Centre for Public Health and Wellbeing, University of the West of England, UK.
Centre for Appearance Research, University of the West of England, UK.
Prev Med. 2018 Nov;116:219-221. doi: 10.1016/j.ypmed.2018.08.011. Epub 2018 Aug 23.
This article draws attention to the dual global problems of disordered eating and overweight/obesity among children and adolescents. It is well recognised that the main risk factor for disordered eating is body dissatisfaction, yet public health messages to tackle overweight/obesity are likely to increase body dissatisfaction. This tension between key public health messages and a health psychology approach is examined, with the goal of seeking a common way forward. We focus on the UK as a case study, where there is currently no statutory education in schools on body image. Since more prescriptive guidance on the curriculum covering personal/social/health issues is soon to be introduced, it is timely to consider the content, and in particular its impact on body image as well as overweight/obesity. Having reviewed current interventions and policy, we argue for a more holistic approach to the obesity problem, using a whole school approach to create a body confident culture.
本文提请注意儿童和青少年饮食失调和超重/肥胖这两个全球性问题。众所周知，饮食失调的主要风险因素是身体不满，但针对超重/肥胖的公共卫生信息可能会增加身体不满。本文审视了主要公共卫生信息和健康心理学方法之间的这种紧张关系，目的是寻求共同的前进道路。我们以英国为例，英国目前在学校中没有关于身体形象的法定教育。由于即将出台更具规定性的涵盖个人/社会/健康问题的课程指南，因此及时考虑其内容，特别是其对身体形象和超重/肥胖的影响是很有必要的。在回顾了当前的干预措施和政策之后，我们主张采取更全面的方法来解决肥胖问题，采用全校方法来营造自信的身体文化。
