Ahrens W, Bammann K, de Henauw S, Halford J, Palou A, Pigeot I, Siani A, Sjöström M
Division of Epidemiological Methods and Etiologic Research, Bremen Institute for Prevention Research and Social Medicine (BIPS), University of Bremen, Linzer Strasse 10, D-28359 Bremen, Germany.
Nutr Metab Cardiovasc Dis. 2006 May;16(4):302-8. doi: 10.1016/j.numecd.2006.01.011. Epub 2006 Apr 27.
The environment of children has drastically changed in Europe during the last decades as reflected in unhealthy dietary habits and sedentary lifestyle. Nutrition obviously plays a part in the development of overweight in childhood. However, dietary factors and physical activity are also involved in the development of metabolic syndrome, type II diabetes, cardiovascular diseases, osteoporosis, and postural deformities like scoliosis, effects related in part to excessive weight gain. To stop the resulting epidemic of diet- and lifestyle-induced morbidity, efficient evidence-based approaches are needed. These issues are the focus of IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants), a five-year project proposed under the sixth EU framework. The IDEFICS consortium comprises 25 research centres and SMEs across Europe. The planned prospective study will identify risk profile inventories for children susceptible to any of these disorders with emphasis on obesity and its co-morbid conditions. Genetic and non-genetic factors, psychosocial factors and social settings will be considered. The project will devise tailored prevention strategies that are effective, easy to implement and that account for the needs of different social groups. Population-based studies will investigate the impact of sensory perception and provide results concerning internal and external triggers of food choices and children's consumer behaviour. The ethical implications of a "right not to know" of genetic factors will be addressed. We will propose knowledge-based guidelines on dietary and lifestyle activities for health promotion and disease prevention in children for health professionals, stakeholders and consumers.
在过去几十年里，欧洲儿童的生活环境发生了巨大变化，这体现在不健康的饮食习惯和久坐不动的生活方式上。营养显然在儿童超重的发展过程中起到了一定作用。然而，饮食因素和体育活动也与代谢综合征、II型糖尿病、心血管疾病、骨质疏松症以及脊柱侧弯等姿势畸形的发展有关，这些影响部分与体重过度增加有关。为了阻止由饮食和生活方式导致的发病率的流行，需要有效的循证方法。这些问题是IDEFICS（识别和预防儿童及婴儿饮食和生活方式引起的健康影响）的重点，这是一个在欧盟第六框架下提出的为期五年的项目。IDEFICS联盟由欧洲各地的25个研究中心和中小企业组成。计划中的前瞻性研究将确定易患这些疾病中任何一种疾病的儿童的风险特征清单，重点是肥胖及其合并症。将考虑遗传和非遗传因素、心理社会因素和社会环境。该项目将制定量身定制的预防策略，这些策略有效、易于实施，并能满足不同社会群体的需求。基于人群的研究将调查感官知觉的影响，并提供有关食物选择的内部和外部触发因素以及儿童消费行为的结果。将探讨遗传因素“知情权”的伦理含义。我们将为健康专业人员、利益相关者和消费者提出基于知识的儿童饮食和生活方式活动指南，以促进健康和预防疾病。
