Anderson Cheryl A M
Department of Family and Preventive Medicine, University of California, San Diego School of Medicine, La Jolla, California.
J Public Health Manag Pract. 2014 Jan-Feb;20(1 Suppl 1):S6-8. doi: 10.1097/PHH.0b013e3182aa65b7.
Excessive sodium intake is a serious public health problem that is amenable to intervention. Despite campaigns that often target individuals to encourage lower sodium intake, consumption is far in excess of recommendations. There is increasing recognition of the importance of the food environment in shaping dietary behavior and the need for strategies that focus on changing community-level environmental factors that support a shift in behavior toward more healthful eating. Practice-based evidence should be coupled with evidence from well-conducted clinical studies of sodium and health to build the foundation for public health interventions that achieve and sustain sodium reduction in the general population. This article discusses the importance of moving beyond the clinic and engaging communities in this important public health effort.
钠摄入过量是一个严重的公共卫生问题，可通过干预加以解决。尽管开展了诸多旨在鼓励个人减少钠摄入量的活动，但实际摄入量仍远远超过建议量。人们越来越认识到食物环境在塑造饮食行为方面的重要性，以及需要采取策略来改变社区层面的环境因素，以支持向更健康饮食行为的转变。基于实践的证据应与关于钠与健康的精心设计的临床研究证据相结合，为在普通人群中实现并维持钠摄入量降低的公共卫生干预措施奠定基础。本文讨论了超越临床范畴并让社区参与这一重要公共卫生工作的重要性。
