Safan Muntaser, Murillo Anarina L, Wadhera Devina, Castillo-Chavez Carlos
Simon A. Levin Mathematical, Computational and Modeling Sciences Center, Arizona State University, Tempe, AZ, United States.
Mathematics Department, Faculty of Science, Mansoura University, Mansoura, Egypt.
Lett Biomath. 2018;5(1):275-306. doi: 10.1080/23737867.2018.1552543. Epub 2018 Dec 7.
Childhood obesity is a health emergency in many parts of the world including the U.S. and, consequently, identifying local, regional or national intervention models capable, of altering the dynamics of obesity at scales that make a difference remains a challenge. The fact that consumption of healthful foods among most youth has yet to meet recommended nutritional standards highlights a lack of effective policies aimed at addressing the epidemic of obesity. Mathematical models are used to evaluate the roles of socialization and school environment on the diet dynamics of children. Data suggest that standard nutrition education programs may have, at best, minimal impact in altering diet dynamics at the population-level. Inclusion of peer influence (model as contagion) reinforced by the use of culturally-sensitive school menus (environmental disruption) may prove capable of modifying obesity enhancing diet dynamics; altering the diets of a significant (critical) proportion of youngsters. A framework is introduced to explore the value of behavior-based interventions and policies that account for the sociocultural environments of at risk communities. These models capture carefully choreographed scenarios to account for the fact that when dealing with diet-dynamics systems, thinking additively is not enough as it cannot account for the power of nonlinear effects.
儿童肥胖在包括美国在内的世界许多地区都是一个健康紧急情况,因此,确定能够在有意义的规模上改变肥胖动态的地方、区域或国家干预模式仍然是一项挑战。大多数青少年对健康食品的消费尚未达到推荐的营养标准,这一事实凸显了缺乏旨在应对肥胖流行的有效政策。数学模型用于评估社会化和学校环境对儿童饮食动态的作用。数据表明,标准的营养教育项目充其量可能对在人群层面改变饮食动态产生最小的影响。纳入同伴影响(以传染模式建模)并辅之以使用具有文化敏感性的学校菜单(环境干扰),可能证明有能力改变促进肥胖的饮食动态;改变相当大比例(关键比例)青少年的饮食。引入了一个框架来探讨基于行为的干预措施和政策的价值,这些措施和政策考虑了高危社区的社会文化环境。这些模型捕捉精心编排的情景,以说明这样一个事实,即当处理饮食动态系统时,仅进行加法思考是不够的,因为它无法考虑非线性效应的力量。