Sustaining dietary changes for preventing obesity and diabetes: lessons learned from the successes of other epidemic control programs

Swinburn, Boyd 2002, Sustaining dietary changes for preventing obesity and diabetes: lessons learned from the successes of other epidemic control programs, Asia Pacific journal of clinical nutrition, vol. 11, no. Supplement 3, pp. 598-606.

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Title Sustaining dietary changes for preventing obesity and diabetes: lessons learned from the successes of other epidemic control programs
Author(s) Swinburn, Boyd
Journal name Asia Pacific journal of clinical nutrition
Volume number 11
Issue number Supplement 3
Start page 598
End page 606
Publisher Blackwell Asia Publishing
Place of publication Carlton, Vic.
Publication date 2002-12
ISSN 0964-7058
1440-6047
Keyword(s) Diabetes
epidemics
obesity
prevention
Summary A degree of success has been achieved in controlling several epidemics of infectious and non-infectious causes of death in countries, such as, Australia and New Zealand. Using the epidemiological triad (host, vector, environment) as a model, the key components of the control of these epidemics have been identified and compared to the current status of interventions to prevent obesity and its main disease consequence, type 2 diabetes. Reductions in mortality from tobacco, cardiovascular diseases, road crashes, cervical cancer and sudden infant death syndrome have been achieved by addressing all corners of the triad. Similarly, prevention programs have minimized the mortality from HIV AIDS and melanoma mortality rates are no longer rising. The main lessons learned from these prevention programs that could be applied to the obesity/diabetes epidemic are: taking a more comprehensive approach by increasing the environmental (mainly policy-based) initiatives; increasing the 'dose' of interventions through greater investment in programs; exploring opportunities to further influence the energy density of manufactured foods (one of the main vectors for increased energy intake); developing and communicating specific, action messages; and developing a stronger advocacy voice so that there is greater professional, public and political support for action. Successes in the other epidemics have been achieved in the face of substantial barriers within individuals, society, the private sector and government. The barriers for preventing obesity/diabetes are no less formidable, but the strategies for surmounting them have been well tested in other epidemics.
Notes Published in Swinburn, B., (2002) Sustaining dietary changes for preventing obesity and diabetes: lessons learned from the successes of other epidemic control programs, Asia Pacific journal of clinical nutrition, 2002, No 11-Supplement, pp.598-606, Blackwell Publishing Asia, Australia at www.interscience.wiley.com
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2002, Blackwell Science Asia
Persistent URL http://hdl.handle.net/10536/DRO/DU:30001708

Document type: Journal Article
Collection: School of Health Sciences
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