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Social Class, Food Intakes and Risk of Coronary Artery Disease in the Developing World: The Asian Paradox

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Modern Dietary Fat Intakes in Disease Promotion

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Key Points

• Coronary risk factors, such as hypertension, diabetes mellitus, tobacco consumption, hypercholesterolemia, obesity, and coronary artery disease are major health problems in developing economies of Asia.

• It is a paradox that in south Asia, most people are vegetarian (India) but have an increased risk perhaps due to the presence of new risk factors: higher lipoprotein(a) (Lpa), hyperhomocysteinemia, insulin resistance, low high-density lipoprotein cholesterol, and poor nutrition during fetal life, infancy, and childhood.

• The prevalence of hypertension, diabetes, and heart disease is significantly higher in high income populations with lipid-related risk factors; increased intake of refined starches and sugar are greater in these populations, requiring modification of existing American and European guidelines.

• Refined carbohydrates, trans fatty acids, saturated fat, and ω-6-rich oils in conjunction with low physical activity and consumption of tobacco may be leading factors to deaths and disability due to CVD and diabetes in Asia.

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Authors and Affiliations

  1. Halberg Hospital and Research Institute, Moradabad, UP, 244001, India

    Ram B. Singh & S.S. Rastogi

  2. Government Medical College, MS University of Baroda, Surat, Gujarat, India

    R.K. Goyal & S. Vajpayee

  3. PJ Safaric University, Kosice, Slovakia

    Jan Fedacko & Daniel Pella

  4. DMF Ltd Company, Luxembourg Str 46, 6900, Marche/Famenne, Belgium

    Fabien De Meester (Managing Director)

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  1. Ram B. Singh
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  2. S.S. Rastogi
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  3. R.K. Goyal
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  4. S. Vajpayee
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  7. Fabien De Meester
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Correspondence to Ram B. Singh .

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Editors and Affiliations

  1. Managing Director, DMF Ltd Company, Luxembourg Str 46, Marche/Famenne, 6900, Belgium

    Fabien De Meester

  2. Mel & Enid Zuckerman College of, Public Health, University of Arizona, Tucson, 85724-5163, Arizona, USA

    Sherma Zibadi

  3. Arizona Health Science Center, Mel and Enid Zuckerman College of Public, University of Arizona, 1501 N. Campbell Ave. Room 4335, Tucson, 85724-5155, Arizona, USA

    Ronald Ross Watson

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Singh, R.B. et al. (2010). Social Class, Food Intakes and Risk of Coronary Artery Disease in the Developing World: The Asian Paradox. In: De Meester, F., Zibadi, S., Watson, R. (eds) Modern Dietary Fat Intakes in Disease Promotion. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-571-2_3

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