Karp Sharon M, Gesell Sabina B
Schools of Nursing and Medicine (Pediatrics), Vanderbilt University, Nashville, TN, USA.
Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Prim Prev Insights. 2015;5:1-4. doi: 10.4137/PPRI.S12291.
The rise in the rate of obesity in school-aged children, adolescents, and young adults in the last 30 years is a clear healthcare crisis that needs to be addressed. Despite recent national reports in the United States highlighting positive downward trends in the rate of obesity in younger children, we are still faced with approximately 12.7 million children struggling with obesity. Given the immediate and long-term health consequences of obesity, much time and effort has been expended to address this epidemic. Yet, despite these efforts, we still only see limited, short-term success from most interventions. Without changes to how we address childhood obesity, we will continue to see inadequate improvements in the health of our children. Clinicians and researchers need to be lobbying for evidence-based policy changes, such as those identified by systems science, in order to improve the nation's health.
在过去30年里,学龄儿童、青少年和青年成年人肥胖率的上升是一个亟待解决的明显的医疗危机。尽管美国最近的全国性报告强调了年幼儿童肥胖率呈积极下降趋势,但我们仍面临约1270万儿童受肥胖问题困扰。鉴于肥胖对健康造成的近期和长期影响,人们已花费大量时间和精力来应对这一流行病。然而,尽管付出了这些努力,我们从大多数干预措施中看到的仍然只是有限的短期成效。如果不改变我们应对儿童肥胖问题的方式,我们将继续看到儿童健康状况改善不足。临床医生和研究人员需要游说推行基于证据的政策变革,比如系统科学所确定的那些变革,以改善国民健康。