Mexico attempts to tackle obesity: the process, results, push backs and future challenges
Mexico attempts to tackle obesity: the process, results, push backs and future challenges
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DOI：
10.1111/obr.12096
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发表时间：
2013-11-01
期刊：
影响因子：
8.9
通讯作者：
Rivera, J. A.
中科院分区：
文献类型：
--
作者：
Barquera, S.;Campos, I.;Rivera, J. A.
墨西哥是世界上肥胖率最高的国家之一。2006年，学术界、联邦和州政府机构开始努力设计一项预防肥胖的国家政策。2008年，卫生部成立了一个专家小组，负责制定关于健康生活饮料摄入量的建议。随后，卫生部在学术界的支持下，开始制定《国家健康营养协议》。2010年，所有相关部门行为者签署了《安莎协定》，并导致采取了禁止苏打水和规范学校不健康食品的举措，以及制定了其他尚未实施的举措，如包装正面标签制度。《国家安全法》的一个主要挑战是，行业利益和公共卫生目标之间缺乏协调，缺乏有效的问责和监测机制，无法评估政府各部门的执行情况。目前正在考虑的大胆战略包括对含糖饮料征税、改进学校健康食品规范、管制向儿童销售食品和饮料以及实施全国包装前标签制度。强大的民间社会组织将预防肥胖作为其目标，并利用学术界的证据将预防肥胖纳入公共辩论和政府议程。
Mexico's obesity prevalence is one of the world's highest. In 2006, academics, and federal and state government agencies initiated efforts to design a national policy for obesity prevention. The Ministry of Health (MOH) established an expert panel to develop recommendations on beverage intake for a healthy life in 2008. Subsequently, the MOH, with support from academia, initiated the development of the National Agreement for Healthy Nutrition (ANSA). ANSA was signed by all relevant sectoral actors in 2010 and led to initiatives banning sodas and regulating unhealthy food in schools and the design of other yet to be implemented initiatives, such as a front-of-package labeling system. A main challenge of the ANSA has been the lack of harmonization between industry interests and public health objectives and effective accountability and monitoring mechanisms to assess implementation across government sectors. Bold strategies currently under consideration include taxation of sugar-sweetened beverages, improvement of norms for healthy food in schools, regulation of food and beverage marketing to children and implementation of a national front-of-pack labeling system. Strong civil society organizations have embraced the prevention of obesity as their goal and have used evidence from academia to position obesity prevention in the public debate and in the government agenda.