Connecting food, well-being and environmental sustainability: towards an integrative public health nutrition
Connecting food, well-being and environmental sustainability: towards an integrative public health nutrition
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DOI：
10.1080/09581596.2013.877580
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发表时间：
2014-12-01
影响因子：
2.8
通讯作者：
Hanlon, Phil
中科院分区：
文献类型：
--
作者：
Carlisle, Sandra;Hanlon, Phil
现代社会并不缺乏人类营养科学，也不缺乏旨在改善我们饮食方式的干预措施。然而，营养科学以及由此衍生的模型、方法和干预措施显然在人口体重增加、不健康饮食模式和肥胖“流行”方面带来的回报递减。我们借鉴一系列文献认为，富裕社会的公共卫生营养学家面临着创造力差距——一系列复杂且相互关联的挑战，这些挑战既没有得到充分认识，也不容易通过传统思维和实践来解决。其中四个挑战是：营养主义；经济主义；消费主义和个人主义。我们使用综合框架来解释它们对公共卫生营养的重要性，它们发挥着综合和复合的影响。除了这些问题之外，其他学科的见解表明，“现代”社会及其一些关键特征与日益严重的环境威胁有关。后者破坏粮食安全和社会本身的可持续性，并具有全球影响。为了使公共卫生营养学适应并响应这一更广泛的背景，该学科需要更好地理解现代社会、食物选择和环境可持续性之间的关系。由于“健康饮食”在当前的社会、经济和文化体系中可能不是一个可以实现的目标，因此公共卫生营养在塑造未来变革方面可以发挥独特而重要的作用。
Modern society has no shortage of human nutrition science, nor interventions designed to improve the way we eat. Yet nutrition science, and the models, approaches and interventions derived from this, is apparently delivering diminishing returns in terms of population weight gain, unhealthy eating patterns and the obesity 'epidemic'. We draw on a range of literature(s) to argue that public health nutritionists in affluent societies face an ingenuity gap - a series of complex and inter-connected challenges which are neither fully recognised nor easily amenable to resolution through conventional thinking and practice. Four such challenges are: nutritionism; economism; consumerism and individualism. We use an integrative framework to explain their significance for public health nutrition, where they exert a combined and compounding influence. In addition to these problems, insights from other disciplines show that 'modern' society and some of its key characteristics are linked to increasing environmental threats. The latter undermine food security and the sustainability of society itself, and possess global impact. For public health nutrition to be situated in and responsive to this broader context, the discipline will need a better understanding of the relationship between modern society, food choice and environmental sustainability. As 'healthy eating' may not be an achievable goal within the present social, economic and cultural system, public health nutrition has a unique and vital role to play in shaping change for the future.