Nearly 300 million people confirmed chronic diseases in China, sixty percent is associated with lifestyle

Focus on chronic diseases: prevention and control of chronic diseases Can't row slowly

Our reporter Jun-ping wang

August 10, 2016 03:55

Source: People's Daily - the People's Daily

Released by the world health organization, 1 in 10 people in China is diabetes. Recently held in Beijing China cardiovascular disease prevention and control of the action plan for the seminar, experts also pointed out that the cardiovascular disease, cancer, diabetes, respiratory disease, 4 kinds of chronic-disease deaths accounted for 86.6% of all deaths, chronic disease prevention and control of the situation is very serious. Diabetes prevention and control of chronic diseases such as how to? The reporter interviewed the relevant medical experts.

Xiao-hui guo, the first hospital, Beijing university professor introduction, our country is the veritable diabetes first superpower. "Awareness, treatment and control of diabetes patients is still very low, 30.1%, 25.8% and 39.7%, respectively, reflect the Chinese diabetes high fashion trend, the current situation of the low level of control."

"In fact not just diabetes, chronic disease in China in recent years a rapid upward trend." The Chinese academy of engineering, the Chinese preventive medical association long-de wang pointed out that caused by chronic diseases such as cardio-cerebrovascular disease, malignant tumor burden accounted for nearly 70% of the total burden of disease, prevention and control of chronic diseases is urgently needed.

Chronic diseases causing disability, affect the labor ability and quality of life

Expert introduction, is divided into four main types of chronic diseases: cardiovascular disease, such as heart attack and stroke, cancer, chronic respiratory diseases (such as chronic obstructive pulmonary disease and asthma), and diabetes. The harm of chronic disease is mainly caused by damage of important organs such as brain, heart, kidney, easy cause disability, affecting the ability to work and the quality of life, and very expensive medical costs.

Nutrition and chronic diseases among residents in China report (2015) "released by and report statistics, in 2012 the national 18 and older adult hypertension prevalence rate was 25.2%, the prevalence was 9.7%, compared with 2002, the prevalence is increasing. 40 and older chronic obstructive pulmonary disease (copd) prevalence was 9.9%. According to a 2013 national cancer registration results analysis, the cancer incidence is 235/10, lung cancer and breast cancer in men and women come on the first place, cancer incidence is rising in our country for the past ten years. Cardio-cerebrovascular disease, cancer and chronic respiratory diseases as the main cause of death, accounting for 79.4% of the total death, cardio-cerebrovascular disease mortality rate of 271.8/10 of cancer mortality rate of 144.3/10 (the top five were lung cancer, liver cancer, gastric cancer, esophageal cancer, colorectal cancer), chronic respiratory system disease mortality rate of 68/10.

According to statistics, China's existing diagnosed with a chronic illness nearly 300 million people, among them, half of the burden of chronic diseases occurred in people under the age of 65.

The four factors such as alcohol and tobacco can lead to chronic diseases

Chronic disease has become the leading cause of death in urban and rural residents in our country, according to statistics, China's urban and rural chronic diseases accounted for the proportion of all deaths death is as high as 85.3% and 85.3% respectively. Even in poor areas, chronic-disease deaths also nots allow to ignore, the proportion of the impoverished counties has reached to 60%.

The world health organization (who) according to the survey, the etiology of chronic diseases, 60% depends on the individual way of life, and with genetic, medical conditions, social conditions and climate and other factors. In the way of life, diet is not reasonable, lack of physical activity, tobacco use and harmful use of alcohol is four major risk factors of chronic diseases.

China center, deputy director of the centers for disease control and slow disease Wang Lin hong said that in recent years, China's rural economic rapid development, has gradually solve the food and clothing problem, but the rural residents of health resources and knowledge level is relatively low, "rich" have a chink in the wall. Rural areas rapid growth, diabetes prevalence areas prone to diabetes. In 2002 China's rural adult diabetes prevalence was 1.8%, rose to 8.4% in 2010, is rising faster than the urban areas.

Wang Lin rainbow analysis of rural living standards improve and the way the planting mechanization of physical activity is much less than the former, unreasonable dietary and lifestyle led to an increase in risk factors such as obesity, dyslipidemia, residents and rural health resources and knowledge level is relatively low, chronic diseases such as diabetes prone to high-risk.

Long-de wang said that China's adult hypertension prevalence rate rose from 18.6% in 2002 to 21.2% in 2012, nearly 300 million people suffering from high blood pressure. "Awareness, treatment and control are very low. Especially in remote rural areas, many have not had measured the blood pressure, did not know they have high blood pressure. If can not get effective control of hypertension, the stroke will continue to rise."

Dietary reference "ten tennis" principle

Long-de wang said, low energy consumption, including physical exercise too little and daily activities for decreasing the occurrence of chronic disease is the primary factor. He suggested that exercise at least three times a week, and more than half an hour a day on average. The best time to exercise is about 4-5 PM, followed by the evening 2 to 3 hours after meals. Exercise way is given priority to with aerobic exercise, including walking, jogging, swimming and other endurance sports and instrument, the movement of the dumbbell, tubing and so on strength. Endurance and strength movement to combine, even 65 years or older should also for 2 to 3 times per week, 8-10 kinds of exercise of power.

Long-de wang said, reasonable diet can use the principle of "ten tennis" : eat meat every day not more than 1, the size of the staple food is equivalent to two tennis, fruit to ensure that the size of the size of three tennis, vegetables, not less than the size of the 4 tennis. In addition, a day plus "four", that is, 1 egg, 1 kg milk, 1 tofu, the size of a small handful of nuts and 1 piece of poker.

"Fat intake too much in China, the average power ratio is 32.9% dietary fat, high in fat pork consumption increased significantly, more than 25% of Chinese residents' dietary guidelines recommend - 30% of dietary cap." Long-de wang said, solve the problem of unreasonable dietary structure, to the dietary guidelines for Chinese people as a guide, advocate a balanced diet, adhere to China plant food is given priority to dietary pattern, a moderate amount of animal food intake, increase the intake of fruits and vegetables, soy and dairy.

Xiao-hui guo said, "in patients with diabetes, for example, take measures hypoglycemic, step-down, adjusting blood fat and weight control, correct bad habits, such as smoking, alcohol, oil, salt and increased physical activity, can obviously reduce the risk of complications. Smooth and control the condition, delay the complications of patients can be like normal person to enjoy life."

China liang xiaofeng thinks, deputy director of the center for disease control and prevention of chronic diseases prevention and control business can be closely integrated with the Internet. Wearable devices are increasingly used in the field of health, from the pedometer to blood sugar blood pressure monitoring, after the introduction of social platform, greatly expand the health services field, and makes people through mutual supervise and urge encourage health management, personal health changes will become more favorable than before.

The People's Daily (August 10th, 2016, 4)