Department of Pediatrics, University of California, San Diego, La Jolla, CA 92093, USA.
Child Obes. 2012 Jun;8(3):195-204. doi: 10.1089/chi.2012.0004. Epub 2012 May 18.
There is an urgent need for effective, sustainable child obesity prevention strategies. Progress toward this goal requires strengthening current approaches to add a component that addresses pregnancy onward. Altering early-life systems that promote intergenerational transmission of obesity holds promise for interrupting the continuing cycle of the obesity epidemic. A 2011 Institute of Medicine (IOM) report emphasizes the need for interventions early in life to prevent obesity. A 2010 IOM report called for addressing gaps in existing obesity research evidence by using a systems perspective, simultaneously addressing interacting obesity promoting factors in multiple sectors and at multiple societal levels. A review of evidence from basic science, prevention, and systems research supports an approach that (1) begins at the earliest stages of development, and (2) uses a systems framework to simultaneously implement health behavior and environmental changes in communities.
迫切需要有效的、可持续的儿童肥胖预防策略。要实现这一目标，就需要加强目前的方法，增加一个针对怀孕及以后阶段的环节。改变促进肥胖代际传播的早期生命系统有望打破肥胖流行的持续循环。2011 年美国医学研究所（IOM）的一份报告强调了在生命早期进行干预以预防肥胖的必要性。2010 年的一份 IOM 报告呼吁通过系统视角来解决现有肥胖研究证据中的差距，同时在多个社会层面和多个部门解决相互作用的肥胖促进因素。对基础科学、预防和系统研究的证据进行审查，支持一种方法，即 (1) 从发育的最早阶段开始，和 (2) 使用系统框架同时在社区中实施健康行为和环境变化。
