Webber Larry S, Bedimo-Rung Ariane L
Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine, Tulane University Health Sciences Center, New Orleans, USA.
J La State Med Soc. 2005 Jan;157 Spec No 1:S3-11; quiz S11.
Obesity is a major public health problem in the United States and in Louisiana in particular. The prevalence of both overweight and obesity has increased in the past two decades. National studies and studies conducted in Louisiana in adults and children have shown that overweight and obesity are related to conditions such as hypertension, diabetes, stroke, and insulin resistance syndrome. Obesity tracks over time, with obese children and adolescents being more likely to become obese adults. Numerous intervention models to modify eating and exercise behaviors have been conducted with children in Louisiana and have shown that it is possible to reduce fat and saturated fat intakes and increase the amount of moderate to vigorous daily physical activity. More research is needed, however, in both health education programs and environmental influences if we are to be effective in making the necessary changes in eating and physical activity habits of children, adolescents, and adults to reduce the prevalence of obesity.
肥胖是美国尤其是路易斯安那州的一个主要公共卫生问题。在过去二十年中,超重和肥胖的患病率都有所上升。全国性研究以及在路易斯安那州针对成年人和儿童开展的研究表明,超重和肥胖与高血压、糖尿病、中风和胰岛素抵抗综合征等病症有关。肥胖具有时间上的延续性,肥胖的儿童和青少年更有可能成年后依然肥胖。路易斯安那州针对儿童开展了许多改变饮食和运动行为的干预模式,结果表明减少脂肪和饱和脂肪摄入量以及增加每日适度至剧烈身体活动量是可行的。然而,如果我们要有效地改变儿童、青少年和成年人的饮食及身体活动习惯以降低肥胖患病率,在健康教育项目和环境影响方面都还需要更多研究。