Division of Adolescent and Young Adult Medicine, Children's Hospital Boston, Boston, MA 02115, USA.
Am J Public Health. 2011 Jun;101(6):e1-4. doi: 10.2105/AJPH.2011.300182.
Public health attention to childhood obesity has increased in tandem with the growing epidemic, but despite this intense focus, successes in prevention have lagged far behind. There is a blind spot in our drive for childhood obesity prevention that prevents us from generating sufficiently broad solutions. Eating disorders and the constellation of perilous weight-control behaviors are in that blind spot. Evidence is mounting that obesity and eating disorders are linked in myriad ways, but entrenched myths about eating disorders undermine our ability to see the full range of leverage points to target in obesity preventive intervention studies. Our efforts to prevent childhood obesity can no longer afford to ignore eating disorders and the assemblage of related behaviors that persist unabated.
公众对儿童肥胖的关注随着这一不断增长的流行疾病而增加，但尽管如此，预防方面的成功却远远落后。在我们预防儿童肥胖的努力中，存在一个盲点，使我们无法提出足够广泛的解决方案。饮食失调和一系列危险的体重控制行为就在这个盲点中。越来越多的证据表明，肥胖和饮食失调在很多方面是相关的，但关于饮食失调的根深蒂固的误解削弱了我们全面看待肥胖预防干预研究中目标杠杆作用点的能力。我们预防儿童肥胖的努力再也不能忽视饮食失调和持续存在的相关行为。
