Department of Policy Analysis & Management, Cornell University, Ithaca, NY.
Clin Chem. 2018 Jan;64(1):163-172. doi: 10.1373/clinchem.2017.278325. Epub 2017 Nov 2.
Obesity has risen dramatically in recent decades in the US and most other countries of the world. This has led to a search for public policies and other interventions that can prevent obesity and improve diets. However, there remain considerable uncertainty and confusion about the effectiveness of many potential policies.
This review assesses the strength of the research evidence for 4 commonly proposed policies to prevent obesity and improve diets: () taxes on sugar-sweetened beverages (SSBs); () calorie labels on restaurant menus; () restricting food advertising to youth; and () excluding energy-dense foods from the Supplemental Nutrition Assistance Program (SNAP).
The existing literature has many limitations. Often, the research designs are weak, with small nonrepresentative samples and only short-run follow-up. However, a number of studies are of sufficiently high quality to be informative, and on the basis of that evidence, there appears to be no magic bullet to prevent and reduce obesity. Thus, a suite of these policies may be needed for a meaningful impact.
近几十年来,美国和世界上大多数其他国家的肥胖率都大幅上升。这导致人们寻找公共政策和其他干预措施,以预防肥胖和改善饮食。然而,对于许多潜在政策的有效性仍然存在相当大的不确定性和混淆。
本综述评估了 4 种常见的预防肥胖和改善饮食的政策的研究证据强度:()对含糖饮料(SSB)征税;()在餐馆菜单上标注卡路里;()限制向年轻人的食品广告;以及()将高热量食品从补充营养援助计划(SNAP)中剔除。
现有文献存在许多局限性。通常,研究设计较弱,样本量小且无代表性,且仅进行短期随访。然而,一些研究的质量足够高,可以提供信息,根据这些证据,似乎没有预防和减少肥胖的灵丹妙药。因此,可能需要一整套这些政策才能产生有意义的影响。