Lakerveld Jeroen, Mackenbach Joreintje
Department of Epidemiology and Biostatistics, VU Medical Center Amsterdam, Amsterdam, the Netherlands.
Obes Facts. 2017;10(3):216-222. doi: 10.1159/000471489. Epub 2017 Jun 1.
Over-consumption of high-energy foods and a lack of physical activity are the main behavioural risk factors for people to develop obesity. These behaviours are influenced by a range of individual-level factors which are nested within contexts that contain influencing characteristics further upstream. In this paper, we define these upstream determinants. We also provide a historical background, summarise the current evidence base regarding these determinants across various types of environments and put them in perspective.
高能量食物的过度消费和体育活动的缺乏是人们患肥胖症的主要行为风险因素。这些行为受到一系列个体层面因素的影响,而这些因素又嵌套在包含更上游影响特征的环境中。在本文中,我们定义了这些上游决定因素。我们还提供了一个历史背景,总结了当前关于这些决定因素在各种环境类型中的证据基础,并对其进行了审视。