Public health response to the obesity epidemic: Too soon or too late?
Public health response to the obesity epidemic: Too soon or too late?
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DOI：
10.1093/jn/137.2.488
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发表时间：
2007-02-01
影响因子：
4.2
通讯作者：
Sedjo, Rebecca L.
中科院分区：
文献类型：
--
作者：
Byers, Tim;Sedjo, Rebecca L.
为应对新威胁而采取的公共卫生行动经常被采取，尽管这种行动的效果尚不确定。因此，挑战在于，在充分了解干预措施的有效性之前，或在大部分预防潜力丧失后，是否过早采取行动，或是否太晚采取行动，这是持续不断的判断。正在进行的肥胖症流行恰恰是这种类型的挑战。从艾滋病和烟草流行病以及其他流行病中吸取的一般性经验教训现在可能有用，因为我们正在考虑扭转美国目前肥胖症流行的各种选择。在这篇文章中，我们简要回顾了当前关于肥胖干预在临床和社区环境中的有效性的证据。我们的结论是，尽管几乎没有直接证据表明干预肥胖流行病的效果，但从其他公共卫生流行病的经验中得出了一些合理的选择，可以帮助解决肥胖问题。
Public health actions in response to new threats are often taken despite uncertainty about the efficacy of the action. The challenge, then, is to make ongoing judgments about whether actions are taken too soon, before a sufficient understanding of the efficacy of interventions is known, or too late, after much of the prevention potential is lost. The ongoing obesity epidemic presents exactly this type of challenge. General lessons learned from the AIDS and tobacco epidemics as well as others can be useful now as we contemplate options for reversing the ongoing epidemic of obesity in the United States. In this article we briefly review current evidence regarding the efficacy of obesity interventions in both clinical and community settings. We conclude that although little direct evidence is available on the efficacy of interventions for the obesity epidemic, there are some reasonable options derived from experience with other public health epidemics that can contribute to the solution of the obesity problem.