WHO recognition of the global obesity epidemic

WHO recognition of the global obesity epidemic
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DOI:
10.1038/ijo.2008.247
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发表时间:
2008-12-01
影响因子:
4.9
通讯作者:
James, W. P. T.
James, W. P. T.
中科院分区:
医学2区
文献类型:
--
作者:
James, W. P. T.

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肥胖作为一种疾病的认识在理论上是由WHO(世界卫生组织)在1948年采用国际疾病分类建立的,但35年前在美国和英国早期强调的潜在公共卫生问题被认为与其他地方无关。尽管有新的证据和世卫组织在20世纪80年代提出的数据,但医学界忽视了肥胖的重要性。直到1995年,卫生组织才发现许多发展中国家的超重问题比体重不足问题更严重,但它要求在1997年进行第一次特别肥胖问题协商,特别是千年疾病负担分析,以突然突出其在目前全球无法控制和不断上升的医疗费用中的关键作用。各国政府现在认识到,压倒一切的工业发展必然会导致这一流行病的不断升级,但它们和世卫组织都不知道如何参与改变社会框架,以促进日常自发的身体活动和粮食系统的转变,从而使高营养质量的低能量密度食物成为常态。
The recognition of obesity as a disease was in theory established in 1948 by WHO's (World Health Organization) taking on the International Classification of Diseases but the early highlighting of the potential public health problem in the United States and the United Kingdom 35 years ago was considered irrelevant elsewhere. The medical profession disregarded obesity as important despite the new evidence and WHO data set out in the 1980s. Only in 1995 did WHO find greater problems of overweight than underweight in many developing countries but it required the first special obesity consultation in 1997 and particularly the Millennium burden of disease analyses to suddenly highlight its crucial role in the current unmanageable and escalating medical costs globally. Governments now recognize the overwhelming industrial developments that guarantee an escalating epidemic but neither they nor WHO know how to engage in changing the societal framework to promote routine spontaneous physical activity and a transformation of the food system so that low energy-density food of high nutrient quality becomes the norm.