Tremblay A, Lachance É
Department of Kinesiology, Université Laval, Québec City, Québec, Canada.
Centre de Recherche de l'Institut de Cardiologie et de Pneumologie de Québec, Québec City, Québec, Canada.
Obes Rev. 2017 Feb;18 Suppl 1:82-87. doi: 10.1111/obr.12504.
The increase in obesity prevalence over the last decades has generally been attributed to suboptimal macronutrient diet composition and insufficient physical activities. However, recent literature has revealed that other environmental factors contribute to the positive energy balance that underlies body-weight gain and should be considered in efforts to tackle obesity. As discussed in this paper, it also appears that successful obesity management could not happen without actions at a community level that would ultimately impact energy balance. These measures generally include a better use of the school environment to promote healthy behaviours. Furthermore, in a foreseeable future, communities will probably have to consider sustainable development in their list of criteria deserving attention in the global management of obesity.
在过去几十年中,肥胖患病率的上升通常被归因于宏量营养素饮食结构不理想和体育活动不足。然而,最近的文献表明,其他环境因素也会导致正能量平衡,而正能量平衡是体重增加的基础,在应对肥胖的努力中应予以考虑。如本文所讨论的,似乎如果没有社区层面的行动来最终影响能量平衡,成功的肥胖管理就无法实现。这些措施通常包括更好地利用学校环境来促进健康行为。此外,在可预见的未来,社区可能必须在全球肥胖管理中值得关注的标准清单中考虑可持续发展。