[Diet and prevention of obesity].

Acta medica Austriaca Pub Date : 2004-01-01
Ingrid Kiefer
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Abstract

Today obesity has already reached epidemic proportions in the industrialised nations and is seen as the main problem of this century. Because of the epidemiological situation and the risk of associated and resultant illnesses it is, in future, particularly important to strengthen the awareness of the problem amongst the general population, among experts in the fields of health and politics, as well as to develop public health strategies for health promotion, to reinforce target group oriented prevention measures in appropriate settings, and offer professional therapies in accordance with evidence-based guidelines. Within the framework of nutritional therapy, the general nutritional recommendations, (<30 En% fat, >55 En% carbohydrates, 10-15 En% protein) combined with a daily energy deficit of 300-1000 kcal are accepted for chronic disease prevention. In order to avoid long-term deficits in intake of macro- and micro-nutrients, a varied diet is recommended. The aim, not only of therapy, but also of prevention is a long-term change in dietary practices, which can only be achieved in combination with exercise and implementation of suitable behavioural methods.

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饮食和预防肥胖。
今天,肥胖在工业化国家已经达到流行病的程度,并被视为本世纪的主要问题。鉴于流行病学状况和相关疾病的风险,今后特别重要的是加强普通民众、卫生和政治领域的专家对这一问题的认识,以及制定促进健康的公共卫生战略,在适当的环境中加强面向目标群体的预防措施,并根据循证准则提供专业治疗。在营养治疗的框架内,一般营养建议(55 %碳水化合物,10-15 %蛋白质)加上每日能量不足300-1000千卡被接受为预防慢性疾病。为了避免宏观和微量营养素摄入的长期不足,建议多样化的饮食。不仅是治疗,而且预防的目的是长期改变饮食习惯,这只能通过锻炼和实施适当的行为方法来实现。
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