Department of Health Services, School of Public Health, University of California, Los Angeles, 90095-1772, USA.
Annu Rev Public Health. 2011;32:285-306. doi: 10.1146/annurev-publhealth-090810-182502.
The large increase in obesity in the past 30 years has often been explained in rational choice terms; for example, a decline in food prices has engendered greater food consumption. On closer examination, this kind of explanation does not fit the facts of the current obesity epidemic. Instead, an unprecedented expansion in the scope, power, and ubiquity of food marketing has coincided with an unprecedented expansion in food consumption in predictable ways. Ongoing protestations that the causes of the recent increase in obesity are unknown may overstate the case. Ample evidence indicates that the obesity epidemic is, at least to a large degree, the result of increased marketing power over the American diet. Only by reigning in or countering marketing power can rationality be restored to the dietary choices of Americans.
在过去的 30 年里,肥胖症的大量增加通常可以用理性选择来解释;例如,食品价格的下降导致了更多的食品消费。但仔细观察后,这种解释与当前肥胖症流行的事实并不相符。相反,食品营销的范围、力量和普及程度以前所未有的方式空前扩大,同时食品消费也以可预见的方式空前扩大。人们一直抗议说,肥胖症增加的原因尚不清楚,这可能夸大了事实。大量证据表明,肥胖症的流行至少在很大程度上是由于美国饮食中营销力量的增强。只有通过控制或抵制营销力量,才能使美国人的饮食选择恢复理性。