Division of Research, Kaiser Permanente, Oakland, CA, USA.
CA Cancer J Clin. 2012 Jan-Feb;62(1):30-67. doi: 10.3322/caac.20140.
The American Cancer Society (ACS) publishes Nutrition and Physical Activity Guidelines to serve as a foundation for its communication, policy, and community strategies and, ultimately, to affect dietary and physical activity patterns among Americans. These Guidelines, published approximately every 5 years, are developed by a national panel of experts in cancer research, prevention, epidemiology, public health, and policy, and they reflect the most current scientific evidence related to dietary and activity patterns and cancer risk. The ACS Guidelines focus on recommendations for individual choices regarding diet and physical activity patterns, but those choices occur within a community context that either facilitates or creates barriers to healthy behaviors. Therefore, this committee presents recommendations for community action to accompany the 4 recommendations for individual choices to reduce cancer risk. These recommendations for community action recognize that a supportive social and physical environment is indispensable if individuals at all levels of society are to have genuine opportunities to choose healthy behaviors. The ACS Guidelines are consistent with guidelines from the American Heart Association and the American Diabetes Association for the prevention of coronary heart disease and diabetes, as well as for general health promotion, as defined by the 2010 Dietary Guidelines for Americans and the 2008 Physical Activity Guidelines for Americans.
美国癌症协会(ACS)发布营养与身体活动指南,为其交流、政策和社区策略提供基础,最终影响美国人的饮食和身体活动模式。这些指南大约每 5 年发布一次,由癌症研究、预防、流行病学、公共卫生和政策方面的国家专家小组制定,反映了与饮食和活动模式与癌症风险相关的最新科学证据。ACS 指南侧重于针对个人的饮食和身体活动模式的选择建议,但这些选择是在社区环境中做出的,社区环境既可以促进也可以为健康行为设置障碍。因此,本委员会提出了社区行动建议,以配合减少癌症风险的 4 项个人选择建议。这些社区行动建议认识到,如果社会各阶层的个人都有真正的机会选择健康行为,那么一个支持性的社会和物理环境是不可或缺的。ACS 指南与美国心脏协会和美国糖尿病协会预防冠心病和糖尿病的指南以及 2010 年美国人饮食指南和 2008 年美国人身体活动指南中定义的一般健康促进指南一致。