Changing the future of obesity: science, policy, and action.
Changing the future of obesity: science, policy, and action.
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改变肥胖的未来：科学，政策和行动。
DOI：
10.1016/s0140-6736(11)60815-5
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发表时间：
2011-08-27
期刊：
影响因子：
168.9
通讯作者：
Moodie, Marjory L.
中科院分区：
文献类型：
--
作者：
Gortmaker, Steven L.;Swinburn, Boyd A.;Levy, David;Carter, Rob;Mabry, Patricia L.;Finegood, Diane T.;Huang, Terry;Marsh, Tim;Moodie, Marjory L.
40年来，全球肥胖流行病一直在上升，但持续的预防工作才刚刚开始。一种使用定量模型的新兴科学为了解这一流行病的动态提供了关键的见解，并使人们有可能将不同的证据联合收割机结合起来，计算行为、干预措施和政策在多个层面-从个人到人群-的影响。预测表明，高水平的肥胖对未来人口健康和经济结果有很大影响。能量差距模型已经量化了能量摄入和支出变化与体重变化的关系，并记录了增加摄入对肥胖患病率的主导作用。有效干预措施的经验证据基础有限，但在不断增长。报告确定了政府应优先执行的几项具有成本效益的政策。系统科学为组织推动肥胖流行的复杂力量提供了一个框架，并对政策制定者具有重要意义。多方参与者（包括政府、国际组织、私营部门和民间社会）需要以协调一致的方式采取补充行动。优先行动包括改善食物和建筑环境的政策，跨领域行动（如领导，所有政策中的健康和监测），以及为预防计划提供更多资金。增加对人口肥胖监测的投资将提高预测和评估的准确性。将行动纳入卫生和非卫生部门（贸易、农业、运输、城市规划、发展）的现有系统，可以大大增加影响和可持续性。我们呼吁全世界持续努力监测、预防和控制肥胖症。
The global obesity epidemic has been on the rise for four decades, yet sustained prevention efforts have barely begun. An emerging science using quantitative models has provided key insights into the dynamics of this epidemic, and made it possible to combine different pieces of evidence and calculate the impact of behaviors, interventions and policies at multiple levels – from person to population. Forecasts indicate large effects of high levels of obesity on future population health and economic outcomes. Energy gap models have quantified the relationships of changes in energy intake and expenditure to weight change, and documented the dominant role of increasing intake on obesity prevalence. The empirical evidence base for effective interventions is limited but growing. Several cost-effective policies are identified that governments should prioritize for implementation. Systems science provides a framework for organizing the complexity of forces driving the obesity epidemic and has important implications for policy-makers. Multiple players (including governments, international organizations, the private sector, and civil society) need to contribute complementary actions in a coordinated approach. Priority actions include policies to improve the food and built environments, cross-cutting actions (such as leadership, health-in-all policies, and monitoring), and much greater funding for prevention programs. Increased investment in population obesity monitoring would improve the accuracy of forecasts and evaluations. Embedding actions within existing systems in both health and non-health sectors (trade, agriculture, transport, urban planning, development) can greatly increase impact and sustainability. We call for a sustained worldwide effort to monitor, prevent and control obesity.