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翻译肥胖问题:穿梭于“抗脂之战”的前沿阵地

Translating obesity: navigating the front lines of the "war on fat".

作者信息

Trainer Sarah, Brewis Alexandra, Hruschka Daniel, Williams Deborah

机构信息

School of Human Evolution and Social Change, Arizona State University, Tempe, Arizona.

出版信息

Am J Hum Biol. 2015 Jan-Feb;27(1):61-8. doi: 10.1002/ajhb.22623. Epub 2014 Sep 24.

Abstract

OBJECTIVES

Obesity is treated within medicine, public health, and applied sciences as a biomedical fact with urgent health implications; obesity is also, however, a social fact and one that reveals biomedical concerns can lead to social suffering. Translation of social science-oriented obesity research for broader public good requires navigation of the space between these polemical and seemingly mutually exclusive positions.

METHODS

Using examples from our own current programs of biocultural research, we explain the opportunities and ongoing challenges of efforts to bridge the chasm between critique and intervention when the topic under discussion is obesity. The examples range from cross-population analyses of human variation and the implications for how we measure and classify obesity to biocultural research into fat-stigma to translational research conducted as part of a larger collaboration across multiple institutions.

RESULTS AND CONCLUSIONS

Translation of social science-oriented obesity research for broader public good requires collaborative work across disciplines and fields, as well as between academics, professionals working in public health and medicine, policy makers, and other key stakeholders. Translation efforts must acknowledge and develop practical programs addressing the "obesity crisis," but also are compelled to question core assumptions upon which obesity-reduction interventions have thus far been based.

摘要

目标

在医学、公共卫生和应用科学领域,肥胖被视为一个具有紧迫健康影响的生物医学事实;然而,肥胖也是一个社会事实,并且揭示了生物医学问题可能导致社会痛苦。为了更广泛的公共利益而翻译以社会科学为导向的肥胖研究,需要在这些有争议且看似相互排斥的立场之间找到平衡。

方法

我们以自己当前的生物文化研究项目为例,解释了在讨论肥胖这一主题时,弥合批判与干预之间鸿沟的努力所面临的机遇和持续挑战。这些例子涵盖了从人类变异的跨人群分析以及对我们如何测量和分类肥胖的影响,到对肥胖污名的生物文化研究,再到作为多个机构间更大规模合作一部分开展的转化研究。

结果与结论

为了更广泛的公共利益而翻译以社会科学为导向的肥胖研究,需要跨学科和领域的合作,以及学者、公共卫生和医学领域的专业人员、政策制定者和其他关键利益相关者之间的合作。翻译工作必须承认并制定应对“肥胖危机”的实际项目,但也必须质疑迄今为止减肥干预措施所基于的核心假设。

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