The epidemic of obesity in American Indian communities and the need for childhood obesity-prevention programs
The epidemic of obesity in American Indian communities and the need for childhood obesity-prevention programs
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DOI：
10.1093/ajcn/69.4.747s
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发表时间：
1999-04-01
影响因子：
7.1
通讯作者：
Broussard, B
中科院分区：
文献类型：
--
作者：
Story, M;Evans, M;Broussard, B
所有年龄和性别的美国印第安人都有很高的肥胖患病率。美国印第安人中糖尿病的高患病率显示了肥胖在这些社区中的不良影响。肥胖成为美国印第安人的一个主要健康问题只是在过去1-2代人的时间里，人们认为肥胖与高脂肪食物的相对丰富以及从活跃到久坐的生活方式的迅速转变有关。美国印第安人社区迫切需要干预研究，以开发和测试有效的减肥策略。成人肥胖治疗方案在普通人群中的成功率很低，这表明有必要开发针对儿童的预防方法。由于饮食和体育锻炼习惯是在生命早期形成的，可能会延续到成年，因此需要针对年轻人制定和测试鼓励增加体育锻炼和健康饮食习惯的预防计划。为了达到最有效的效果，必须在美洲印第安人社区的充分参与下制定干预措施。中华临床医学杂志，1999;19（增刊）：745 - 745。
American Indians of all ages and both sexes have a high prevalence of obesity. The high prevalence of diabetes mellitus in American Indians shows the adverse effects that obesity has in these communities. Obesity has become a major health problem in American Indians only in the past 1-2 generations and is believed to be associated with the relative abundance of high-fat foods and the rapid change from active to sedentary lifestyles. Intervention studies are urgently needed in American Indian communities to develop and test effective strategies for weight reduction. The poor success rate of adult obesity treatment programs in the general population points to the need to develop prevention approaches aimed toward children. Because eating and physical activity practices are formed early in life and may be carried into adulthood, prevention programs that encourage increased physical activity and healthful eating habits targeted toward young people need to be developed and tested. To be most effective, interventions must be developed with full participation of the American Indian communities. Am J Clin Nutr 1999;69(suppl):747S-54S.