14 research outputs found
NorBaGreen uuring: tervisliku toitumise indikaatoritena kĂ€sitletavate toidurĂŒhmade tarbimine Eestis
Puu- ja köögiviljade, marjade, leiva ja kala tarbimist on rahvusvahelised eksperdid soovitanud jĂ€lgida kui tervisliku toitumise indikaatoreid. NorBaGreen projekti eesmĂ€rgiks oli saada vĂ”rreldavad andmed PĂ”hja- ja Baltimaade tervisliku toitumise indikaatoritena kĂ€sitletavate toidurĂŒhmade tarbimissageduse kohta ning töötada vĂ€lja valideeritud metoodika tarbimise seireks. Igast riigist osales ligikaudu tuhat tĂ€iskasvanut vanuses 15â74 aastat. VĂ”rreldes varasemate uuringutega on Eesti inimeste toitumine muutunud
tervislikumaks, eelkÔige kÔrgema hariduse ja suurema sissetulekuga inimeste hulgas.
Eesti Arst 2004; 83 (12): 811â81
RinnavÀhi sÔeluuringu programmi hindamise tulemused
Eestis on rinnavĂ€hi varajase avastamise sĂ”eluuringut, mis on haigekassa rahastatav sihtotstarbeline ennetusprojekt, korraldatud alates 2002. aastast. Ravikindlustusraha efektiivse ja sihtotstarbelise kasutamise tagamiseks tehti 2006. aastal âRinnavĂ€hi varajase avastamise projekti 2002â2006â vĂ€lishindamine. SĂ”eluuringu tulemuslikkus ja juhtimise korraldus vastab ĂŒldjoontes rahvusvahelistele standarditele. Uuringuprogrammi puudusteks on see, et ei ole kaasatud ravikindlustuseta isikud, samuti puudub isikustatud sĂ”eluuringu andmebaas. Vajalik oleks uuringurĂŒhma laiendada, haarates kaasa 60â69aastased ja ravikindlustuseta naised.
Eesti Arst 2007; 86 (11): 791â79
Rohkem tÀhelepanu toitumisele
Ăigel toitumisel on tĂ€htis osa sĂŒdame-veresoonkonnahaiguste ennetamisel. Ekspertide hinnangul on ligi kolmandik sĂŒdame-veresoonkonnahaigustest Euroopas pĂ”hjustatud ebatervislikust ja tasakaalustamata toitumisest. Eesti inimeste toitumisharjumused on viimastel aastatel paranenud tervisliku toitumise suunas. Artiklis on toodud Eesti toitumissoovituste pĂ”hiseisukohad.
Eesti Arst 2006; 85 (4): 313â31
Impact of nonoptimal intakes of saturated, polyunsaturated, and trans fat on global burdens of coronary heart disease
Background: Saturated fat (SFA), Ïâ6 (nâ6) polyunsaturated fat (PUFA), and trans fat (TFA) influence risk of coronary heart disease (CHD), but attributable CHD mortalities by country, age, sex, and time are unclear. Methods and Results: National intakes of SFA, nâ6 PUFA, and TFA were estimated using a Bayesian hierarchical model based on countryâspecific dietary surveys; food availability data; and, for TFA, industry reports on fats/oils and packaged foods. Etiologic effects of dietary fats on CHD mortality were derived from metaâanalyses of prospective cohorts and CHD mortality rates from the 2010 Global Burden of Diseases study. Absolute and proportional attributable CHD mortality were computed using a comparative risk assessment framework. In 2010, nonoptimal intakes of nâ6 PUFA, SFA, and TFA were estimated to result in 711 800 (95% uncertainty interval [UI] 680 700â745 000), 250 900 (95% UI 236 900â265 800), and 537 200 (95% UI 517 600â557 000) CHD deaths per year worldwide, accounting for 10.3% (95% UI 9.9%â10.6%), 3.6%, (95% UI 3.5%â3.6%) and 7.7% (95% UI 7.6%â7.9%) of global CHD mortality. Tropical oilâconsuming countries were estimated to have the highest proportional nâ6 PUFAâ and SFAâattributable CHD mortality, whereas Egypt, Pakistan, and Canada were estimated to have the highest proportional TFAâattributable CHD mortality. From 1990 to 2010 globally, the estimated proportional CHD mortality decreased by 9% for insufficient nâ6 PUFA and by 21% for higher SFA, whereas it increased by 4% for higher TFA, with the latter driven by increases in lowâ and middleâincome countries. Conclusions: Nonoptimal intakes of nâ6 PUFA, TFA, and SFA each contribute to significant estimated CHD mortality, with important heterogeneity across countries that informs nationâspecific clinical, public health, and policy priorities.peer-reviewe
Childrenâs and adolescentsâ rising animal-source food intakes in 1990â2018 were impacted by age, region, parental education and urbanicity
Animal-source foods (ASF) provide nutrition for children and adolescentsâ physical and cognitive development. Here, we use data from the Global Dietary Database and Bayesian hierarchical models to quantify global, regional and national ASF intakes between 1990 and 2018 by age group across 185 countries, representing 93% of the worldâs child population. Mean ASF intake was 1.9 servings per day, representing 16% of children consuming at least three daily servings. Intake was similar between boys and girls, but higher among urban children with educated parents. Consumption varied by age from 0.6 at <1 year to 2.5 servings per day at 15â19 years. Between 1990 and 2018, mean ASF intake increased by 0.5 servings per week, with increases in all regions except sub-Saharan Africa. In 2018, total ASF consumption was highest in Russia, Brazil, Mexico and Turkey, and lowest in Uganda, India, Kenya and Bangladesh. These findings can inform policy to address malnutrition through targeted ASF consumption programmes.publishedVersio
Incident type 2 diabetes attributable to suboptimal diet in 184 countries
The global burden of diet-attributable type 2 diabetes (T2D) is not well established. This risk assessment model estimated T2D incidence among adults attributable to direct and body weight-mediated effects of 11 dietary factors in 184 countries in 1990 and 2018. In 2018, suboptimal intake of these dietary factors was estimated to be attributable to 14.1 million (95% uncertainty interval (UI), 13.8â14.4 million) incident T2D cases, representing 70.3% (68.8â71.8%) of new cases globally. Largest T2D burdens were attributable to insufficient whole-grain intake (26.1% (25.0â27.1%)), excess refined rice and wheat intake (24.6% (22.3â27.2%)) and excess processed meat intake (20.3% (18.3â23.5%)). Across regions, highest proportional burdens were in central and eastern Europe and central Asia (85.6% (83.4â87.7%)) and Latin America and the Caribbean (81.8% (80.1â83.4%)); and lowest proportional burdens were in South Asia (55.4% (52.1â60.7%)). Proportions of diet-attributable T2D were generally larger in men than in women and were inversely correlated with age. Diet-attributable T2D was generally larger among urban versus rural residents and higher versus lower educated individuals, except in high-income countries, central and eastern Europe and central Asia, where burdens were larger in rural residents and in lower educated individuals. Compared with 1990, global diet-attributable T2D increased by 2.6 absolute percentage points (8.6 million more cases) in 2018, with variation in these trends by world region and dietary factor. These findings inform nutritional priorities and clinical and public health planning to improve dietary quality and reduce T2D globally.publishedVersio
The comparability, reproducibility and validity of Estonian food consumption surveys. Eesti toidu tarbimise uuringute valiidsus, reprodutseeritavus ja rahvusvaheline v\uf5rreldavus
The comparability, reproducibility and validity of Estonian food consumption surveys. Eesti toidu tarbimise uuringute valiidsus, reprodutseeritavus ja rahvusvaheline v\uf5rreldavus
EmakakaelavÀhi sÔeluuringu korraldus ja tulemused Eestis
EmakakaelavĂ€hi ja emakakaela prekantseroossete seisundite avastamiseks kasutatakse tsĂŒtoloogilist Pap-testi. Organiseeritud emakakaelavĂ€hi sĂ”eluuring on tĂ”enduspĂ”hine meede, mis vĂ€hendab emakakaelavĂ€hki haigestumist ja suremust. Ăleeestilist emakakaelavĂ€hi sĂ”eluuringut alustati 2003. aastal. Aastatel 2003â2008 on emakakaelavĂ€hi sĂ”eluuringus osalenud 48 987 naist. VĂ€hieelne seisund avastati 5,6%-l uuritutest ning kokku on avastatud ĂŒle 30 emakakaelavĂ€hi juhu. Eestis on emakakaelavĂ€hi sĂ”eluuring toimunud suhteliselt lĂŒhikest aega, mistĂ”ttu mĂ”ju emakakaelavĂ€hki haigestumusele ja suremusele ei ole veel avaldunud.
Eesti Arst 2009; 88(11):748â75