Ranjani Harish, Pradeepa Rajendra, Mehreen T S, Anjana Ranjit Mohan, Anand Krishnan, Garg Renu, Mohan Viswanathan
Department of Translational Research, MDRF, Chennai, India.
Department of Research Operations, MDRF, Chennai, India.
Indian J Endocrinol Metab. 2014 Nov;18(Suppl 1):S17-25. doi: 10.4103/2230-8210.145049.
The prevalence of obesity in adolescents and children has risen to alarming levels globally, and this has serious public health consequences. Sedentary lifestyle and consumption of calorie-dense foods of low nutritional value are speculated to be two of the most important etiological factors responsible for escalating rate of childhood overweight in developing nations. To tackle the childhood obesity epidemic we require comprehensive multidisciplinary evidence-based interventions. Some suggested strategies for childhood obesity prevention and management include increasing physical activity, reducing sedentary time including television viewing, personalized nutrition plans for very obese kids, co-curriculum health education which should be implemented in schools and counseling for children and their parents. In developing countries like India we will need practical and cost-effective community-based strategies with appropriate policy changes in order to curb the escalating epidemic of childhood obesity.
全球范围内，青少年和儿童肥胖率已升至令人担忧的水平，这带来了严重的公共卫生后果。久坐不动的生活方式以及食用高热量、低营养价值的食物被推测是发展中国家儿童超重率不断上升的两个最重要病因。为应对儿童肥胖流行问题，我们需要全面的多学科循证干预措施。一些预防和管理儿童肥胖的建议策略包括增加体育活动、减少久坐时间（包括看电视时间）、为极度肥胖儿童制定个性化营养计划、在学校实施联合课程健康教育以及为儿童及其家长提供咨询。在印度这样的发展中国家，我们需要切实可行且具有成本效益的社区策略，并进行适当的政策变革，以遏制不断升级的儿童肥胖流行趋势。
