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Smaller tobacco, but more overweight and alcohol at the wheel



We do not learn It may be the conclusion that emerges Fourth national risk factor survey (ENFR) 2018. With the exception of smoking, which shows improvements, the rest of the health and disease indicators are the same or worse.

the obesity, high blood sugar and diabetes have more victimsWhile cholesterol and high blood pressure do not show a decrease among the sufferers. The framework that favors this scenario is also found in survey data: People still do not eat the amount of fruit and vegetables that are recommended per day and it is becoming increasingly sedentary.

the reduction of tobacco consumption is the positive note and continues to decline from 2005: the low accumulates 25%, but still smokes 22.2% by the population. Exposure to secondhand smoke also decreased, both in homes and in workplaces. However, it is not possible to reduce significantly in bars and restaurants.

On the other hand, it can be seen as conclusions Six out of 10 adults were overweight (include obesity and obesity). The worrying thing here is that there has been a continued increase since the first edition of the 2005 survey and a large jump compared to the earlier in 2013. It happened from 14.6% in 2005 to 25.4% in the latest survey. That is, a quarter of people are in this situation, in the context of the development of non-communicable diseases. The latter is just the other measures in the current work and it obviously shows no improvement.

The overweight had less increase and was two percentage points to influence 36.2% of the population. Obesitasindikatorn increased by 74% since 2005.

A matter of habit

In this framework, the other health indicators also showed no improvements. The occurrence of cholesterol was almost the same as in previous consultation with 2013: 28.9%. Same happened hypertension (HBP): the data showed that a 34.6% of the consultants presented this change. These data locate those who control themselves, but we need to add those who have the problem and don't know it.

Although these indicators were maintained, high blood sugar and diabetes recovered from 9.8% in 2013 to 12.7%.

"We are a little salmon in obesity, high blood pressure and diabetes, and it will not go down because they are dependent on a change of habits and customs", Is seen as cardiologist Alejandro Saracco, of the cardiovascular prevention program in the province.

From his point of view, the changes in this plan will "cost" even though he warned that the upward curve of cardiovascular diseases associated with these diseases – which shot up in the 80s and 90s – tended to "regress". something.

Luis Lombardo, President of the Argentine Diabetes Chapter Cuyo He was not surprised. "It resulted in diabetes being expected because there is still a Failure to follow healthy habits, who goes hand in hand with a diet rich in fruits and vegetables and less complex carbohydrates and fats, "he said.

He added: "In addition The levels of sedentary lifestyle are very high, no good habits and constant physical exercise have obviously obesity increases.

The survey also contains figures on this: In 2013, the low physical activity had 54.7% compared to 64.9% in the latest survey; that is, six out of the 10 Argentines are sedentary.

Diabetologist doctor considered that it is a scenario associated with education, socio-cultural issues affected by poverty and basically the look cultural. At the last level, he said people prefer to buy less healthy products that cost the same or more than fruits and vegetables.

"Culture has to do with how we eat. The health system also fails because it does not go hand in hand with education", He said, and thought you had to work in schools with children and parents. He also said that the hours of Physical education schools are the smallest.

Individual change

The achievements are mostly the results of intervention by international organizations and government policiessaid Saracco. It is the individual who costs.

From the public, it has tended to create healthy environments such as spaces for physical activity, cycle paths, bicycle loans to promote their use and campaigns. Similarly, there has been an impact on the plane for tobacco, that even if it doesn't show a big decrease (-3%) Yes it is estimated at exposure to used smoke, which decreased at home, at work and in public spaces such as bars.

The same recognized María Lértula – responsible for Osep prevention and cessation of the Tabaco unit– who highlighted the benefits of the campaigns and the companies that should promote their strategies non-smoking areas.

He considered that some legal provisions that imposed more taxes on cigarettes and warnings on packaging also affected a continued reduction. But, from his point of view, The big hinge was in 2011 when law no. 26,687 of tobacco control began to be implemented. "It is a cultural change that is less clear in active smoking and more in passive exposure," he said.

Despite the positive changes, even almost a quarter of those consulted are still exposed to smoke in your home or work area.

dangerous

The terms of the Argentine leadership also became clear and showed that despite the campaigns that were conducted, The number of drivers with excess alcohol while driving continues to increase. This indicator showed improvement since 2005, however between the 2013 survey and the 2018 survey, worsened. Year 2013 a 12.1% of those who consulted said having consumed alcohol and drove a vehicle sometime during the previous 30 days.

The report also states that "a statistically significant increase among those who reported using a seat belt always regarding the 2013 edition. From 2005 this indicator increased 54%". On the other hand" with regard to use of motorcycle helmet, increased relative to the previous one ENFR. On bicycle, the use of helmet is stable: 1 out of 10 people said they always use it. "

Electronic cigarette

The consultation on the use of electronic cigarettes was incorporated for the first time in the ENFR and demonstrated 1.1% use it. María Lértula, responsible for Osep's prevention and cessation of the Tabaco unit, said it The slope to its use is noted and emphasized that this deserves an analysis. On the one hand, one has to evaluate how many appeal to it as a method of ending the traditional cigarette, but on the other hand, it is necessary to consider whether it would be a gateway to it. He reminded it National Administration of Medicines, Food and Medical Technology (Anmat) has issued regulations prohibiting the import, distribution, marketing and marketing of electronic cigarettes throughout the national territory because of the limited evidence of effect to stop smoking and ensure long-term security.


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