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预防肥胖的监管方法:对欧盟和美国现行针对饮食相关风险因素法律的系统概述。

Regulatory approaches to obesity prevention: A systematic overview of current laws addressing diet-related risk factors in the European Union and the United States.

作者信息

Sisnowski Jana, Handsley Elizabeth, Street Jackie M

机构信息

School of Population Health, University of Adelaide, 178 North Terrace, Adelaide, SA 5005, Australia.

School of Law, Flinders University, Bedford Park, SA 5042, Australia.

出版信息

Health Policy. 2015 Jun;119(6):720-31. doi: 10.1016/j.healthpol.2015.04.013. Epub 2015 Apr 30.

Abstract

High prevalence of overweight and obesity remains a significant international public health problem. Law has been identified as a tool for obesity prevention and selected high-profile measures have been reported. However, the nature and extent of enacted legislation internationally are unclear. This research provides an overview of regulatory approaches enacted in the United States, the European Union, and EU Member States since 2004. To this end, relevant databases of primary and secondary legislation were systematically searched to identify and explore laws addressing dietary risk factors for obesity. Across jurisdictions, current regulatory approaches to obesity prevention are limited in reach and scope. Target groups are rarely the general population, but instead sub-populations in government-supported settings. Consumer information provision is preferred over taxation and marketing restrictions other than the regulation of health and nutrition claims. In the EU in particular, product reformulation with industry consent has also emerged as a popular small-scale measure. While consistent and widespread use of law is lacking, governments have employed a range of regulatory measures in the name of obesity prevention, indicating that there is, in principle, political will. Results from this study may serve as a starting point for future research and policy development.

摘要

超重和肥胖的高患病率仍然是一个重大的国际公共卫生问题。法律已被视为预防肥胖的一种手段,并且已有一些备受瞩目的措施被报道。然而,国际上已颁布立法的性质和范围尚不清楚。本研究概述了自2004年以来美国、欧盟及欧盟成员国所采取的监管方法。为此,对一级和二级立法的相关数据库进行了系统检索,以识别和探究针对肥胖饮食风险因素的法律。在各个司法管辖区,当前预防肥胖的监管方法在覆盖范围和广度上都很有限。目标群体很少是普通大众,而是政府支持环境中的亚人群体。除了对健康和营养声明进行监管外,提供消费者信息比征税和限制营销更受青睐。特别是在欧盟,经行业同意进行产品重新配方也已成为一种流行的小规模措施。虽然缺乏对法律的一致和广泛使用,但政府已以预防肥胖的名义采取了一系列监管措施,这表明原则上存在政治意愿。本研究结果可作为未来研究和政策制定的起点。

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