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1、主题:富贵病中国流行病学趋势由陈君实院士等在90年代的研究成果,今天已经成为事实!慢性病己经成为富贵病!富贵病的特征:吃富贵食物:吃肉,吃加工型食品,喝酒等等富贵的生活习惯:运动少,开车,看电视得富贵的疾病:癌症,高血压,糖尿病,心血管疾病等China:FROMDISEASESOFPOVERTYTODISEASESOFAFFLUENCE.POLICYIMPLICATIONSOFTHEEPIDEMIOLOGICALTRANSITIONT.COLINCAMPBELL,CHENJUNSHI,THIERRYB
2、RUN,BANOOPARPIA,QUYINSHENG,CHENCHUMMING,andCATHERINEGEISSLERContent:[IntroIMethodsIResultsandDiscussionIPolicyImplications][ReferencesIExclusiveInterviewWithColinCampbell]'DivisionofNutritionalSciences,CornellUniversity,Ithaca,InstituteofNutrition&FoodH
3、ygiene,ChineseAcademyofPreventiveMedicine,Beijing,InstituteOfMediterraneanAgriculture,Montpellier,'DepartmentofFoodandNutritionalScience,KingsCollege,UniversityofLondon.(Received5thFebruary,1991;infinalformNovember5th,1991)INTRODUCTIONOnehundredandforty
4、yearsagoJohnHughesBennett,SeniorProfessorofClinicalMedicineattheUniversityofEdinburgh,whenwritingaboutthecausesofcancer,saidthatnutritionalconditionsthatfavoredtheriskoftuberculosiswereoppositetothosefavoringtheriskofcancer(Bennett,1849).Justthreeyearsb
5、efore,WalshehadpublishedcancermortalitydataandproposedthatcancerwasaHdiseaseofcivilizationH(Walshe,1846)becausedeathrateswerehigheramongsttheupperincomecitizenry.Onmanyoccasionssincethen,ithasbeenobservedthatdiseaseprevalencechangesradicallyaftereconomi
6、cdevelopment(Pellett,1989).ThediseasesthatwereresponsibleforavastmajorityofdeathsinEuropeandNorthAmericainthenineteenthcenturyarenottheprimarycausesofdeathtoday.Althoughthespecificreasonsforthesechangesinmortalityratesarenotwellunderstood,afewofthemoreg
7、eneralcharacteristicsofthesetrendsareasfollows.Thedeclineininfectiousandcommunicablediseasesfollowsanincreasein,andmoreequitabledistributionof,economicresources.AnextensiveinvestigationofmortalityratetrendsinEnglandandWalesintheeighteenth,nineteenthandt
8、wentiethcenturies(McKeownandRecord,1955;McKeownandRecord,1962;McKeownetaL,1975)indicatesthatthenineteenthcenturydeclineinmortalityratesforthemostprevalentinfectiousdiseaseswaswhollyattributabletoenviromentalcontrol,nottointervent