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墨西哥《营养健康国家协议》中针对超重和肥胖问题的公共卫生战略。

Public health strategy against overweight and obesity in Mexico's National Agreement for Nutritional Health.

作者信息

Latnovic L, Rodriguez Cabrera L

机构信息

Mexico Ministry of Health , Mexico City, Mexico.

出版信息

Int J Obes Suppl. 2013 Jun;3(Suppl 1):S12-4. doi: 10.1038/ijosup.2013.5. Epub 2013 May 16.

Abstract

Overweight and obesity are major world global health challenges of the 21st century. Mexico is not an exception. Approximately 70% of the adult Mexican population has an excessive body weight. The prevalence of obesity and overweight in Mexican school children aged 5-11 is also high: one child in four is overweight. In light of the seriousness of the situation, the solutions for this problem are based on modification of the environments and change of individual habits and behaviors related to nutrition and physical activity. As a result, the Mexican government, public sector and academy established three common goals and 10 priority objectives that are expressed in the National Agreement for Nutritional Health-Strategy to Control Overweight and Obesity. The obesity problem requires interventions and policies that reside outside of the health sector domain, key aspects of this public health policy was agreement among all stakeholders on cross-cutting actions. The best examples of National Agreement's inter-sectorial action implementation is in the school setting and Code of 'Self Regulation' on Advertising of Food and Non-Alcoholic Beverages to Children introduced by the food and beverage industry. The ultimate goal of this national policy is to provide the strategic plan for healthy weight and better health, by promoting healthy lifestyles focused on correct diet and physical activity in all life stages, from pregnancy and early childhood and on into adulthood by a multi stakeholder approach. Although there have been great achievements in some areas of implementation, there are still challenges to confront.

摘要

超重和肥胖是21世纪全球主要的健康挑战。墨西哥也不例外。大约70%的墨西哥成年人口体重超标。墨西哥5至11岁学童的肥胖和超重患病率也很高:四分之一的儿童超重。鉴于形势的严峻性,解决这一问题的办法是改变环境,改变与营养和体育活动相关的个人习惯和行为。因此,墨西哥政府、公共部门和学术界制定了三个共同目标和10个优先目标,这些目标体现在《国家营养健康协议——控制超重和肥胖战略》中。肥胖问题需要卫生部门以外的干预措施和政策,这项公共卫生政策的关键方面是所有利益相关者就跨部门行动达成一致。《国家协议》跨部门行动实施的最佳例子是在学校环境以及食品和饮料行业出台的《儿童食品和非酒精饮料广告“自我监管”守则》中。这项国家政策的最终目标是通过多利益相关者的方法,在从怀孕、幼儿期到成年的所有生命阶段推广以正确饮食和体育活动为重点的健康生活方式,从而提供健康体重和更好健康的战略计划。尽管在一些实施领域取得了巨大成就,但仍有挑战需要应对。

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