Prevention of chronic diseases

Correct answer: A. Because foods available locally influence people's daily dietary choices

Explanation: Availability affects what families can realistically buy, prepare and eat regularly. When vegetables, fruits, pulses, whole grains and other nutritious foods are accessible, healthier choices become easier and may lower risks of obesity, diabetes and heart disease. Availability does not replace screening, and a healthy diet need not depend on expensive foods.

Correct answer: A. To estimate both total weight and abdominal fat

Explanation: BMI relates body weight to height and is used as a broad indicator of weight status, although it cannot show fat distribution. Waist measurement adds information about central or abdominal fat, which is associated with greater metabolic and cardiovascular risk. Using both gives a more informative assessment than either measure alone, but neither provides a complete diagnosis.

Correct answer: A. To determine a safe exercise intensity and gradual progression

Explanation: A person at high risk may have heart disease, uncontrolled blood pressure, diabetes or another condition that changes exercise safety. A qualified professional can recommend the appropriate activity, intensity, precautions and gradual progression. Advice does not mean complete rest or stopping medicines; it helps make activity safer and more useful.

Correct answer: A. Environmental prevention promoting active lifestyle

Explanation: A walkable environment, including safe pavements, crossings, lighting and connected routes, makes routine physical activity easier for many people. This population-level environmental approach can support healthy weight, cardiovascular fitness and metabolic health, thereby contributing to primary prevention. It is not a drug treatment and does not itself guarantee disease prevention.

Correct answer: A. Prevention occurs through a combination of a varied diet and healthy lifestyle habits

Explanation: No single food supplies every nutrient or prevents all chronic diseases. Prevention is supported by dietary variety, suitable portions, physical activity, adequate sleep, stress management, avoidance of tobacco and appropriate medical care. A superfood may be nutritious, but treating it as a complete solution can encourage an unbalanced diet and false confidence.

Correct answer: A. It may contain less oil and energy

Explanation: Roasting or steaming generally requires little or no added oil, so the food may contain less fat and energy than a comparable fried preparation. Replacing frequent fried foods can support weight control and a heart-healthy dietary pattern. However, the total recipe still matters: salt, sauces and added fats can change the nutritional result.

Correct answer: A. Adopting healthy diet and regular blood pressure checking

Explanation: Adopting a healthy diet before disease develops is a primary-prevention action because it reduces risk. Regular blood-pressure checking is secondary prevention because screening can detect an abnormal condition early and allow timely management. The option combines both levels; the other choices are unsafe, ineffective or harmful behaviours rather than prevention strategies.

Correct answer: A. Healthy weight, balanced diet, active life and timely check-up

Explanation: Family history can increase susceptibility, but it does not make diabetes inevitable. A balanced diet rich in vegetables, pulses, whole grains and appropriate portions, together with regular activity, healthy weight and timely professional assessment, can reduce modifiable risk. Sugary drinks, inactivity and removing vegetables would worsen rather than reduce risk.

Correct answer: A. They can be major hidden sodium sources

Explanation: Pickles, papad and savoury snacks may contain substantial sodium in addition to the salt added at the table. High sodium intake can promote fluid retention and raise blood pressure in susceptible people. Limiting these foods, reading labels and choosing less-salty alternatives can support prevention, although overall diet, activity and medical factors also matter.

Correct answer: A. Fibre, micronutrients and low energy density

Explanation: Vegetables usually provide fibre, vitamins, minerals and protective plant compounds while contributing relatively few calories per unit of volume. Filling much of the plate with them can increase satiety and help control energy intake, especially when prepared with limited oil and salt. They should complement, not completely replace, protein foods and whole grains.

Correct answer: A. Healthy diet reduces risk but medical advice is also needed when required

Explanation: A healthy diet can reduce risk factors such as excess weight, high sodium intake and poor blood-lipid patterns, but it cannot replace diagnosis or prescribed treatment when these are needed. Medicines and dietary changes may work together under professional guidance. People should not start, stop or alter medication solely because they changed their diet.

Correct answer: A. Choosing water instead of sugary drinks can reduce added sugar and energy intake

Explanation: Water supports hydration without adding sugar or calories. Replacing soft drinks, sweetened juices and other sugary beverages with plain water can reduce added-sugar and energy intake, supporting healthy weight and lower risk of metabolic disease. Water alone cannot guarantee prevention of diabetes or hypertension, and it is essential for body function but does not provide energy.

Correct answer: A. Safe food can reduce infection and health burden

Explanation: Food safety practices such as handwashing, preventing cross-contamination, cooking thoroughly, using safe water and storing food correctly reduce exposure to pathogens and foodborne illness. This protects nutritional status and lowers avoidable health burden. Food safety is not judged only by colour, and safe handling does not inherently destroy nutrition when appropriate methods are used.

Correct answer: A. One with family history, obesity or high salt intake

Explanation: Family history, obesity and high sodium intake are recognised risk factors for elevated blood pressure, although anyone can develop hypertension. Regular measurement can identify a raised reading early, often before symptoms appear, allowing lifestyle advice and professional assessment. A single reading is not always diagnostic, so repeated measurements and appropriate clinical interpretation are important.

Correct answer: A. Advertisements can make high-sugar, high-fat or high-salt foods attractive

Explanation: Food marketing uses attractive images, characters, discounts and persuasive claims that can influence children’s and families’ preferences and purchases, especially for products high in sugar, salt or unhealthy fats. Media literacy helps people check labels, recognise persuasive tactics and choose healthier foods. Advertising does not automatically make a product nutritious.

Correct answer: A. Physical activity contributes independently of diet to weight control, metabolism, and heart health

Explanation: Healthy eating is important, but regular physical activity independently improves insulin sensitivity, energy balance, fitness, blood pressure and cardiovascular health. Activity does not need to be strenuous or limited to athletes; suitable movement can benefit most people. Therefore, dietary improvement alone may leave important protective mechanisms and health gains unaddressed.

Correct answer: A. They make behaviour change manageable and increase self-efficacy

Explanation: Small, specific and achievable goals—such as adding one serving of vegetables, walking for a set time or reducing sugary drinks—make change less overwhelming. Success provides feedback and builds self-efficacy, increasing adherence over time. These goals support, but do not replace, balanced nutrition, screening, professional care or attention to genetic risk.

Correct answer: A. It makes the whole home environment healthy instead of isolating one person

Explanation: Changing meals for the whole family makes healthier foods and routines normal and accessible rather than singling out one high-risk person. More vegetables, pulses, whole grains and less salt, sugar and unhealthy fat can benefit everyone and improve adherence. Family changes do not eliminate screening or professional care when a member remains at risk.

Correct answer: A. To identify risk changes and correct the plan in time

Explanation: Monitoring weight, waist size, blood pressure, blood glucose or other relevant indicators shows whether a prevention plan is working and whether risk is changing. Timely results allow adjustment of food choices, activity, medication or referrals with professional guidance. Monitoring is therefore an action-oriented feedback process, not merely paperwork and not a reason to stop exercise.

Correct answer: A. Low-salt meals and portion control

Explanation: Hypertension and obesity require attention to two related but distinct risks. Reducing excess sodium can support blood-pressure control, while portion control helps reduce excessive energy intake and supports gradual weight management. Meals should still include vegetables, whole grains, pulses, and appropriate protein. Individual targets should be discussed with a qualified health professional.

Correct answer: B. Because total energy, food quantity, weight, and activity also matter

Explanation: Diabetes risk is influenced by the overall dietary and lifestyle pattern, not only by table sugar. Total energy intake, portion size, type and amount of carbohydrate, body weight, physical activity, sleep, and family risk all matter. Reducing sugary foods is useful, but it must be combined with balanced meals, weight management, and regular activity for effective prevention.

Correct answer: C. Because salt, sugar, fat, and energy may be present in significant amounts

Explanation: A front-of-pack claim is selective and does not describe the complete nutritional profile. The nutrition table and ingredient list can reveal energy, added sugar, sodium, saturated fat, serving size, and the order of ingredients. Reading these details helps consumers compare products and avoid assuming that the word healthy means low in every nutrient of concern.

Correct answer: D. Control unhealthy fat and improve cooking methods

Explanation: Daily exercise is beneficial, but it cannot fully cancel the effects of a diet high in fried foods. Frequent frying may increase energy intake and exposure to unhealthy fats, especially when portions are large or oil is repeatedly used. Prevention requires both regular activity and sensible food choices, such as steaming, boiling, baking, or using limited fresh oil.

Correct answer: A. Fibre and satiety

Explanation: Whole fruit usually provides more dietary fibre and requires chewing, which can improve fullness and help regulate the pace and amount of eating. Juice, especially strained or sweetened juice, may contain less fibre and can be consumed quickly, making it easier to take in more sugar and energy. Whole fruit is therefore generally preferable, although unsweetened juice may have a limited place in some diets.

Correct answer: C. High sodium can affect blood-pressure control

Explanation: Medicines can be important, but hypertension management generally also requires lifestyle measures. Excess sodium may promote fluid retention and make blood-pressure control more difficult in susceptible people. The person should follow the prescribed medicine schedule, reduce salty and highly processed foods, remain active as advised, and monitor blood pressure. Medication should never be stopped without professional guidance.