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European Seminar: Nutrition: a family matter 25 October 2008 Sofia, Bulgaria

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Obesity and related metabolic diseases are some of the most important health ... a decrease in the consumption of the more expensive milk, yoghurt, cheese, meat, ... – PowerPoint PPT presentation

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Title: European Seminar: Nutrition: a family matter 25 October 2008 Sofia, Bulgaria


1
European SeminarNutrition a family matter25
October 2008Sofia, Bulgaria
  • Results of the questionnaire Overweight and
    obesity among children for an action of family
  • organisations in Europe /The Bulgarian situation/
    Dr. Mariela Nankova

2
  • Thank you for your attention!

3
  • Obesity and related metabolic diseases are some
    of the most important health problems in
    Bulgaria. About 8 million people now live in
    Bulgaria. More than 4 million are overweight or
    obese. 47 of the whole Bulgarian population
    weigh above the norm (BMIgt25 kg/m2), including
    1,250 000 people (15.6) with BMlgt27.3 kg/m2
    (600,000 men and 650,000 women) and 860,000
    people (10.8) with BMIgt30 kg/m2. 
  • To this number 100,000 children have been added
    (10 of the students of the age 7-14 years), the
    total number of the overweight persons in
    Bulgaria (7-84 yrs) being 3,750,000 persons.
    /Data submitted by Bulgarian Association for the
    Study of Obesity /
  • A study of eating habits has confirmed the role
    of diet in the development of obesity. More than
    one half of the obese persons have relatively
    overfat nutrition (mean fat intake 108 g/d), as
    well as higher consumption of bread, pasta and
    baked products instead of meat and milk products
    (which are considered expensive), and low intake
    of vegetables and fruits. Irregular nutrition and
    late evening eating as well as a sedentary
    lifestyle are rather frequent in obese people,
    and chronic stress factors, including negative
    psychosocial influences, financial and economic
    crisis, are frequently seen.

4
  • In view of the peculiarities of the ,,risk
    profile" of Bulgarians, the large number of
    unhealthy habits, factors and circumstances, a
    number of epidemiological hypotheses have been
    suggested in recent years to explain the
    ,,acceleration of atherosclerosis" in Bulgaria,
    which is much more evidently expressed in
    Bulgaria in comparison with other developed
    countries. They have tried to explain the high
    mortality rate from cardiovascular and
    cerebrovascular diseases, the abrupt rise in the
    death rate among the male and rural population.
    Whatever the epidemiology, we have come to
    express this syndrome as the ,,rejuvenation of
    mortality."
  • Conclusions
  • 1. Obesity and related diseases represent a great
    social and medical problem in Bulgaria. Nearly
    half of the people over the age of 15 are
    overweight or obese.
  • 2. The economic and political crisis in our
    country with continuously rising inflation, leads
    to unhealthy nutrition. There is a prevailing
    consumption of relatively cheaper bread and pasta
    and a decrease in the consumption of the more
    expensive milk, yoghurt, cheese, meat, eggs and
    fish products, as well as of fresh fruits and
    vegetables which worsens all parameters of
    metabolism and cardiovascular system in obese
    patients.
  • 3. The treatment of obesity takes place in
    clinical and ambulatory conditions, as well as in
    specialized centres in resort settlements. The
    basis of treatment is a hypocaloric normoprotein
    diet, enriched by biologically-active substances
    and high-physical-activity regimes (including
    sports, dance therapy etc.). 
  • 4. The creation of a new program, suitable to the
    changed conditions, is forthcoming.

5
RESULTSFROM INQUIRY REALIZED IN BULGARIA ON THE
BASIC OF QUESTIONNAIREOverweight and obesity
among childrenfor an action of family
organizations in Europe
  • The inquiry was realized in the period July-
    September 2008 in 6 places Sofia city- the
    capital and 5 towns in Bulgaria- Pazardjik,
    Yambol, Burgas, Veliko Tarnovo and Blagoevgrad.
  • The total numbers of participants were 840
    persons randomly selected from 210 families.
  • The number of women 425, the number of men 415.
  • From the whole number of women 10 of them are
    lonely mothers.

6
  • Answers of Question N 1
  • Questions on family composition
  • Number of family members
  • Number of children
  • Age of children
  •        average number of family members are 4
    persons
  •        average number of children 2
  •        40 the age of children is till 3 years,
    36 till 5, 13 from 5 to 10 years old and 10
    from 10 till 15 years old.

7
  • Answers of Question N 2 Are you following the
    evolution of your child or children weight?
  •     65, 5 from the total number of respondents
    answer Yes
  • 25 answer with No
  • 4, 5 answer with time to time.

8
  • Answers of Question N 3 According to you, at
    what age should the parents begin to be more
    careful about their childrens weight?
  •        75 from the total number of respondents
    answer from the very beginning, after birth
  •        20 - from 5 years
  •        5- after 10 years of age.

9
  • Answers of Question N 4 When you do a check up
    with your child or children, does the doctor
    always check his or their size, weight and
    corpulence index grid in the health record
    booklet?
  •        85 from the total number of respondents
    answer with Yes for all age of children.
  •        14 answer with No
  •        1 no answer.

10
  • Answers of Question N 5 According to you,
    amongst the following causes of overweight or
    obesity in children and teenagers, which are the
    main ones? (3 choices in order of priority)
  •        52 - Advertisement for snacks.
  •        14 - The development of ready meals
  •        4- The lack of physical activity
  •        15 in Others underline that change of
    breastfeeding with artificial feeding after the
    birth and longer is a basis for obesity.
  •        15 underline as cause of obesity
    Economic and/or social difficulties of the
    family

11
  • Answers of Question N 6 According to you, what
    needs to be done to stop the problems of
    overweight and obesity in children and teenagers?
    (3 choices in order of priority)
  •        58 from all respondents answer that the
    most important is To develop a cooking and
    nutrition education for the parents
  •        30 - To make nutritional information on
    food labels easier to understand
  •        8- To reduce VAT on fruits and
    vegetables
  •        4 - To fight against inactivity.

12
  • Answers of Question N 7 Do you take part in
    local initiatives involving parents, doctors,
    teachers, nutritionists to prevent children or
    teenager overweight or obesity? Which ones?
  •        62, 5 answer with Yes.
  •        37,5 with No
  • Note The first group indicated that they
    participate mainly in the Internet forums and
    initiatives and in the local activities of NGOs.

13
CONCLUSIONS
  • 1.    In the towns there is good practice in the
    family to follow their childrens weight.
  • 2.    The children till 5 years are measured most
    regularly and the doctor always check his or
    their size, weight and corpulence index grid in
    the health record booklet.
  • 3.    The biggest problem for the major number of
    families in Bulgaria is introduction on the
    market of foreign of the Bulgarian tradition
    nutrition practices /chips, duner, McDonalds
    sandwiches, hot dog, etc./ .
  • 4.    The main factor to solve the problems of
    overweight and obesity in children and teenagers
    is to develop a cooking and nutrition education
    for the parents. Very important is to educate
    mothers and families for the benefits of
    breastfeeding as the best start in the life. The
    recommendation of WHO is for exclusive
    breastfeeding till 6 months and more.
  • 5.    The research shows that in Bulgaria there
    is good level of culture concerning weight of
    children and very aggressive advertisement
    practices about artificial feeding, snacks and
    ready meals.
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