de doenca cardiaca e cancer, deve servir de alerta para o fato de que ofuturo dos cuidados a saude ira requerer uma estrategia que incorpore mudancasde estilo de vida baseadas em evidencias para tratar as doencas, estrategiasessas a serem empregadas como um acrescimo ou frequentemente como umaalternativa aos tratamentos medicamentosos e seus efeitos colaterais. Nosapoiamos a Academy of Medical Royal Colleges e o British Medical Journal que,conjuntamente, oferecem um plano para reduzir os danos do "excesso demedicacoes", como parte da campanha Choosing Wisely ("escolhendo comsabedoria"): uma das suas recomendacoes encoraja a educacao do publicopara que questionem os profissionais medicos sobre se existem opcoes maissimples ou mais seguras a medicacao prescrita (43).Diretrizes de alimentacaosaudavel e perda de peso para o Reino UnidoAlem de auxiliar na confeccao destedocumento, a Public Health Collaboration (PHC) tambem escreveu um relatoriomais longo sobre diretrizes de alimentacao saudavel e perda de peso para oReino Unido. Este relatorio pode ser baixado do site da PHC em https://www.PHCuk.org/healthy-eating-guidelines-weight-loss-advice-for-the-uk/onde voce tambem achara mais informacoes.REFERENCIAS BIBLIOGRAFICAS:1.Hex N, Bartlett C, Wright D, et al. Estimating the current and future costs ofType 1 and Type 2 diabetes in the United Kingdom, including direct health costsand indirect societal and productivity costs. Diabetic Medicine 2012;29:85562.2.Newton JN, Briggs AD, Murray CJ, Dicker D, Foreman KJ, Wang H, et al. Changesin health in England, with analysis by English regions and areas ofdeprivation, 19902013: a systematic analysis for the Global Burden of DiseaseStudy 2013. Lancet. 2015. doi:10.1016/S0140-6736(15)00195-6. 3.Select Committee on Nutrition and Human Needs. Dietary goals for the UnitedStates. First ed. Washington: U.S. Govt. Print. Off., February 1977. 4.National Advisory Committee on Nutritional Education (NACNE). A discussionpaper on proposals for nutritional guidelines for health education in Britain,1983. 5.Credit Suisse. Fat: The New Health Paradigm: Research Institute, 2015:76. 6.Brownell KD, Warner KE. The perils of ignoring history: big tobacco playeddirty and millions died. How similar is big food? Milbank Q 2009;87: 25994. 7.Malhotra, A. (2013) The dietary advice on added sugar needs emergency surgery.BMJ, 346, f3199. 8.Sackner-Bernstein J, Kanter D, Kaul S. Dietary Intervention for Overweight andObese Adults: Comparison of Low-Carbohydrate and Low-Fat Diets. A MetaAnalysis.PLoS One 2015;10(10):e0139817 doi: 10.1371/journal.pone.0139817[publishedOnline First: Epub Date]|. 9.Bazzano LA, Hu T, Reynolds K, et al. Effects of Low-Carbohydrate and Low-FatDiets: A Randomized Trial Effects of Low-Carbohydrate and Low-Fat Diets. Ann.Intern. Med. 2014;161(5):309-18 doi: 10.7326/M14-0180[published Online First:Epub Date]|. 10.HowardBV, Van Horn L, Hsia J, et al. Low-fat dietary pattern and risk ofcardiovascular disease: the Women's Health Initiative Randomized ControlledDietary Modification Trial. JAMA 2006;295(6):655-66 doi:10.1001/jama.295.6.655[published Online First: Epub Date]|. 11.HarcombeZ, Baker JS, Cooper SM, et al. Evidence from randomised controlled trials didnot support the introduction of dietary fat guidelines in 1977 and 1983: asystematic review and meta-analysis. Open Heart 2015;2(1) doi:10.1136/openhrt-2014-000196[published Online First: Epub Date]|. 12.ChowdhuryR, Warnakula S, Kunutsor S, et al. Association of Dietary, Circulating, andSupplement Fatty Acids With Coronary Risk: A Systematic Review andMeta-analysis. Ann. Intern. Med. 2014;160(6):398-406 doi:10.7326/M13-1788[published Online First: Epub Date]|. - 16 -www.NationalObesityForum.org.uk www.PHCuk.org 13.deSouza RJ, Mente A, Maroleanu A, et al. Intake of saturated and transunsaturated fatty acids and risk of all cause mortality, cardiovasculardisease, and type 2 diabetes: systematic review