MBBS, DRACOG, Dip Shared Care Psychiatry (Eating Disorders), MPHTM, Conjoint Senior Lecturer, School of Medicine, Western Sydney University, NSW; Honorary Associate, The School of Public Health, The Faculty of Medicine and Health, University of Sydney, NSW; Member, Doctors for the Environment Australia, Vic.
Aust J Gen Pract. 2020 Apr;49(4):226-230. doi: 10.31128/AJGP-10-19-5102.
Obesity has continued to rise in prevalence globally. Its association with many chronic diseases is posing a large threat to public health.
The aim of this article is to examine briefly the nature and complexity of the problem of obesity and to present evidence about the elements of the built environment that are associated with obesity.
Management of obesity is far more complex than just requiring people to 'eat less and exercise more'. Social and environmental drivers are known to influence an individual's decisions about healthy behaviour. Some elements of the built environment shown to be associated with obesity are urban sprawl, urban design, land-use mix, transport systems, access to and type of food outlets, and building design. This evidence augments the current individual clinical management of obesity by providing guidance to advocates of health and regulators so they are able to design and create environments that foster healthy eating and personal activity.
肥胖在全球的患病率持续上升。它与许多慢性病的关联对公共健康构成了巨大威胁。
本文旨在简要探讨肥胖问题的性质和复杂性，并介绍与肥胖相关的建筑环境因素的证据。
肥胖的管理远比仅仅要求人们“少吃多运动”复杂得多。社会和环境因素被认为会影响个人对健康行为的决策。一些与肥胖相关的建筑环境因素包括城市扩张、城市设计、土地利用混合、交通系统、食物供应的可及性和类型，以及建筑设计。这些证据为健康倡导者和监管机构提供了指导，使他们能够设计和创造有利于健康饮食和个人活动的环境，从而补充了目前对肥胖的个体临床管理。
