scholarly journals Making Every Contact Count (MECC) – Chronic Disease Risk Factor and Brief Advice Recording

2017 ◽  
Vol 17 (5) ◽  
pp. 159
Author(s):  
Jacinta Mulroe ◽  
Claire Collins ◽  
John Cuddihy ◽  
Ronan Fawsitt ◽  
Mairead Gleeson ◽  
...  
Keyword(s):  
Risk Factor ◽  
Chronic Disease ◽  
Disease Risk ◽  
Disease Risk Factor ◽  
Chronic Disease Risk ◽  
Brief Advice ◽  
Chronic Disease Risk Factor

scholarly journals Low fruit and vegetable consumption in Mozambique: results from a WHO STEPwise approach to chronic disease risk factor surveillance

2011 ◽  
Vol 107 (3) ◽  
pp. 428-435 ◽  
Author(s):  
Patrícia Padrão ◽  
Olga Laszczyńska ◽  
Carla Silva-Matos ◽  
Albertino Damasceno ◽  
Nuno Lunet
Keyword(s):  
Risk Factor ◽  
Disease Risk ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Disease Risk Factor ◽  
Stepwise Approach ◽  
Chronic Disease Risk ◽  
Risk Factor Surveillance ◽  
Chronic Disease Risk Factor

Monitoring food consumption and its determinants over time is essential for defining and implementing health promotion strategies, but surveillance is scarce in Africa. The present study aimed to describe fruit and vegetable consumption in Mozambique according to socio-demographic characteristics and place of residence (urban/rural). A national representative sample (n 3323) of subjects aged 25–64 years was evaluated in 2005 following the WHO Stepwise Approach to Chronic Disease Risk Factor Surveillance, which included an assessment of usual fruit and vegetable consumption (frequency and quantity). Crude prevalence and age-, education- and family income-adjusted prevalence ratios (PR) with 95 % CI were computed. Less than 5 % of the subjects reported an intake of five or more daily servings of fruits/vegetables. Both fruits and vegetables were more often consumed by women and in rural settings. In urban areas, the prevalence of fruit intake ( ≥ 2 servings/d) increased with education ( ≥ 6 years v. < 1 year: women, adjusted PR = 3·11, 95 % CI 1·27, 7·58; men, adjusted PR = 3·63, 95 % CI 1·22, 10·81), but not with income. Conversely, vegetable consumption ( ≥ 2 servings/d) was less frequent in more educated urban men ( ≥ 6 years v. < 1 year: adjusted PR = 0·30, 95 % CI 0·10, 0·94) and more affluent rural women ( ≥ $801 US dollars (USD) v. $0–64: adjusted PR = 0·32, 95 % CI 0·13, 0·81). The very low intake of these foods in this setting supports the need for fruit and vegetable promotion programmes that target the whole population, despite the different socio-demographic determinants of fruit and vegetable intake.

scholarly journals Preventing chronic disease risk factors: Rationale and feasibility

Medicina ◽  
2008 ◽  
Vol 44 (10) ◽  
pp. 745 ◽  
Author(s):  
Courtney Jordan ◽  
Megan Slater ◽  
Thomas Kottke
Keyword(s):  
Health Care ◽  
Risk Factor ◽  
Chronic Disease ◽  
Disease Risk ◽  
Disease Incidence ◽  
Developed Countries ◽  
The United States ◽  
Hazardous Drinking ◽  
Chronic Disease Risk ◽  
Risk Factor Prevention

Objective. The majority of the mortality, morbidity, and disability in the United States and other developed countries is due to chronic diseases. These diseases could be prevented to a great extent with the elimination of four root causes: physical inactivity, poor nutrition, smoking, and hazardous drinking. The objective of this analysis was to determine whether efficacious risk factor prevention interventions exist and to examine the evidence that populationwide program implementation is justified. Materials and methods. We conducted a literature search for meta-analyses and systematic reviews of trials that tested interventions to increase physical activity, improve nutrition, reduce smoking and exposure to environmental tobacco smoke, and reduce hazardous drinking. Results. We found that appropriately designed interventions can produce behavioral change for the four behaviors. Effective interventions included tailored fact-to-face counseling, phone counseling, and computerized tailored feedback. Computer-based health behavior assessment with feedback and education was documented to be an effective method of determining behavior, assessing participant interest in behavior change and delivering interventions. Some programs have documented reduced health care costs associated with intervention. Conclusions. Positive results to date suggest that further investments to improve the effectiveness and efficiency of chronic disease risk factor prevention programs are warranted. Widespread implementation of these programs could have a significant impact on chronic disease incidence rates and costs of health care.

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