Nutrition-Related NCD Prevention Training in China

简介(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的营养相关非传染性疾病(NR-NCD)、医疗服务以及一系列计划和政策导向问题的研究。然而，没有任何培训机构阻碍了教员充分发展该国研究、方案和政策工作的基础设施的能力。此时，饮食、活动模式和身体成分正在发生最迅速的变化之一。中国正在转向以饱和脂肪和能量密度为主的饮食，不断增加的久坐活动，以及超重和其他NR-NCD的快速增加，发生在中国没有准备好应对这些变化的时候。在选定的城市和亚人口中正在进行小的干预努力，但没有进行任何工作，因为这涉及到整个公共卫生和医疗保健系统所需的转变，或者政府可以发起的其他更广泛的政策，以解决这个问题。联合国儿童基金会及其合作者在发展中国家的卫生保健筹资、营养转型以及对饮食、活动和身体成分模式转变的动态原因的理解方面是全球领导者。它的合作者是能够在国家一级影响与非传染性非传染性疾病相关的计划和政策变化的主要机构。在拟议培训赠款的协助下，联合国儿童基金会将准备帮助加强与宏观政策研究和执行以及相关方案问题有关的研究培训。这项拟议的培训方案将重点放在与北京大学，特别是新成立的卫生经济学系和中国疾病控制中心的培训议程上。

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.