PSRH BIENNIAL MEETING APIA, SAMOA, 9-12 JULY, 2013 PROF RAJAT GYANESHWAR FIJI NATIONAL UNIVERSITY.

Slides:



Advertisements
Similar presentations
Section 1 Review. Pulmonary disease abnormal function obstructive sleep apnea hypoventilation syndrome Nonalcoholic fatty liver disease steatosissteatohepatitiscirrhosis.
Advertisements

THYROID DISEASE IN PREGNANCY: TREATING TWO PATIENTS Susan J. Mandel, MD MPH Perelman School of Medicine, University of Pennsylvania.
Produced by The Alfred Workforce Development Team on behalf of DHS Public Health - Diabetes Prevention and Management Initiative June 2005 Diabetes Prevention.
Cardio-Metabolic Syndrome Guidelines on Education, Detection and Early Treatment  Heval Mohamed Kelli, PGY-2 Emory Internal Medicine Residency no conflict.
Professor Annie S. Anderson Centre for Public Health Nutrition Research Centre for Research into Cancer Prevention and Screening Ninewells Medical School,
Diabetes in Pregnancy Screening.
Teenage Pregnancy 1 Teenage Pregnancy: Who suffers? 16 February 2011 Dr. Shantini Paranjothy, Clinical Senior Lecturer Public Health Medicine.
Obesity and Hypertension in Pregnancy: Does it matter afterwards? Prof Leonie Callaway.
MANAGEMENT OF THE OBESE PREGNANT PATIENT Max Brinsmead PhD FRANZCOG May 2010.
REPRODUCTIVE HEALTH ISSUES IN PAKISTAN
1 Background Hypertension Type 2 diabetes Coronary heart disease Gallbladder disease Certain cancers Dyslipidemia Stroke Osteoarthritis Sleep apnea Approximately.
Limitations of BMI in Pregnancy Using BMI, in pregnancy in not accurate. It should be done pre and post pregnancy. BMI does not really convey differences.
The Burden of Chronic Diseases in Missouri: Opportunities and Challenges for Public Health Shumei Yun, MD, PhD Chronic Disease Public Health Epidemiologist.
Coronary Heart Disease (CHD): A Disease of Affluence.
Glucose and Cholesterol Screening for Pediatric Obesity A Training for CHDP Providers Prepared by: The CHDP Nutrition Subcommittee.
NCD Crisis and Reproductive Health Trainee Intern Repa Ben 2015.
Worcestershire Obesity Plan
השמנת יתר חמד " ע פרופ ' ארדון רובינשטין.
Antenatal Weight Management
Breast Cancer Awareness Submitted by: Jodi McFarlane Resident Assistant University of South Florida Tampa, Florida Submitted by: Jodi McFarlane Resident.
HEALTHY EATING And LIVING Kenneth E. Nixon MD. Problem Overweight and Obesity 97 million adults are overweight or obese Medical Problems Associated with.
MRC Lifecourse Epidemiology Unit Cyrus Cooper, Director MRC LEU; Southampton 2013.
Obesity, O&G and Risk Diana Hamilton-Fairley Consultant Obstetrician and Gynaecologist Guys and St. Thomas’ NHS Foundation Trust.
Fight obesity with effective and guaranteed tools t Haitham Al-Khayat, MD Consultant general and bariatric surgeon New Dar Al-Shifa hospital.
Slides that can be used to supplement a power point on the cost of obesity.
Frank B. Hu et al N Engl J Med 2004; 351: Body-Mass Index and Relative Risk of Death from All Causes during 24 Years of Follow-up.
Pregnancy And Lactation Copyright 2005 Wadsworth Group, a division of Thomson Learning Life Cycle Nutrition.
Diabetes in Pregnancy Burden of Disease. Diabetes in Pregnancy: Epidemiology 2%-10% of pregnancies currently are complicated by gestational diabetes mellitus.
Presented By: MR Suresh Kumar Department of Physical Education P.G.G.C.G 11.
Anthropometrics in Obesity Robert Kushner, MD Northwestern University Feinberg School of Medicine.
The Post-Partum Visit Re-Design Jeanne A. Conry, MD, PhD Chair, ACOG District IX.
How to survive your menopause David Griffiths Consultant Gynaecologist Christine Pearce Consultant Nurse 3 rd Sept 2014.
Helping Consumers Choose a Safe and Effective Weight Management Program The Wacky World of Weight Loss.
C5, D5 - Obesity Prevention and Treatment Laura Brey, MS, Training Director
Illinois State University Exercise and Body Composition Relationships of Total and Regional Body Composition to Morbidity and Mortality.
Epidemiology of preterm birth Stefan Johansson Department of Neonatology, Karolinska university hospital Department of Medical Epidemiology and Biostatistics,
OBESITY AND PREVENTION Nutrition 500 WEIGHT LOSS RECIDIVISM Division of Metabolism, Endocrinology and Nutrition John Brunzell, MD.
Dietary Guideline #2 Weight Management It’s all a balancing act.
TEMPLATE DESIGN © ATTITUDES TO OBESITY IN PREGNANCY AISHA ALZOUEBI, PENELOPE LAW AND SOTIRIOS SARAVELOS HILLINGDON HOSPITAL.
1Concepts of Physical Fitness 12e Presentation Package for Concepts of Physical Fitness 12e Section II: Concept 04 The Health Benefits of Physical Activity.
Nutritional Health For Your Wellbeing Diarmuid Duggan Senior Dietitian Bon Secours Hospital Cork.
Cancer Facts and Figures Information and Guidelines.
Incorporating Preconception Health into MCH Services
National Center for Chronic Disease Prevention and Health Promotion
Diana E. Ramos, MD, MPH Director Reproductive Health Los Angeles County Public Health Assistant Clinical Professor, Keck USC School of Medicine Los Angeles.
1 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. Copyright © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 30 Major Health Issues.
Short and long term Physical and Psychological trauma Short and long term Physical and Psychological trauma Health consequences.
Use of EHR & Quality Based on Zhou, et al. The Relationship between Electronic Health Record Use and Quality of Care over Time. J Am Med Inform Assoc.
Call to action on NCDs: Challenges and Way Forward for Maternal and Child Health Dr. Niloufer Sultan Ali Professor, Family Medicine Aga Khan University,
The Burden of Chronic Diseases in the Developing World Stephen J. Spann, M.D., M.B.A. Professor and Chairman Department of Family and Community Medicine.
Delayed Childbearing: Effect of Maternal Age at 1 st Childbirth on Pregnancy Outcome and Postpartum Incontinence H Li, P Osterweil, M Mori and JM Guise.
1 Body-Mass Index and Mortality in Korean Men and Women Sun Ha Jee, Ph.D., Jae Woong Sull, Ph.D., Jung yong Park, Ph.D., Sang-Yi Lee, M.D. From the Department.
Medical Consequences of Obesity
European Board and College of Obstetrics and Gynaecology

Weight Loss Surgery: The First Step Toward a More Healthy Life
DIP, GDM; CLINICAL IMPORTANCE AND NEW WHO DIAGNOSTIC CRITERIA FOR GDM
World Health Organization
Reducing the Risk of Nutrition-related Diseases
prevention and control of non communicable diseases in Iraq
Tabassum Firoz MD MSc FRCPC University of British Columbia
Dietary Guideline #2 Weight Management
برنامه راهبردی پیشگیری و کنترل بیماری های قلبی عروقی
obesITY IN pregnanCY FOR UNDERGRADUATES
Reducing the Risk of Nutrition-related Diseases
Dietary Guideline #2 Weight Management
Reducing the Risk of Nutrition-related Diseases
Weight Loss Surgery: The First Step Toward a More Healthy Life
Child Obesity Child Care 2.
Fig. 1: Relative risks of death from any cause among participants with various risk factors (e.g., history of hypertension, chronic obstructive pulmonary.
Presentation transcript:

PSRH BIENNIAL MEETING APIA, SAMOA, 9-12 JULY, 2013 PROF RAJAT GYANESHWAR FIJI NATIONAL UNIVERSITY

 BACKGROUND  LITERATURE REVIEW  ANALYSIS OF IMPLICATIONS FOR THE PACIFIC  RECOMMENDATIONS

NCDsRH  DIABETES  CARDIOVASCULAR DISEASE  CHRONIC RESPIRATORY DISEASE  CANCER  SEXUAL HEALTH  FAMILY PLANNING AND INFERTILITY  MATERNAL AND CHILD HEALTH  STIs & CANCER

 SMOKING - foetal and maternal issues  NUTRITION - Diabetes, hypertension  ALCOHOL - foetal alcohol synd, STIs, preg, cervical ca.  PHYSICAL ACTIVITY - obesity, osteoporosis

 MENSTRUAL PROBLEMS  FERTILITY ISSUES  INCREASED PREGNANCY RISKS  URINARY AND FECAL INCONTINENCE  PELVIC FLOOR LAXITY  POST MENOPAUSAL BREAST CANCER  ENDOMETRIAL AND OTHER CANCERS.

 Polycystic Ovarian Syndrome – obesity, excessive body hair and anovulation - Common problem in the Pacific - Weight loss is first line of treatment ( Hollmann et al. Human Reproduction. 1996;11: ) - Life style factors important in achieving weight loss. ( Huber-Buchoholz M et al. J Clin Endocrinol Met. 1999;84:1490-4

 REDUCED FECUNDITY AND INCREASED TIME TO CONCEPTION ( WiseL LA et al. Human Reprod. 2010; 25: )  HIGH RATES OF INFERTILITY ( British Fertility Society Policy and Practice Guidelines)  LOWER RATES OF SUCCESSFUL PREGNANCY AFTER FERTILITY TREATMENT ( Maheshwari A et al. Human Reproduction Update. 2007;13: )

INCREASED RISK OF :  DIABETES (x2 – 5 depending on BMI)  HYPERTENSION AND PET (X3.5)  PRE TERM DELIVERY  LARGE BABY AND SHOULDER DYSTOCIA  CAESAREAN DELIVERY (Linear assoc with BMI)  PPH  PULMONARY EMBOLUS  COST AND LENGTH OF STAY (( W eiss JL et al. Am J Obstet Gynecol 2004, O’Brien TE eta al. Epidemiology 2003, Kabrehel C et al. Obesity 2009, Scott-Pillai R et al 2013, BJOG Torloni MR et al. J Matern Fetal Neonatal Med. 2009)

 INCREASED RATES OF : - POST MENOPAUSAL BREAST CANCER - ENDOMETRIAL CANCER - OTHER CANCERS - gut, liver, gall bladder, pancreas and kidney (Renehan AG et al. Lancet 2008;371(9612): 569) (Calle EE et al. N Engl J Med. 2003;348(17):1625)

 Each day : 50,000 women die from NCDs 1000 maternal deaths  More women die due to : cardiovascular disease cancer respiratory disease (WHO list of 10 leading causes of death in women)

 33% of Fijian women (15-24 age group) are overweight or obese ( 2002 STEPS survey)  Obesity rates have trebled between 1993 and ( Fiji National Nutrition Survey 2004)  Obesity rates of between % reported in year olds in the Pacific (STEPS surveys)

 SMOKING – 53.2 % of women in Nauru smoke. Rates high for Kiribati,Tokelau, Wallis and Fortuna )  ALCOHOL – 50% Cook Is women  HYPERTENSION – 27.5% American Samoan women  DIABETES – 42.4% - 12%

 RISK FACTORS COMMON AND MODIFIABLE  HEALTH PRIOR TO, DURING, AND AFTER PREGNANCY AND CHILDBIRTH CAN HAVE LONG TERM HEALTH IMPLICATIONS  MCH PROGRAMS SHOULD INCLUDE NCD INTERVENTIONS

 Empower women and girls to care for their health better – menstrual problems, fertility issues, pregnancy care.  New approach to pregnancy care – weight gain, - nutrition, - cancer screening, - physical activity

 Emphasis on health education  Empowering women to take sound decisions about risk taking behaviour.  Take opportunity during antenatal visits to counsel, educate