1. The Nutrition Transition and Its Implications for Health in the Developing World. Bellagio, 2001. Albala, Public Health Nutrition, Feb 2002 CHILE The Nutrition Transition: Determinants and Consequences Dr. Cecilia Albala

2. The Nutrition Transition and Its Implications for Health in the Developing World. Bellagio, 2001. Albala, Public Health Nutrition, Feb 2002 Chile. Main Socioeconomic and Demographic Changes 1970-2000 1970 1982 1992 2000 GDP pc US $ 2230 2148 3020 4986 % Pop in Poverty 44.6* 32.7 20.6 Health Expenditure p.c US$ 52 76 116 285 Life expectancy at birth 63.6 70.7 72.7 75.6 male 60.5 67.4 71.5 73 female 66.8 74.2 77.4 79 Median of age 27.5 29.3 30.1 30.6 Total Fertility rate 3.4 2.8 2.6 2.3 IMR 82.2 23.6 14.3 10.1 *1987

3. The Nutrition Transition and Its Implications for Health in the Developing World. Bellagio, 2001. Albala, Public Health Nutrition, Feb 2002 Mortality trends: cardiovascular diseases and cancer Rates per 100.000 >15years. Chile 70-98. Fuente: INE. Demographic bookyears 85,90,95,98

4. The Nutrition Transition and Its Implications for Health in the Developing World. Bellagio, 2001. Albala, Public Health Nutrition, Feb 2002 % Change in Food Expenditure. Chile 1988-1998

5. The Nutrition Transition and Its Implications for Health in the Developing World. Bellagio, 2001. Albala, Public Health Nutrition, Feb 2002 % obesity Trends in prevalence of obesity* in first graders school children. Chile 1987-2000 * Weight/height >2 DS. Source: Ministry of Education 1987-2000

6. The Nutrition Transition and Its Implications for Health in the Developing World. Bellagio, 2001. Albala, Public Health Nutrition, Feb 2002 6 14 10,9 24 15,7 23 0 5 10 15 20 25 % obesity 198819921997 Hombres Mujeres Prevalencia de obesidad en adultos en Chile Santiago 1988 y 1992. Valparaíso 1997 Fuente: Santiago Berrios et al Proyecto Inter Health Chile Valparaiso Jadue et al Proyecto CARMEN Chile

7. The Nutrition Transition and Its Implications for Health in the Developing World. Bellagio, 2001. Albala, Public Health Nutrition, Feb 2002 Prevalence of Serum Cholesterol >200 mg/dl Santiago 87 and 92. Valparaíso 1997

8. The Nutrition Transition and Its Implications for Health in the Developing World. Bellagio, 2001. Albala, Public Health Nutrition, Feb 2002 Health Promotion Policies Broad Goals Create healthy environment Promote healthy lifestyles Reinforce community participation Reorient health services to health promotion Objectives 2006 obesity to reduce preschool obesity from 10 to 7% to reduce first graders obesity 18 to 12% to reduce obesity in pregnancy 32 to 28%