary changes in Crete, Greece over time. It compares data from a 1948 survey of the traditional Cretan diet to data from 2006-2007. The traditional Cretan diet was high in plant foods like olive oil, cereals, pulses, and vegetables. Animal products and bread were consumed in moderation. The modern Cretan diet still incorporates many traditional foods but has seen an increase in foods like fast food, soft drinks, and a decrease in cereal consumption from the traditional diet. While longevity in Crete remains high compared to other regions, chronic disease risks are rising with the dietary shifts away from the original Mediterranean diet.
Mediterranean diet primary prevention of cvd journal clubpkhohl
This document summarizes a randomized controlled trial that evaluated the effects of a Mediterranean diet on cardiovascular outcomes. Over 7400 Spanish adults at high risk of cardiovascular disease were randomly assigned to one of three diets: a Mediterranean diet with extra virgin olive oil, a Mediterranean diet with mixed nuts, or a control diet low in fat. After a median follow up of 4.8 years, the Mediterranean diet groups had a 30% lower relative risk of major cardiovascular events like heart attack and stroke compared to the control group. The Mediterranean diet was found to reduce the risk of stroke but not other individual endpoints like heart attack or death. Adherence was greater in the Mediterranean diet groups.
1 yini salas-salvado - yogurt and diabetes - 2015 - san diegoCharlotte Baecke
This document summarizes recent research on the relationship between yogurt consumption and risk of diabetes. A study in the PREDIMED cohort found that higher total and low-fat dairy consumption was associated with a lower risk of diabetes, while milk consumption showed no significant association. Both low-fat and whole-fat yogurt consumption were independently associated with lower diabetes risk, with each additional daily serving of yogurt associated with a 33% lower risk. Replacing one serving of other foods with yogurt or low-fat milk was also associated with reduced diabetes risk.
This document summarizes a presentation given to Harvard Medical Students on plant-based nutrition. It discusses the speaker's goals of exploring myths and engaging the science on this topic. It then reviews human anatomy and physiology to argue humans are anatomically herbivorous. It discusses concerns about protein, vitamins/minerals, and presents evidence that a well-planned plant-based diet can support health and reduce risks of chronic diseases like heart disease, diabetes, and cancer. Overall, the presentation makes the case that a plant-based diet can be nutritionally adequate and have health benefits.
This presentation compares the effects of different animal proteins on cancer, diabetes, heart disease and stroke. Presentation covers fish, dairy, poultry, red meat, processed meat and eggs.
GNLD offers a range of nutritional supplements to support overall health and wellness. Their products are designed to (1) combat chronic diseases like heart disease and diabetes, which are on the rise globally due to poor diets and lifestyles, (2) promote heart health through supplements that support healthy cholesterol and triglyceride levels, and (3) aid weight loss and management through their GR2 Control program, which is based on glycemic control and lifestyle changes. GNLD uses whole food ingredients backed by scientific research to formulate their supplements.
This document outlines a medical school lecture on nutrition and cardiovascular disease. It discusses several nutritional risk factors that contribute to cardiovascular disease risk, including dyslipidemia, hypertension, and type 2 diabetes. Lifestyle factors such as diet, exercise, smoking and alcohol consumption are described as influencing these risk factors. The document provides statistics on cardiovascular disease prevalence in Australia and worldwide, and recommends dietary approaches to reduce cardiovascular disease risk at both the individual and population levels.
This document provides an overview of integrated renal care and the role of renal diet and nutritional counseling. It discusses the stages of chronic kidney disease and care processes. Key points include:
- Nutritional assessment and counseling are important parts of renal care provided by a renal dietitian.
- Diet must be individualized based on a patient's kidney disease stage, lab results, nutrition status and other factors.
- Diet focuses on managing calories, protein, carbohydrates, fat, sodium, fluids, phosphorus and other minerals.
- Malnutrition is common in kidney disease and dialysis, so nutritional monitoring and counseling are essential.
The document discusses the Mediterranean diet and its health benefits. It describes the Mediterranean diet as being primarily plant-based, using olive oil, and featuring high consumption of vegetables, fruits, legumes, and fish or seafood. Studies have found that adhering closely to the Mediterranean diet is associated with reduced risks of mortality from cancer, cardiovascular disease, and neurodegenerative conditions like Parkinson's and Alzheimer's disease.
The document discusses the Mediterranean diet and its health benefits. It was conceived as a modern adaptation of the traditional Mediterranean diet called the MODMED diet. The Mediterranean diet is high in fruits, vegetables, whole grains, legumes, fish, and olive oil and low in red meat and saturated fat. Clinical studies have shown the Mediterranean diet reduces risk of heart disease, obesity, cancer, and other chronic diseases. It has also been shown to help with weight loss and control of blood pressure and cholesterol levels. The diet has evolved over time but maintains its core healthy principles of plant-based foods and healthy fats from olive oil and fish.
What constitutes "Women's Health" issues? All too often this category is hijacked with conversations related exclusively to sex and breast care. In this revealing conversation we review other topics related to women's health and the relationship to "plant based nutrition" and general preventive strategies
Presentation by Cristina Tirado, DVM, PhD, Director of the Center for Public Health and Climate Change, at the 2012 Agriculture and Rural Development Day in Rio de Janiero, Learning Event No. 8, Session 2: Ensuring nutrition while fostering healthy and sustainable eating patterns.
Phytonutrients and Cardiovascular Disease webinar slidesmilfamln
What are phytonutrients/phytochemicals? How are they beneficial? How does inflammation play a role in the progression heart disease? We all know diet has a significant impact on the development of cardiovascular disease. This webinar will explore plant food components, bioactive phytonutrients, with health benefits and their effect on prevention of cardiovascular disease.
Learning objectives:
1. The participant will be able to explain the state of the art of the science behind the effect of bioactive compounds in plant foods related to cardiovascular disease.
2. The participant will be able to discuss the potential of fruit and vegetable flavonoids on heart health implications and their capacity to protect against chronic diseases.
3. The participant will be able to identify the sources of bioactive compounds in the diet and educate clients/patients in selecting foods to reduce their risk of cardiovascular disease.
Approved for 1.0 CPEU for Registered Dietitians
Learn about the Mediterranean diet, including its role in preventing cardiovascular disease. Find out how the Mediterranean diet can help protect and improve your health and increase your odds for a long life.
Cancer is characterized by uncontrolled cell growth. There are over 100 types of cancer including breast, skin, colon, prostate, lymphoma, lung, cervical, and oral cancer. Globally in 2012, 8.2 million people died from cancer. Common causes of cancer include tobacco use, alcohol consumption, unhealthy diet, pollution, certain infections, and genetic factors. Signs and symptoms vary depending on the cancer type but may include lumps, unexplained weight loss, changes in bowel or bladder habits, and persistent coughing or difficulty swallowing. Diet and lifestyle factors can both increase and decrease cancer risk.
Predimed study is one of the few truly long term randomized trials with disease and mortality outcomes. It is unique in many ways and will have a strong and lasting impact
Naturopathic Oncology - Nutritional Treatment - Third in a SeriesSheldon Stein
1) The document discusses nutritional treatments for cancer patients after remission or cure to prevent recurrence. It notes that 60-70% of cancers recur and discusses lifestyle and dietary factors that can influence this.
2) A study of breast cancer survivors found that those eating more fruits/vegetables and whole grains and less red meat and refined grains had lower mortality from other causes.
3) The document outlines a nutritional protocol for cancer patients involving supplements, juices, and lifestyle changes to support the immune system and reduce oxidative stress and recurrence risk.
L’habitatge, més que un sostre: la pobresa energètica
Incapacitat d’una llar per a assegurar un nivell socialment i materialment necessari de serveis energètics a l’habitatge (PE).A Europa entre 50-125 milions de persones pateixen en PE.
A Barcelona: 9,4% (2,9% Les Corts –21,1% Ciutat Vella).
En població en risc de pobresa es duplica.
The document summarizes research on dietary changes in Crete, Greece over time. It compares data from a 1948 survey of the traditional Cretan diet to data from 2006-2007. The traditional Cretan diet was high in plant foods like olive oil, cereals, pulses, and vegetables. Animal products and bread were consumed in moderation. The modern Cretan diet still incorporates many traditional foods but has seen an increase in foods like fast food, soft drinks, and a decrease in cereal consumption from the traditional diet. While longevity in Crete remains high compared to other regions, chronic disease risks are rising with the dietary shifts away from the original Mediterranean diet.
Mediterranean diet primary prevention of cvd journal clubpkhohl
This document summarizes a randomized controlled trial that evaluated the effects of a Mediterranean diet on cardiovascular outcomes. Over 7400 Spanish adults at high risk of cardiovascular disease were randomly assigned to one of three diets: a Mediterranean diet with extra virgin olive oil, a Mediterranean diet with mixed nuts, or a control diet low in fat. After a median follow up of 4.8 years, the Mediterranean diet groups had a 30% lower relative risk of major cardiovascular events like heart attack and stroke compared to the control group. The Mediterranean diet was found to reduce the risk of stroke but not other individual endpoints like heart attack or death. Adherence was greater in the Mediterranean diet groups.
1 yini salas-salvado - yogurt and diabetes - 2015 - san diegoCharlotte Baecke
This document summarizes recent research on the relationship between yogurt consumption and risk of diabetes. A study in the PREDIMED cohort found that higher total and low-fat dairy consumption was associated with a lower risk of diabetes, while milk consumption showed no significant association. Both low-fat and whole-fat yogurt consumption were independently associated with lower diabetes risk, with each additional daily serving of yogurt associated with a 33% lower risk. Replacing one serving of other foods with yogurt or low-fat milk was also associated with reduced diabetes risk.
This document summarizes a presentation given to Harvard Medical Students on plant-based nutrition. It discusses the speaker's goals of exploring myths and engaging the science on this topic. It then reviews human anatomy and physiology to argue humans are anatomically herbivorous. It discusses concerns about protein, vitamins/minerals, and presents evidence that a well-planned plant-based diet can support health and reduce risks of chronic diseases like heart disease, diabetes, and cancer. Overall, the presentation makes the case that a plant-based diet can be nutritionally adequate and have health benefits.
This presentation compares the effects of different animal proteins on cancer, diabetes, heart disease and stroke. Presentation covers fish, dairy, poultry, red meat, processed meat and eggs.
GNLD offers a range of nutritional supplements to support overall health and wellness. Their products are designed to (1) combat chronic diseases like heart disease and diabetes, which are on the rise globally due to poor diets and lifestyles, (2) promote heart health through supplements that support healthy cholesterol and triglyceride levels, and (3) aid weight loss and management through their GR2 Control program, which is based on glycemic control and lifestyle changes. GNLD uses whole food ingredients backed by scientific research to formulate their supplements.
This document outlines a medical school lecture on nutrition and cardiovascular disease. It discusses several nutritional risk factors that contribute to cardiovascular disease risk, including dyslipidemia, hypertension, and type 2 diabetes. Lifestyle factors such as diet, exercise, smoking and alcohol consumption are described as influencing these risk factors. The document provides statistics on cardiovascular disease prevalence in Australia and worldwide, and recommends dietary approaches to reduce cardiovascular disease risk at both the individual and population levels.
This document provides an overview of integrated renal care and the role of renal diet and nutritional counseling. It discusses the stages of chronic kidney disease and care processes. Key points include:
- Nutritional assessment and counseling are important parts of renal care provided by a renal dietitian.
- Diet must be individualized based on a patient's kidney disease stage, lab results, nutrition status and other factors.
- Diet focuses on managing calories, protein, carbohydrates, fat, sodium, fluids, phosphorus and other minerals.
- Malnutrition is common in kidney disease and dialysis, so nutritional monitoring and counseling are essential.
The document discusses the Mediterranean diet and its health benefits. It describes the Mediterranean diet as being primarily plant-based, using olive oil, and featuring high consumption of vegetables, fruits, legumes, and fish or seafood. Studies have found that adhering closely to the Mediterranean diet is associated with reduced risks of mortality from cancer, cardiovascular disease, and neurodegenerative conditions like Parkinson's and Alzheimer's disease.
The document discusses the Mediterranean diet and its health benefits. It was conceived as a modern adaptation of the traditional Mediterranean diet called the MODMED diet. The Mediterranean diet is high in fruits, vegetables, whole grains, legumes, fish, and olive oil and low in red meat and saturated fat. Clinical studies have shown the Mediterranean diet reduces risk of heart disease, obesity, cancer, and other chronic diseases. It has also been shown to help with weight loss and control of blood pressure and cholesterol levels. The diet has evolved over time but maintains its core healthy principles of plant-based foods and healthy fats from olive oil and fish.
What constitutes "Women's Health" issues? All too often this category is hijacked with conversations related exclusively to sex and breast care. In this revealing conversation we review other topics related to women's health and the relationship to "plant based nutrition" and general preventive strategies
Presentation by Cristina Tirado, DVM, PhD, Director of the Center for Public Health and Climate Change, at the 2012 Agriculture and Rural Development Day in Rio de Janiero, Learning Event No. 8, Session 2: Ensuring nutrition while fostering healthy and sustainable eating patterns.
Phytonutrients and Cardiovascular Disease webinar slidesmilfamln
What are phytonutrients/phytochemicals? How are they beneficial? How does inflammation play a role in the progression heart disease? We all know diet has a significant impact on the development of cardiovascular disease. This webinar will explore plant food components, bioactive phytonutrients, with health benefits and their effect on prevention of cardiovascular disease.
Learning objectives:
1. The participant will be able to explain the state of the art of the science behind the effect of bioactive compounds in plant foods related to cardiovascular disease.
2. The participant will be able to discuss the potential of fruit and vegetable flavonoids on heart health implications and their capacity to protect against chronic diseases.
3. The participant will be able to identify the sources of bioactive compounds in the diet and educate clients/patients in selecting foods to reduce their risk of cardiovascular disease.
Approved for 1.0 CPEU for Registered Dietitians
Learn about the Mediterranean diet, including its role in preventing cardiovascular disease. Find out how the Mediterranean diet can help protect and improve your health and increase your odds for a long life.
Cancer is characterized by uncontrolled cell growth. There are over 100 types of cancer including breast, skin, colon, prostate, lymphoma, lung, cervical, and oral cancer. Globally in 2012, 8.2 million people died from cancer. Common causes of cancer include tobacco use, alcohol consumption, unhealthy diet, pollution, certain infections, and genetic factors. Signs and symptoms vary depending on the cancer type but may include lumps, unexplained weight loss, changes in bowel or bladder habits, and persistent coughing or difficulty swallowing. Diet and lifestyle factors can both increase and decrease cancer risk.
Predimed study is one of the few truly long term randomized trials with disease and mortality outcomes. It is unique in many ways and will have a strong and lasting impact
Naturopathic Oncology - Nutritional Treatment - Third in a SeriesSheldon Stein
1) The document discusses nutritional treatments for cancer patients after remission or cure to prevent recurrence. It notes that 60-70% of cancers recur and discusses lifestyle and dietary factors that can influence this.
2) A study of breast cancer survivors found that those eating more fruits/vegetables and whole grains and less red meat and refined grains had lower mortality from other causes.
3) The document outlines a nutritional protocol for cancer patients involving supplements, juices, and lifestyle changes to support the immune system and reduce oxidative stress and recurrence risk.
Similar to Emili Ros - Impacte de l’alimentació saludable i sostenible en la prevenció de les malalties cròniques (20)
L’habitatge, més que un sostre: la pobresa energètica
Incapacitat d’una llar per a assegurar un nivell socialment i materialment necessari de serveis energètics a l’habitatge (PE).A Europa entre 50-125 milions de persones pateixen en PE.
A Barcelona: 9,4% (2,9% Les Corts –21,1% Ciutat Vella).
En població en risc de pobresa es duplica.
Índex
1. Atenció a processos de risc de pèrdua d’habitatge a la ciutat de Barcelona
2. Conceptualització i marc legislatiu
3. Dimensionament de l’atenció
4. SIPHO 2023
5. Avaluació de la salut emocional
OPENGELA
‐Introducción ‐OPENGELA: programa de regeneración urbana ‐Evaluación de Impacto en salud
‐ Objetivos y contexto en el que surge ‐ Metodología: ¿qué hemos hecho? ‐ Resultados (en proceso)
‐ Conclusiones: la evaluación de impacto en salud de los proceso de regeneración urbana y vivienda
Habitatge cooperatiu en cessió d’ús
Model alternatiu d’habitatge que concep l’habitatge com un bé d’ús i no d’inversió
Motivacions:
Falta d’habitatge assequible
Establir un projecte de vida a llarg termini
Donar valor a la vida en comunitat Model en auge al nostre context
Gairebé 40 projectes a Catalunya, en diferents fases de desenvolupament
Do cities’ (green) revitalization respond to equity and justice goals, or does it just serve as a way to increase (health) inequalities through the process of gentrification and displacement?
But for whom in the mid and long term?
To what extent are intersectional current and mid- term social vulnerabilities accounted for?
Una vivienda digna es aquella cuyas características y condiciones protejan nuestra salud física, mental y social, y favorezcan un estilo de vida cómodo y activo.
Una vivienda digna es aquella cuyas características y condiciones protejan nuestra salud física, mental y social, y favorezcan un estilo de vida cómodo y activo.
Overview
What is housing security?
What do we know about its effects on health?
– Directly
– In the context of housing systems?
– In the context of intergenerational inequalities in housing?
– In the context of climate change adaptation of housing systems?
Based on this evidence, I will reframe:
– The benefits to health, health care expenditure and productivity of addressing insecurity in the housing system – using an example of energy poverty and cold housing.
– The role of housing security as an apex determinant of health.
– The potential for developing an internationally comparable indicators of housing system health.
Draw conclusions
Housing and Health
• Study of the relationship between housing and health has a long history
• But the nature of this interest has evolved over time
• Increasingly housing issues recognised as being interrelated and overlapping
• Historic recognition of the importance of housing to health reflected in housing coming under the Ministry of Health in the UK after WWII, for example
• But policy focus has shifted
Habitatge i salut: una mirada en profunditat als mecanismes implicats
L’habitatge ha estat reconegut com un determinant social
de la salut. El seu impacte en salut s’explica per diferents aspectes, com l’assequibilitat econòmica, la seguretat
en la tinença, els aspectes materials de l’habitatge, el seu significat social i emocional i les característiques físiques i socials del barri on es troba. L’objectiu d’aquestes Jornades és debatre com cadascuna d’aquestes dimensions impacta en la salut de les persones residents i compartir experiències positives de programes i polítiques d’habitatge a nivell local amb un potencial benefici en salut.
Taula rodona: “Reptes dels sistemes alimentaris sobre la salut i el canvi climàtic”
1. La dieta mediterrània s’ha mostrat com la més saludable i sostenible i és la que més evidencia ha tingut en els estudis aleatoritzats sobre la disminució de la incidència de malalties cròniques, de la mortalitat global per aquestes malalties i de la promoció d’un envelliment saludable.
2. Les dietes amb altes emissions de gasos d’efecte hivernacle (GEH) augmenten el risc d’incidència de càncer, malaltia cardiovascular i diabetes, essent els aliments d’origen animal responsables del 60% d’aquestes emissions (40% carn; 20% productes lactis).
3. Les dietes més saludables i sostenibles tenen més baix impacte ambiental, però no són necessàriament les més assequibles, el que obliga a treballar en línies d’acció com l’evolució de dietes basades en proteïnes animals cap a dietes basades en proteïna vegetal.
Escola entorn clau per promoure hàbits saludables
Disseny i avaluació de programes escolars de promoció de l’alimentació saludable i l’activitat física, des de l’educació infantil fins a l’ESO (ASPB)
PASSSAF
Currículum alimentari, nutricional i d’activitat física
Treball coordinat a l’escola dels programes d’alimentació i activitat física (educació infantil a ESO)
Barriers to broader adoption of a planetary health diet in the US
– Food environment (cost and access) – Attitudes, preferences, and norms
• Challenges to reducing meat consumption
• Complicating connections between cooking at home and sustainable diets
La prevenció de les pèrdues i el malbaratament alimentari, un element clau de l’alimentació sostenible.
Jornada: Reptes de la sostenibilitat alimentària per a la salut pública
Raquel Díaz Ruiz – Fundació Espigoladors
Estratègia de ciutat per una Alimentació Saludable i Sostenible Barcelona 2030
Cap a la transformació del sistema alimentari
Jornada: Reptes de la sostenibilitat alimentària per a la salut pública
25 d’Octubre de 2022
Comissionat d’Economia Social, Desenvolupament Local i Política Alimentària
Oficina de Coordinació del Projecte Barcelona Capital Mundial de l’Alimentació Sostenible
More from Agència de Salut Pública de Barcelona - ASPB (20)
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
One health condition that is becoming more common day by day is diabetes.
According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
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Emili Ros - Impacte de l’alimentació saludable i sostenible en la prevenció de les malalties cròniques
1. Impacte de l’alimentació saludable i sostenible
en la prevenció de les malalties cròniques
Emili Ros
Investigador emèrit IDIBAPS.
Hospital Clínic.
Barcelona
2. Conflict of Interest Disclosure
• I have received funds for research through my institution and fees
for research program supervision and lecture presentations from
the California Walnut Commission and I am a nonpaid member of
its Scientific Advisory Committee.
• I have received funds for travel and congress attendance from
the International Nuts and Dried Fruits Council.
• Advisory: Alexion
3. GBD 2017 Diet Collaborators. Lancet 2019;393:1958–1972.
Impact of Suboptimal Diet on Non-Communicable Disease Mortality
4. Principales factores dietéticos responsables de mortalidad
por cualquier causa a nivel global (el año 2017):
1. Ingesta excesiva de sal (3 millones)
2. Baja ingesta de cereales completos (3 m)
3. Baja ingesta de fruta (2,5 m)
4. Dieta baja en frutos secos y semillas (2 m)
5. Dieta baja en verduras (1,5 m)
6. Bajo consumo de pescado (1,5 m)
8. Sustainable healthy diets:
2 …are based on a great variety of unprocessed or minimally processed
foods, balanced across food groups, while restricting highly processed
food and drink products.
3 … include wholegrains, legumes, nuts and an abundance and variety
of fruits and vegetables.
4 … can include moderate amounts of eggs, dairy, poultry and fish, and
small amounts of red meat.
9. Sustainable healthy diets:
9 …maintain greenhouse gas emissions, water and land use, nitrogen
and phosphorus application and chemical pollution within set targets.
10 … preserve biodiversity, including that of crops, livestock, forest-
derived foods and aquatic genetic resources, and avoid overfishing
and overhunting.
10. Sustainable healthy diets:
14 … are built on and respect local culture, culinary practices,
knowledge and consumption patterns, and values on the way food
is sourced, produced and consumed.
15 … are accessible and desirable.
14. Traditional Mediterranean diet
Ancel Keys – 1950-60
Food pattern in Crete, Greece and Southern Italy
Climate & geography + underdevelopment:
wheat (bread, pasta), olive trees (oil), vines (wine)
seasonal vegetables and fruits
Small rural little red meat (1 pig / lamb per family/year)
properties dairy products as yoghurt and cheese
fish/seafood (fresh or pickled / salted)
little sugar
+ considerable physical activity, absence of obesity
15. Characteristics of the Mediterranean diet
• Olive oil as main culinary fat
• Abundant vegetable products
cereals (bread, pasta and rice)
fresh vegetables and fruits
legumes
tree nuts
aromatic herbs and spices
• Frequent intake of fish and shellfish
• Moderate consumption of wine with meals
meat and animal products
• Low intake of milk and milk products
simple sugars
16. Risk reduction associated with a 2-point increase
in a 9-point score of adherence to the MeDiet
Sofi F, et al. Am J Clin Nutr. 2010;92:1189-96.
End point Relative risk (95% CI)
CVD incidence & mortality 0.90 (0.87 – 0.93)
Total mortality 0.92 (0.90 – 0.94)
Cancer mortality or incidence 0.94 (0.92 – 0.96)
Neurodegenerative disease 0.87 (0.81 – 0.94)
17. Risk of mortality from or incidence of CVD associated with a 2-
point increase in a 9-point score of adherence to the MedDiet
Martinez-González MA, et al. Curr Opin Lipidol 2014;25:20–26.
18. Umbrella meta-analysis of prospective studies assessing
adherence to the Mediterranean diet and CVD outcomes
Grosso G, et al. Crit Rev Food Sci Nutr. 2017;57:3218–32.
19. Forest plot of RRs for the association between MeDiet
score (high vs. low) and the risk of Alzheimer’s disease
Wu L, Sun D. Sci Rep. 2017;7:41317
20. Mediterranean diet and cancer.
Summary of meta-analyses of observational studies
Guasch-Ferré M, Willett WC. J Intern Med. 2021;290:549–66.
21. RCTs of dietary patterns with
outcomes of CVD events:
only with the Mediterranean diet
22. de Lorgeril M, et al.
Final Report of the Lyon
Diet
Heart Study.
Circulation 1999;99:779-85.
The Lyon Diet Heart Study. A secondary CHD
prevention trial with a “peculiar” MedDiet
23. PREDIMED Study – Main Outcome: CVD
Estruch R, et al. N Engl J Med. 2018;378:e34.
25. PREDIMED – Other benefits of the MedDiet
• Reduced incident diabetes
• Reduced incidence of atrial fibrillation
• Reduced incidence of peripheral artery disease
• Increased reversion of metabolic syndrome
• Decreased clinical diastolic BP
• Reduced breast cancer rates
• Reduced rates of incident depression
In sub-studies:
• Reduced 24-h BP
• Regression of carotid atheroma
• Improved cognition
26. PREDIMED - 14-point MeDiet score (MEDAS)
1. Olive oil use as main culinary fat 8. Wine ≥7 glasses/wk
2. Olive oil ≥4 tbs/d 9. Legumes ≥3/wk
3. Vegetables ≥2/d 10. Fish & seafood ≥3/wk
4. Fruit ≥3/d 11. Cakes, sweets <3/wk
5. Red meat & meat products <1/d 12. Nuts ≥2/wk
6. Butter, cream, margarine <1/d 13. Poultry > red meats
7. Soda drinks <1/d 14. Sofrito sauce ≥2/wk
Schroeder H, et al. J Nutr. 2011;141:1140-5.
27. Sofrito (salsa) – la receta de la abuela
La abuela Tomate, cebolla, perejil Aceite de oliva Triturar vegetales
Cocer a fuego lento
Muy sabroso, pero también:
• Aumenta la biodisponibilidad del beta-caroteno
(liposoluble – extraído por el aceite)
• Gran carga de polifenoles
• En platos de arroz o pasta refinados: reduce el
índice glicémico
28. Efectos beneficiosos sobre enfermedades no transmisibles de
algunos componentes de la dieta mediterránea
Frutos secos
Frutas y
verduras
Cereales Legumbres
Aceite de oliva Pescado
29. Frutas/verduras y Enfermedades Cardiovasculares.
Meta-análisis de 95 estudios prospectivos
Dosis-respuesta para ECV
Para frutas y verduras combinadas, la reducción de riesgo por cada 200 g/día fue:
• RR: 0.92 (IC 95%, 0.90–0.95) para ECV
• RR: 0.92 (IC 95%, 0.90–0.94) para ECC Datos similares para frutas y verduras aisladas
• RR: 0.84 (IC 95%, 0.76–0.92) para ictus
Aune D, et al. IJE 2017;46:1029-56.
30. Frutas/verduras y mortalidad total.
Meta-análisis de 24 estudios prospectivos
Wang DD, et al. Circulation 2021;1143:1642-54.
Frutas y verduras Frutas Verduras
31. Consumo de legumbres (alto frente a bajo) y riesgo de enf. cardiometabólicas.
Meta-análisis de 28 estudios prospectivos (de 6 meta-análisis).
Viguiliouk E, et al. Adv Nutr. 2019;10:S308–S319.
33. Consumo de cereales integrales (por 90 g/día) y riesgo de ECV y ECC.
Meta-análisis de 45 estudios prospectivos
Aune D, et al. BMJ 2016;353:i2716. RR similares para ictus, mortalidad total y muertes por cáncer
ECV ECC
35. Consumo de aceite de oliva/ácido oleico y ECV.
Meta-análisis de estudios prospectivos
Schwingshackl L, Hoffmann G. Lipids Health Dis. 2014;13:154.
Aceite de oliva
Ácido oleico
36. For each 10-g/2000 Kcal increase in OO consumption, CHD risk
decreased by 3% for refined OO and 14% for virgin OO.
37.
38. Adv Nutr. 2020;11(5):1123-33.
Revisión de 34 meta-análisis de estudios observacionales
obtenidos de 298 estudios prospectivos en los que se
cuantificó la ingesta de pescado mediante encuestas
alimentarias (no suplementos de aceite de pescado). Cada
incremento de 100 g/día en el consumo de pescado se asoció
a una reducción del riesgo de:
• Mortalidad por ECV (RR: 0.75; IC 95%, 0.65-0.87)
• Infarto de miocardio (RR: 0.75; IC 95%, 0.65-0.93)
• Ictus (RR: 0.86; IC 95%, 0.75-0.99)
• Insuficiencia cardiaca (RR: 0.80; IC 95% 0.67-0.95)
39. New Pyramid for a Sustainable Mediterranean diet
Serra-Majem L, et al. Int J Environ Res Public Health 2020;17:8758.
41. Adherence to Mediterranean diet promotes healthy aging
Obesity
Diabetes
MetS
CHD
CKD
Stroke
Depression
Dementia
Parkinson
PAD
Cancer
COPD
Cataracts
Macular degeneration
AF
Osteoporosis
Frailty
HF
42. Foeman KJ, et al. Lancet. 2018;392;2052-90.
Predicción de la esperanza de vida a nivel global en el año 2040
43. Reto para el siglo XXI: El problema de alimentar 9.000
millones de personas dentro de 50 años
La eficiencia de la conversión de materia vegetal en animal es
~10%; está claro que la misma superficie de tierra de cultivo
puede alimentar a mucha más gente si siguen una dieta de
base vegetal, como la dieta mediterránea tradicional.
44. A healthy diet from a sustainable food system promotes
both disease-free longevity and planetary health
The paradigm:
Mediterranean diet
45. Recomendaciones para luchar contra el
cambio climático mediante la alimentación
1. Comer poca carne
2. Reducir el sobreconsumo de energía
(disminuir las tasas de obesidad)
¿Porqué no comer siempre en plato de postre?
(F. Grande Covián)