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The nutrition and health transitions in Thailand

The nutrition and health transitions in Thailand. Vongsvat Kosulwat Institute of Nutrition, Mahidol University. Percentage of population by age group and dependency ratios. Estimated of population in urban and rural areas. Gross National Product per Capita in US Dollars, 1960-1998.

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The nutrition and health transitions in Thailand

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  1. The nutrition and health transitions in Thailand Vongsvat Kosulwat Institute of Nutrition, Mahidol University

  2. Percentage of population byage group and dependency ratios Estimated of population inurban and rural areas

  3. Gross National Product perCapita in US Dollars, 1960-1998 Distribution of Occupation (%)

  4. Per capita food consumption g/d Trends in nutrient intake

  5. Prevalence of underweight in primary school children in Bangkok public school Prevalence of malnutrition among school children from different socioeconomic classes (Thai reference, 1987) Prevalence of obesity in primary school children in Bangkok public school Prevalence of obesity in school children (1994-1995)Source: Nutrition Division, Ministry of Public Health 3.6

  6. Cause specific death rate among Thai population, 1967-1997

  7. Morbidity trend

  8. Age standardized prevalence of cardiovascular risk factors for cardiovascular disease (1991 vs 1995) % Male % Female

  9. Nutrition in Transition in Thailand: Challenges for Healthy Thais HEALTHY THAIS Under- nutrition ‘decreasing’ Over- nutrition ‘increasing’ Food safety & toxicity • children & • adults • Obesity, • NCD,CVD • vulnerable • groups • PEM, A, • I, Fe* • Acute • - poisoning • Chronic • - cancers

  10. Problems remained and emerging • 1. Under-nutrition • 1.1 IUGR • 1.2 Infant and young child feeding • 1.3 Iron deficiency anemia • 2. Over-nutrition • 2.1 Obesity • 2.2 NCDs • 3. Food safety • 3.1 poisoning &contaminants • 3.2 chronic toxicity -- cancers

  11. Challenges ahead to achieve HEALTHY THAIS 1. Thailand decentralization process and important reforms (Health, Education, Civil service) and structural adjustment 2. Shifting paradigms 2.1 From ‘Vulnerable groups’ to ‘Life cycle approach’ 2.2 From ‘Deficiency diseases’ to ‘human functions and prevention of risks of diet-related chronic diseases’

  12. Behaviors Environments Genetics Foods Intake and output Others Intervention Obesity Diagnostic tools Intervention complications Suprasongsin, Chittiwat, July 2001

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