Chronic Diseases: Chronic Diseases and Development 3 Tackling of unhealthy diets, physical inactivity, and obesity: health effects and cost-effectiveness

Chronic Diseases: Chronic Diseases and Development 3 Tackling of unhealthy diets, physical inactivity, and obesity: health effects and cost-effectiveness
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DOI:
10.1016/s0140-6736(10)61514-0
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发表时间:
2010-11-20
期刊:
影响因子:
168.9
通讯作者:
Chisholm, Daniel
Chisholm, Daniel
中科院分区:
医学1区
文献类型:
--
作者:
Cecchini, Michele;Sassi, Franco;Chisholm, Daniel

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由于新的饮食习惯和久坐不动的生活方式,肥胖症正在向低收入和中等收入国家蔓延,助长了慢性病和过早死亡。在这份报告中,我们提出了一个评估的公共卫生战略,旨在解决与肥胖密切相关的慢性疾病的行为风险因素,包括饮食和身体活动不足的方面,在巴西,中国,印度,墨西哥,俄罗斯和南非。英国是为了比较的目的而被列入的。一些基于人口的预防政策可望在保健方面取得重大成果,同时通过今后减少保健支出,完全或大部分收回成本。这些战略包括:提高人们对健康饮食和体育活动好处的认识的卫生信息和通信战略;提高不健康食品价格或降低富含纤维的健康食品成本的财政措施;改进营养信息或限制向儿童销售不健康食品的监管措施。预防慢性病的一揽子措施将带来巨大的健康收益,具有非常有利的成本效益。
The obesity epidemic is spreading to low-income and middle-income countries as a result of new dietary habits and sedentary ways of life, fuelling chronic diseases and premature mortality. In this report we present an assessment of public health strategies designed to tackle behavioural risk factors for chronic diseases that are closely linked with obesity, including aspects of diet and physical inactivity, in Brazil, China, India, Mexico, Russia, and South Africa. England was included for comparative purposes. Several population-based prevention policies can be expected to generate substantial health gains while entirely or largely paying for themselves through future reductions of health-care expenditures. These strategies include health information and communication strategies that improve population awareness about the benefits of healthy eating and physical activity; fiscal measures that increase the price of unhealthy food content or reduce the cost of healthy foods rich in fibre; and regulatory measures that improve nutritional information or restrict the marketing of unhealthy foods to children. A package of measures for the prevention of chronic diseases would deliver substantial health gains, with a very favourable cost-effectiveness profile.