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Õ алдварт бус өвч íèé õîîë òýæýýëèéí эрсдэлт хүчин зүйл ñèéí òàðõàëòûí өнөөгийн байдал , ñóäàëãààíû ä¿í. Ä. Îòãîíòóÿà , ÀÓ- íû ìàãèñòð , ÍÝÌÕ. ÀÃÓÓËÃÀ. Õàëäâàðò áóñ º â÷èí (ÕÁª), òýäãýýðèéí ýðñäýëò õ¿÷ èí ç¿éëñ , äýëõèé íèéò áîëîîä Ìîíãîë óëñàä òóëãàìäñàí àñóóäàë áîëîõ íü
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Õалдварт бус өвчíèéõîîëòýæýýëèéíэрсдэлт хүчин зүйлñèéíòàðõàëòûíөнөөгийн байдал, ñóäàëãààíûä¿í Ä. Îòãîíòóÿà, ÀÓ-íûìàãèñòð, ÍÝÌÕ
ÀÃÓÓËÃÀ • Õàëäâàðòáóñ ºâ÷èí (ÕÁª), òýäãýýðèéíýðñäýëò õ¿÷èíç¿éëñ, äýëõèéíèéòáîëîîäÌîíãîëóëñàäòóëãàìäñàíàñóóäàëáîëîõíü • ÕÁª-íèéõîîëòýæýýëèéíýðñäýëò õ¿÷èíç¿éëñ, òýäãýýðèéíñºðºãíºëººëºë • Õîîëòýæýýëèéíýðñäýëò õ¿÷èíç¿éëñèéíòàðõàëò, ÷èãõàíäëàãà • Öààøèäàâ÷ õýðýãæ¿¿ëýõøààðäëàãàòàéàðãàõýìæýý
Õàëäâàðòáóñ ºâчèííüäýëõèéíõ¿íàìûííàñáàðàëòûíòýðã¿¿ëýõøàëòãààí Äýëõèéíõ¿íàìûííèéòíàñ áàðàëòûí60 õóâü., Õºãæèëáóóðàéáóþó õºãæèæáóéîðíóóäàä, õ¿í àìûííàñáàðàëòûí80 õóâü., ÕÁª-ººñ ¿¿äñýííàñáàðàëò 16 ñàÿ(70 –ààñäîîøíàñ)., Èðýõ 10 æèëä17 õóâèàð íýìýãäýíý.
ÕÁª-íèéõÿíàëò, òàíäàëòûí òîãòîëöîîíûñòðàòåãè Øàëòãààí --- ¯ð Äàãàâàðûí Õîëáîî Çàâñðûíáóþóõî¸ðäîãч (ÝÕÇ) • Èë¿¿äýëæèí, òàðãàëàëò • Öóñíûõîëåñòåðèíû • ò¿âøèíèõñýõ • Öóñíûäàðàëòèõñýëò • Öóñàíäñàõàðèõñýõ Àðõàãºâчèí • Ç¿ðõñóäàñíû • ºâчèí • Чèõðèéíøèæèí • Õîðòõàâäàð Çàí ¿éëèéíàíõäàãчýðñäýëòõ¿чèíç¿éëñ • Çîõèñã¿éõîîëëîëò • Õºäºë㺺íèéõîìñäîë • Òàìõè • Àðõè Source: WHO, Preventing chronic diseases: a vital investment, 2005
ÕÁª-íèéõîîëòýæýýëèéíýðñäýëò õ¿чèíç¿éëñ Source: 1. Diet, nutrition and the prevention of chronic diseases: scientific background papers of the joint WHO/FAO expert consultation, 2003 2.Creating an enabling environment for population-based salt reduction strategies, WHO, 2010
Òðàíñ òîñíû õ¿чèë, äàâñ, ñàõàð èõ õýìæýýãýýð àãóóëñàí õ¿íñ • Òðàíñ òîñíû õ¿чèë íü: • Á¿õ òºðëèéí ìàðãàðèí • Ïå÷åíü, æèãíýìýã, áîîâ, òîðò, òàëõ (crackers, cookies) • Á¿õ òºðëèéí ò¿ðãýí õîîë, øàðæ õóóðñàí õ¿íñ (donuts, French fries, chicken nuggets, pizza • ×èïñ, ïîïêîðí (snack foods) • Áîëãîæ õºë人ñºí õîîë Ýíãèéí í¿¿ðñóñáóþóñàõàðíü : • Á¿õòºðëèéíõèéæ¿¿ëñýíóíäàà • French Fries and Doughnuts • Ñàõàðèõòýéñåðåàëóóä (ñereals) • Òîðò, æèãíýìýã, чèõýð, øîêîëàä • ̺õººëäºñ, äåñåðò¿¿ä • Æèìñíèéóíäàà, æ¿¿ñ • Ñàõàð
ÕÁª-ººñ ñýðèéëýõýäчèãëýñýíõîîëõ¿íñýýðàâàõøèìòáîäèñûíçºâëºìæõýìæýý Source: World Health Organization, Population nutrient intake goals for preventing diet-related chronic diseases, WHO Technical Report Series, 2003
Õîîëòýæýýëèéíýðñäýëò õ¿÷èíç¿éëñèéíòàðõàëòûíáàéäàë, ÷èãõàíäëàãà ÕÁª-ÍÈÉ ÝÐÑÄÝËÒ Õ¯×ÈÍ Ç¯ÉËÑÈÉÍ ÒÀÐÕÀËÒÛÍ ÑÓÄÀËÃÀÀ-2005 ÕÁª, ÎÑÎË ÃÝÌÒËÈÉÍ ØÀËÒÃÀÀÍ, ÝÐÑÄÝËÒ Õ¯×ÈÍ Ç¯ÉËÑÈÉÍ ÒÀÐÕÀËÒÛÍ ÑÓÄÀËÃÀÀ-2009 ¯íäýñíèé ñóäàëãàà È=5438 15-64 íàñ ÓÁ õîò 7 ä¿¿ðýã, Äàðõàí Ýðäýíýò, 21 àéìãèéí 32 ñóì STEPS 2009 • ¯íäýñíèé ñóäàëãàà • È=3411 • 15-64 íàñ • Õîò õºäººãèéí õ¿í àì • STEPS 2005
Äàâñíûõýðýãëýý, áàéðøëààð (ãð/õîí) Õîîëõ¿íñáýëòãýõýäýý ººõòýéìàõ, àìüòíûãàðàëòàéòîñõýðýãëýäýãõ¿íàì
È˯¯ÄÝË ÆÈÍ ÁÀ ÒÀÐÃÀËÀËÒÛÍ ÒÀÐÕÀËÒ Èë¿¿äýë æèí: ÁÆÈ=25.0-29.9 êã/ì2 ; Òàðãàëàëò:ÁÆÈ≥ 30 êã/ì2
È˯¯ÄÝË ÆÈÍÒÝÉ Õ¯Í АМЫН ЭÇËÝÕ ÕÓÂÜ Áèåèéí æèíãèéí èíäåêñ (ÁÆÈ) ≥ 25 êã/ì2 áà < 30 êã/ì2
ÒªÂÈÉÍ ÒÀÐÃÀËÀËÒÛÍ ÒÀÐÕÀËÒ, õ¿éñ, íàñíûá¿ëãýýð ÁÒ: Á¿ñýëõèéí òîéðîã: Men ≥ 90cm.., Women ≥ 80 cm
Öóñан дахь õîëåñòåðèíûхэмжээ èõýññýíõ¿íàìûíòàðõàëò
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ÀÐÒÅÐÈÉÍ ÄÀÐÀËÒ ÈÕÑÝËÒÈÉÍ ÒÀÐÕÀËÒ(ÇÀÀÃÈÉÍ) ÑÀÄ≥140 ìì.ìóá áà/ýñâýë ÄÀÄ ≥ 90 ìì.ìóá áîëîí äàðàëò áóóðóóëàõ ýì õýðýãëýýã¿é, óðüä ºìíº íü àðòåðèéí äàðàëò èõñýõ ºâ÷íººð îíîøëîãäîîã¿é
ЧÈÕÐÈÉÍ ØÈÆÈÍÄ ªÐÒªÕ ÝÐÑÄÝËÒÝÉ Õ¯Í ÀÌÛÍ ÒÀÐÕÀËÒ Çàõûí öóñàí äàõü ñàõàðûí õýìæýý ≥ 5.6ììîë/ë áóþó >6.1ììîë/ë
Ä¿ãíýæ õýëâýë….. • Õ¿íàìûíäóíä ÕÁª-íèéõîîëòýæýýëèéíýðñäýëò õ¿÷èíç¿éëñèéíòàðõàëòò¿ãýýìýëáàéíà • ªºõ òîñ, ñàõàð, äàâñíûäàëäõýðýãëýýãíàðèéâ÷ëàíñóäëàõ, óëìààðîëîííèéòýäõ¿íñíèéá¿òýýãäýõ¿¿íýýçºâñîíãîõîäíüäýìæëýã ¿ç¿¿ëýõøààðäëàãàãàð÷ áàéíà • Äîòîîäûíõ¿íñíèéá¿òýýãäýõ¿¿íèéíàéðëàãàäàõüõàíàñàíáîëîíòðàíñòîñíû õ¿÷èë, ñàõàð, äàâñíûõýìæýýãøîøãîíäòóñãàæ ºãºõíüõ¿íàìäõ¿íñíèéá¿òýýãäýõ¿¿íèéõýðýãëýýãýýõÿíàõàäíüäýìæëýã ¿ç¿¿ëýõáîëíî ………