This question is getting alot of attention. In fact the jump in cvd and
other chronic disease risk is found in those who move into or are living
in an urban setting. It seems clear that the greater obesity and much
more sedentary lifestyles found there are invloved at a fundimental level.
Those who are not overweight and have lots of physical activity don't fit
the higher risk profile. Here is a thumbnail pointer of the picture, in
rural areas risk for metabolic syndrom is around 2 percent, in urban areas
it is 12 percent; the amount of calories and the physical activity level
being the most obvious differences and not the ratios of macro sources in
the diet. Greater wealth is clearly a part of the picture in the urban
setting. So the picture is familiar, obesity and lower physical activity
are the case all over the world where risks are on the increase.
Quoted message said:Well, we have French and Spanish paradox, what about Indian paradox?
"The anthropometry, lipid profile and dietary characteristics of 114
patients with chronic ischaemic heart disease (IHD) were evaluated."The mean dietary fat consumption was only 22% of total calories. Of
this, SFA was 7.5%, MUFA was 7.5% and PUFA was 7%. Only 14% patients
were consuming more than 30% percent calories in the form of fats. The
mean cholesterol intake was only 31 mg/day. No patient was taking more
than 200 mg of cholesterol per day. Only 7% of patients were consuming
more than 100 mg/day of cholesterol. The daily fibre intake was 48 + 32
grams."The popular misconception that coronary atherosclerosis is a disease of
affluence and indulgence, needs to be critically re-examined. Despite
the lower body weights and higher prevalence of vegetarianism in India
as compared to the West, coronary atherosclerosis is widely present in
our country.Any plans to write "3 countries study" ? 🙂
Mirek