Lifestyle interventions

English

South African children at risk for future diseases: the way forward

South Africa is a land of paradoxes. South Africans deservedly celebrated an exceptional Rugby World Cup victory in 2007, but we most definitely are not yet winning the battle against inactivity and overweight among the nation’s young people – which is placing them at substantial risk for chronic diseases such as type 2 diabetes, obesity, heart disease, and certain types of cancer. South Africa has the added challenge of dealing with a double burden of disease: the chronic non-communicable diseases mentioned above and communicable diseases such as HIV/AIDS and tuberculosis.

Editor's surprise

Editior-in-chief 's editorial

The North Karelia Project: 30 years successfully preventing chronic diseases

After World War II, chronic diseases, cardiovascular diseases in particular, became a major public health problem in industrialized countries. These diseases were perceived as diseases of affluence. Finland was hit hard: in the 1960s, Finland had the world’s highest rate of deaths from coronary heart disease. Middle-aged men were dying in great numbers. The rates were even higher in the east of the country – the highest figures being in the Province of North Karelia.

The CARMEN initiative - Latin America's response to the chronic disease burden

In most countries in the Americas, chronic diseases are now the leading cause of premature death and disability. Responsible for two of every three deaths among the general population, chronic diseases caused almost half of the mortality in people under 70 years old in 2002. The significant socio-economic inequities in Latin America compound the burden of chronic disease (including early death) among poorer people, locking many into a cycle of deprivation and ill-health.

Preparing a global healthcare workforce for the challenge of chronic conditions

Chronic conditions are increasing. The number of people affected by chronic non-communicable conditions, including diabetes and heart disease, is growing worldwide. Collectively, chronic conditions were responsible for 35 million – a full 60% – of all deaths in 2005. This is twice the number of deaths due to infectious diseases, poor maternal health and malnutrition combined. In addition to causing high death rates, chronic conditions account for almost half of the world’s disability.

Improving self-efficacy in the search for cost-effective solutions - the Indonesian experience

The burden of diabetes has increased dramatically in most developed countries and in many developing countries. People’s perceptions and knowledge about their diabetes, as well as other psychological factors, are important predictors for the success of diabetes self-management. Indonesia’s population of more than 240 million people faces a wide range of health problems – both communicable and non-communicable diseases – which are placing a huge burden on the country’s healthcare sector.


Enhancing literacy and life skills among people with diabetes in Argentina

Around 780 million adults worldwide – most of them living in developing countries – are locked into a life of isolation and poverty because they cannot read or write. In people with diabetes, low literacy severely complicates the day-to-day management of their condition or, indeed, entirely precludes effective self-care – in many cases leading to tragic consequences.


Preparing for global urbanization

Editorial of the President

Family-centred education for migrants with diabetes in Scotland

A culturally sensitive, intensive diabetes education service is being delivered in the community to people of ethnic-minority origin living with type 2 diabetes in Lothian, Scotland. Designed by a pharmacist, the initiative began as a research project, but the effectiveness and popularity of the programme resulted in its development and implementation as part of the local diabetes care package.

Redesigning the urban environment to promote physical activity in Southern India

Type 2 diabetes has become the most common metabolic disorder. Its prevalence is growing most rapidly among people in the developing world, primarily due to the rapid demographic and epidemiological changes in these regions. According to IDF, India currently leads the world with an estimated 41 million people with diabetes; this figure is predicted to increase to 66 million by 2025. The diabetes epidemic is more pronounced in urban areas in India, where rates of diabetes are roughly double those in rural areas.

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