非传染性疾病能否预防?人群和个体研究的经验教训。

Can noncommunicable diseases be prevented? Lessons from studies of populations and individuals.

机构信息

MRC-HPA, Centre for Environment and Health and Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London W2 1PG, UK.

出版信息

Science. 2012 Sep 21;337(6101):1482-7. doi: 10.1126/science.1227001.

Abstract

Noncommunicable diseases (NCDs)--mainly cancers, cardiovascular diseases, diabetes, and chronic respiratory diseases--are responsible for about two-thirds of deaths worldwide, mostly in low- and middle-income countries. There is an urgent need for policies and strategies that prevent NCDs by reducing their major risk factors. Effective approaches for large-scale NCD prevention include comprehensive tobacco and alcohol control through taxes and regulation of sales and advertising; reducing dietary salt, unhealthy fats, and sugars through regulation and well-designed public education; increasing the consumption of fresh fruits and vegetables, healthy fats, and whole grains by lowering prices and improving availability; and implementing a universal, effective, and equitable primary-care system that reduces NCD risk factors, including cardiometabolic risk factors and infections that are precursors to NCDs, through clinical interventions.

摘要

非传染性疾病(NCDs)——主要是癌症、心血管疾病、糖尿病和慢性呼吸系统疾病——造成了全球约三分之二的死亡,主要发生在中低收入国家。迫切需要通过减少主要危险因素来制定预防 NCD 的政策和战略。大规模预防 NCD 的有效方法包括通过税收和销售及广告监管来全面控制烟草和酒精;通过监管和精心设计的公共教育来减少饮食中的盐、不健康脂肪和糖;通过降低价格和改善供应来增加新鲜水果和蔬菜、健康脂肪和全谷物的消费;并通过临床干预实施普遍、有效和公平的初级保健系统,减少包括心血管代谢危险因素和 NCD 前体感染在内的 NCD 风险因素。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索