Prevention of overweight and obesity: a Spanish approach
Prevention of overweight and obesity: a Spanish approach
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DOI：
10.1017/s1368980007000699
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发表时间：
2007-10-01
影响因子：
3.2
通讯作者：
Moreno, Basilio
中科院分区：
文献类型：
--
作者：
Aranceta, Javier;Perez-Rodrigo, Carmen;Moreno, Basilio
背景肥胖被认为是当今大多数发达国家的主要公共卫生问题。本文提供了一个概述，目前的人口数据，在西班牙和方法，以制定预防战略，在national.Methods：审查人口数据的基础上单独测量的体重和身高以及决定因素。结果：根据DORICA研究，西班牙25-60岁成年人肥胖（BMI >= 30 kg m（-2））的患病率为15.5%（男性为13.2%，女性为17.5%）。居住在半城市地区的45岁及以上、社会阶层较低的女性的肥胖率较高。根据enKid研究，西班牙儿童和青少年肥胖患病率的人口估计为整个群体的13.9%。在这项研究中，超重和肥胖与缺乏母乳喂养，水果和蔬菜消费量低，蛋糕，面包，软饮料和屠宰产品消费量高，体力活动水平低以及与看电视时间呈正相关。2005年，西班牙卫生部与西班牙食品安全和营养局联合推出了多方面的NAOS营养战略，身体活动和预防肥胖。该文件强调了家庭和学校环境的重要作用以及卫生管理和儿科护理部门在预防肥胖方面的责任。环境行动的必要性得到承认。PERSEO方案，一个多成分的以学校为基础的干预项目是目前到位的战略的一部分。结论：肥胖症是在西班牙的公共卫生问题。为解决这一问题，启动了一项多方面的国家战略。环境和政策行动是优先事项。幼儿及其家庭是主要的目标群体。
Background. Obesity is considered a major public health issue in most developed countries nowadays. This paper provides an overview of current population data available in Spain and the approach to develop preventive strategies in the country.Methods: Review of population data available is based on individually measured weight and height as well as determinants. On this basis, the approach used in the country to develop preventive strategies is discussed.Results: According to the DORICA study, the prevalence of obesity (BMI >= 30 kg m(-2)) is 15.5% in Spanish adults aged 25-60 years (13.2% in men and 17.5% in women). Obesity rates are higher among women aged 45 years and older, low social class, living in semi-urban places. Population estimates for the prevalence of obesity in Spanish children and young people based on the enKid study are 13.9% for the whole group. In this study, overweight and obesity is related to absence of breastfeeding, low consumption of fruit and vegetables, high consumption of cakes, buns, softdrinks and butchery products, low physical activity levels and a positive association with time spent watching TV.In 2005, the Spanish Ministry of Health jointly with the Spanish Agency for Food Safety and Nutrition launched the multifaceted NAOS strategy for nutrition, physical activity and the prevention of obesity. The important role of the family and the school setting as well as the responsibility of the Health Administration and Pediatric Care in the prevention of obesity is highlighted in the document. The need for environmental actions is recognised. The PERSEO programme, a multicomponent school-based intervention project is part of the strategy currently in place.Conclusion: Obesity is a public health issue in Spain. A national multifaceted strategy was launched to counteract the problem. Environmental and policy actions are a priority. Young children and their families are among the main target groups.