2017年 · 第11卷第01期

Dietary pattern is the key to promote nutrition and maintain health. Using scientific dietary pattern evaluation methods, carrying out targeted dietary intervention research, and constantly finding and recommending healthy dietary patterns suitable for general or specific populations in China are of great significance for improving the nutritional status and health level of Chinese residents. In the review column of this issue, Yin Zhaoxue and Zhao Wenhua discussed dietary model, emphasized that dietary model is the key to nutrition and health, and discussed its relationship with chronic diseases. They suggested that relevant institutions should publicize and promote healthy dietary model, and incorporate the concept publicity and related work of dietary model into the national nutrition plan.

With the bell of the New Year, we have gone through a full of opportunities and inspiring 2016, and ushered in a vigorous and full of expectations in 2017! "Chinese Journal of Health Management" has just been awarded the "Chinese Science and Technology Core Journal" again. On this occasion of farewell to the old and welcoming the new, on behalf of the new editorial committee of Chinese Journal of Health Management, I would like to extend my sincere greetings and best wishes to leaders, experts, authors and readers at all levels who have been supporting Chinese Journal of Health Management! I would like to express my heartfelt thanks and high respect to the health industry and friends from all walks of life who have contributed to the Chinese Journal of Health Management!

The importance of nutrition to health and human development is beyond doubt. Numerous epidemiological and molecular biological studies have confirmed the relationship between nutrition and health, and nutrition improvement has been included as an important strategy in the United Nations Sustainable Development Goals and health promotion programmes in many countries, so identifying the most beneficial diets for health has become a priority area for public health. Traditionally, nutrition research mostly focuses on the health effects of certain nutrients and certain foods, thus ignoring the complex interactions between various nutrients and foods. Therefore, the study of diet as a whole has received increasing attention, which is the dietary pattern. Dietary pattern is also called "eating pattern", and some people also call it "dietary structure", etc. Here, we suggest to collectively call it "dietary pattern". Dietary pattern study refers to considering the relationship between the intake of food or nutrients and health by studying the composition of various foods in daily meals, including the relative composition of the types and quantities of food consumed^[1]In studying the relationship between nutrition and health, the dietary pattern is undoubtedly more important and practical, because people's diet is a combination of multiple foods, not a certain nutrient or a certain food, and this combination is not a simple accumulation of various foods, but emphasizes and represents the whole diet, and the various components within this whole synergize with each other and ultimately affect health. The relationship between dietary pattern and health has gradually been recognized by nutritionists at home and abroad, and healthy dietary pattern should also become the key of nutrition promotion and health maintenance. This paper introduces this idea in order to attract the attention of academic colleagues.

In the past 30 years, the blood lipid level of Chinese population has gradually increased, and the prevalence of dyslipidemia has increased significantly. The results of the 2012 national survey showed that^[1]The mean adult serum total cholesterol (TC) was 4.50 mmol/L, and the prevalence of hypercholesterolemia was 4.9%; The mean value of triglyceride (TG) was 1.38 mmol/L, and the prevalence of hyperTGemia was 13.1%; The mean value of high-density lipoprotein cholesterol (HDL-C) was 1.19 mmol/L, and the prevalence of hypoHDL-Cemia was 33.9%. The overall prevalence of dyslipidemia in Chinese adults is as high as 40.40%, which is a substantial increase compared with 2002. The increase of serum cholesterol in the population will lead to an increase of about 9.2 million cardiovascular disease events in China between 2010 and 2030^[2]。 The prevalence of hyperTGemia in children and adolescents in China has also increased significantly^[3]It indicates that the burden of dyslipidemia and related diseases among adults in China will continue to increase in the future.

Essential hypertension is one of the most important risk factors of cardiovascular and cerebrovascular diseases and death in China^[1]。 The awareness rate of hypertension in China is 33.1%, the treatment rate is 36.1%, and the control rate is 12.4%^[2]And the level of "three rates" of hypertension in rural areas is significantly lower than that of urban residents. Therefore, it is urgent to carry out health education and individualized management of hypertension in suburban rural communities. From August 2014 to August 2015, 247 rural hypertensive patients with substandard blood pressure were treated with 12-month hypertension health education and individualized management in Zhenxin Community, Jiading District, Shanghai, and good results were achieved. The report is as follows.

The willingness to support the aged refers to people's views and attitudes towards the behavior of supporting the aged^[1]。 Starting from people's subjective motivation, the willingness to support the elderly analyzes their needs for the mode and service of the elderly. Through the study of the willingness to support the elderly, the willingness and demand of the elderly are taken as the parameters of the design of social pension service system, so as to meet the demands of the elderly for services. According to the latest statistics from relevant departments in Cixi City, by the end of 2012, the elderly population over 60 years old in Cixi City reached 212,500, accounting for 20.4% of the registered population, 1 percentage point higher than Ningbo and 6.1 percentage point higher than the national population. It is estimated that by the end of 2016, the city's elderly population will exceed 240,000, accounting for about 23% of the registered population; It is predicted that by 2025, the city's elderly population will exceed 350,000, accounting for nearly 1/3 of the total population^[2]。 In order to understand the willingness of middle-aged and elderly residents in Cixi and its influencing factors, and provide a solid foundation for carrying out old-age care work in the future, we have carried out a survey of Cixi residents' willingness to care for the elderly in the whole city.

At present, the prevalence of diabetes is increasing year by year. Among adults over 20 years old in China, the prevalence rate of diabetes is as high as 11.6%. China has become the country with the largest number of diabetic patients in the world^[1]。 In recent years, great progress has been made in the field of drug treatment of type 2 diabetes, but the situation of patients' self-management and mastery of disease-related knowledge is not optimistic^[2,3]。 The degree of mastery of diabetes knowledge is a prerequisite for diabetic patients to achieve blood glucose standards. The lack of knowledge of patients about diabetes is a serious challenge for patients and medical staff^[4]。 It has been demonstrated that among patients with type 2 diabetes, patients with favorable clinical outcomes and lower mortality tend to have better knowledge^[5,6]。 Every year, about 1/3 of diabetic patients in China develop various acute and chronic complications due to lack of knowledge of diabetes and failure to take active treatment measures^[7]。 Diabetes education is an important means to improve the knowledge, skills and attitude of diabetic patients, and plays a pivotal role in the comprehensive treatment of diabetes^[8]。 The results of the study on diabetes control and complications also show that developing diabetes education and obtaining active cooperation from patients are the prerequisites for achieving good blood sugar control^[9]。 Xiamen is a coastal city with rapid economic and cultural development and diversified population. However, the status of diabetes education and the status of diabetes knowledge of diabetic patients are still unclear. In order to provide a basis for future diabetes health education, we investigated and analyzed the status of diabetes knowledge among type 2 diabetes patients in Xiamen.

In 2007, the Health Management Branch of Chinese Medical Association was formally established. In the same year, the Chinese Journal of Health Management was founded, and health managers were also recognized by the country as an emerging profession. Health management has experienced the initial development stage of "arduous start and innovative practice", and is about to enter the standardized growth stage of "great development of discipline and great prosperity of industry"^[1]。 In September 2013, the State Council officially issued "Several Opinions on Promoting the Development of Health Service Industry"^[2]。 This document shows the determination of the state to improve and improve the human resources guarantee mechanism, and vigorously supports China's colleges and universities to set up disciplines and majors related to health service industry. Facing the great demand for health management talents, in the long run, China's colleges and universities have the responsibility and obligation to cultivate professional and technical teams suitable for them through standardized education of specialties and disciplines, innovate the training mode of health management talents, perfect the theoretical foundation of health management, and cultivate multi-functional compound talents that can meet the needs of society.

In recent years, domestic health management services have risen and developed rapidly. In order to ensure residents' health in an all-round way and in a full cycle and greatly improve their health level, it is necessary to build a systematic and complete health management system to realize the health management of the whole population. Since 2009, the national basic public health service project, which serves the whole population and key populations and serves important health problems, has achieved obvious results in health protection, control of health risk factors and disease management^[1,2,3]It provides a theoretical and practical basis for constructing a complete health management system.

A 4-year-old boy with autism was admitted to a hospital emergency room after his parents followed the advice of a therapist to give the child integrative supplements. Doctors warn of the risks associated with this complementary therapy.