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中国肥胖问题的健康政策和公共卫生影响。

Health policy and public health implications of obesity in China.

机构信息

Global Health Institute, School of Public Health, Xi'an Jiaotong University, Xi'an, China.

Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.

出版信息

Lancet Diabetes Endocrinol. 2021 Jul;9(7):446-461. doi: 10.1016/S2213-8587(21)00118-2. Epub 2021 Jun 4.

Abstract

China has experienced many drastic social and economic changes and shifts in people's lifestyles since the 1990s, in parallel with the fast rising prevalence of obesity. About half of adults and a fifth of children have overweight or obesity according to the Chinese criteria, making China the country with the highest number of people with overweight or obesity in the world. Assuming that observed time trends would continue in the future, we projected the prevalence of and the number of people affected by overweight and obesity by 2030, and the associated medical costs. The rising incidence of obesity and number of people affected, as well as the related health and economic consequences, place a huge burden on China's health-care system. China has made many efforts to tackle obesity, including the implementation of relevant national policies and programmes. However, these measures are inadequate for controlling the obesity epidemic. In the past decade, China has attached great importance to public health, and the Healthy China 2030 national strategy initiated in 2016 provides a historical opportunity to establish comprehensive national strategies for tackling obesity. China is well positioned to explore an effective model to overcome the obesity epidemic; however, strong commitment and leadership from central and local governments are needed, as well as active participation of all related society sectors and individual citizens. TRANSLATION: For the Chinese translation of the paper see Supplementary Materials section.

摘要

中国自 20 世纪 90 年代以来经历了许多社会经济的剧烈变革和人们生活方式的转变,肥胖的流行率也迅速上升。根据中国的标准,大约有一半的成年人和五分之一的儿童超重或肥胖,这使中国成为世界上超重或肥胖人数最多的国家。假设未来观察到的时间趋势将继续下去,我们预测了到 2030 年超重和肥胖的流行率以及受影响的人数,以及相关的医疗费用。肥胖发病率的上升和受影响的人数,以及相关的健康和经济后果,给中国的医疗保健系统带来了巨大的负担。中国已经做出了许多努力来应对肥胖问题,包括实施相关的国家政策和计划。然而,这些措施不足以控制肥胖的流行。在过去的十年中,中国非常重视公共卫生,2016 年启动的《健康中国 2030》国家战略提供了一个建立全面国家肥胖应对战略的历史机遇。中国有很好的条件来探索一种有效的模式来克服肥胖的流行;然而,需要中央和地方政府的坚定承诺和领导,以及所有相关社会部门和公民的积极参与。

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