Nutrition-Related NCD Prevention Training in China

描述（由申请人提供）：自1987年以来，北卡罗来纳大学的教师一直积极参与中国和其他发展中国家营养相关非传染性疾病（NR-NCD’s）、卫生服务以及一系列项目和政策导向问题的研究。然而，缺乏任何培训机构阻碍了教师充分发展该国研究、方案和政策工作基础设施的能力。在饮食、活动模式和身体组成发生最迅速变化的时期。在中国，以饱和脂肪和能量密度为主导的饮食结构发生了转变，久坐不动的人越来越多，加上超重和其他非传染性疾病的迅速增加，而中国还没有为这些变化做好准备。在选定的城市和亚人群中进行了小规模的干预措施，但没有开展任何工作，因为这涉及到整体公共卫生和医疗保健系统所需的转变，也涉及到政府为解决这一问题可以启动的其他更广泛的政策。联合国军中心及其合作者是发展中世界保健筹资、营养转型和了解饮食、活动和身体组成模式转变的动态原因方面的全球领导者。其合作者是能够在国家一级影响与非传染性疾病有关的规划和政策变化的主要机构。在拟议的培训补助金的协助下，联合国军司令部将协助加强有关宏观政策研究和执行以及有关方案问题的研究培训。本培训建议的重点是与北京大学，特别是新成立的卫生经济系和中国疾病预防控制中心联合开展这一培训议程。

DESCRIPTION (provided by applicant): Since 1987, faculty from the University of North Carolina have been actively involved in research on nutrition-related noncommunicable diseases (NR-NCD's), health services and an array of program and policy-oriented issues in China and elsewhere in the developing world. However, the absence of any training arm has hindered the ability of the faculty to fully develop the infrastructure for research and program and policy work in the country. At a time when one of the most rapid shifts in dietary and activity patterns and body composition is occurring. The shifts in China toward a diet dominated by saturated fat and energy density and an increasing sedentary activity profile in combination with rapid increases in overweight and other NR-NCD's are coming at a time when China is not prepared for these changes. Small efforts at interventions are occurring in selected cities and subpopulations, but no work is going on as this relates to shifts needed in the overall public health and health care system nor in other broader policies that the government can initiate to address this problem. UNC and its collaborators are global leaders in health care financing in the developing world, and in the nutrition transition and an understanding of dynamic causes of the shift in diet, activity and body composition patterns. Its collaborators are the major institutions who are in a position to impact program and policy changes related to NR-NCD's at the national level. With the assistance of the proposed training grant, UNC will be poised to help strengthen the research training related to macro policy research and implementation and related programmatic issues. This proposed training proposal focuses on this training agenda in combination with Beijing University, in particular the new Health Economics Department, and the Chinese Center for Disease Control.