Binks M, Chin S-H
Department of Nutritional Sciences, Texas Tech University, Lubbock, TX, USA.
Int J Obes (Lond). 2017 Jun;41(6):849-852. doi: 10.1038/ijo.2017.1. Epub 2017 Jan 12.
Identifying and implementing thoughtful, evidence-based (or at least evidence-informed) public health approaches to influencing obesity is a complex issue fraught with multiple challenges. These challenges begin with determining whether obesity policy approaches should be implemented. This is considered within the broader context of how common public health policy approaches may be relevant and applied to obesity. Additional challenges discussed include inconsistencies in clearly identifying obesity policy targets (for example, prevention versus treatment), selection of appropriate intervention targets and the identification and measurement of meaningful outcomes. Current policy initiatives are drawn upon to illustrate these challenges in the context of promoting solution-focused dialog aimed toward improving current initiatives and informing the development of new programs.
识别并实施深思熟虑、基于证据(或至少有证据依据)的公共卫生方法来影响肥胖问题是一个复杂的问题,充满了多重挑战。这些挑战首先在于确定是否应实施肥胖政策方法。这是在更广泛的背景下考虑的,即常见的公共卫生政策方法如何与肥胖相关并应用于肥胖问题。讨论的其他挑战包括在明确确定肥胖政策目标(例如,预防与治疗)方面的不一致、选择合适的干预目标以及识别和衡量有意义的结果。利用当前的政策举措来说明这些挑战,以促进以解决方案为重点的对话,旨在改进当前举措并为新计划的制定提供信息。