Deutsche Sporthochschule Köln, Institut für Bewegungs- und Neurowissenschaft, Abteilung für Bewegungs- und Gesundheitsförderung, Am Sportpark Müngersdorf 6, 50933 Köln, Germany.
EPMA J. 2011 Sep;2(3):261-70. doi: 10.1007/s13167-011-0091-0. Epub 2011 Jun 10.
The prevalence of juvenile obesity is increasing worldwide. Throughout Europe, ca. 20% are affected, in Germany 15%. Many modifiable and nonmodifiable causes have been determined and included, but are not limited to genetic, familiar, and lifestyle factors. In addition, obesity disproportionately affects minority and low socioeconomic status groups. Juvenile obesity increases the risk of having multiple cardiovascular and metabolic diseases, psycho-social problems, and a variety of other co-morbidities. The burden upon the health services cannot yet be estimated. Therefore, there is a need for preventive and therapeutic counter-measures. Until now, most approaches focus on changing the behaviour of individuals in diet and exercise. Based on the existing data researchers agree that programmes should start as early as possible and involve children's environment (family, peers etc.). In conclusion, a positive public health approach including political, environmental, sociocultural, and educational strategies offer the best chance of preventing and reducing juvenile obesity.
全球青少年肥胖的患病率正在上升。在整个欧洲，约有 20%的人受到影响，德国为 15%。已经确定并包括了许多可改变和不可改变的原因，但不仅限于遗传、家族和生活方式因素。此外，肥胖不成比例地影响少数族裔和社会经济地位较低的群体。青少年肥胖会增加患多种心血管和代谢疾病、心理社会问题以及多种其他合并症的风险。卫生服务部门的负担目前还无法估计。因此，需要采取预防和治疗措施。到目前为止，大多数方法都侧重于改变个人在饮食和运动方面的行为。根据现有数据，研究人员一致认为，这些计划应尽早开始，并涉及儿童的环境（家庭、同龄人等）。总之，包括政治、环境、社会文化和教育策略在内的积极公共卫生方法为预防和减少青少年肥胖提供了最佳机会。
