Garson Arthur, Engelhard Carolyn L
School of Medicine, University of Virginia, Charlottesville, Virginia 22908-0793, USA.
J Am Coll Cardiol. 2007 Apr 24;49(16):1673-5. doi: 10.1016/j.jacc.2007.01.062. Epub 2007 Apr 6.
For the first time since the Civil War, American life expectancy is projected to decrease, owing to the diseases associated with obesity such as diabetes, ultimately causing cardiovascular death. In the past 30 years, the prevalence of obesity among U.S. adults has doubled, as has the incidence of type 2 diabetes. Enough data. The Surgeon General should attack obesity the same way as smoking in 1964, with: 1) Advisory Council creation of public statements; 2) warning labels and menu information in all restaurants; 3) legislation for tax incentives for industry to promote worksite health; and 4) consideration of taxation of fatty food; the cigarette tax is now 42%. It is abundantly clear that in short order, obesity will kill more people than smoking. The time has come for the country to get serious about obesity and take lessons from our nation's campaign to reduce smoking. As patient advocates, scientists, and medical professionals, cardiologists should appropriately take the lead.
自美国内战以来，美国人的预期寿命首次预计将会下降，这是由于与肥胖相关的疾病，如糖尿病，最终导致心血管疾病死亡。在过去30年里，美国成年人肥胖症的患病率翻了一番，2型糖尿病的发病率也是如此。数据已经足够。卫生局局长应该像1964年应对吸烟问题那样应对肥胖问题，措施包括：1）咨询委员会发布公开声明；2）在所有餐馆设置警示标签和菜单信息；3）立法给予行业税收优惠以促进工作场所的健康；4）考虑对高脂肪食品征税；目前香烟税为42%。显而易见，短期内肥胖造成的死亡人数将超过吸烟。国家是时候认真对待肥胖问题，并从我国减少吸烟的运动中吸取教训了。作为患者权益倡导者、科学家和医学专业人士，心脏病专家应该适当地发挥带头作用。
