In addition, rates of cancers and cardiovascular disease CVD among migrants from low-risk to high-risk countries almost always increase dramatically. Obesity: the imbalance between declining energy expenditure due to physical inactivity and high energy in the diet excess calories whether from sugar, starches or fat is the main determinant of the obesity epidemic. The lower estimate—or one even lower—is possible because trans fat can be eliminated at the source rather than depending entirely on changes in individual behavior. An important element in cultural change is national leadership by individuals and by professional organizations. Policies and programmes must address the need for change at the individual level as well as the modifications in society and the environment to make healthier choices accessible and preferable. Teachers more For example, per capita egg consumption in the United States decreased from approximately to per year between and following recommendations for preventing CAD though in reality, the evidence for benefits was meager. However, experiences in many countries indicate that alliances of public interest groups, professional organizations, and motivated individuals can overcome such powerful interests.
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