Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Pediatric Unit, 20122 Milan, Italy.
Director Corset Economy, London NW7 3TD, UK.
Nutrients. 2022 Aug 28;14(17):3550. doi: 10.3390/nu14173550.
Adolescent health and well-being are of great concern worldwide, and adolescents encounter particular challenges, vulnerabilities and constraints. The dual challenges of adolescent parenthood and obesity are of public health relevance because of the life-altering health and socioeconomic effects on both the parents and the offspring. Prevention and treatment strategies at the individual and population levels have not been successful in the long term, suggesting that adolescent pregnancy and obesity cannot be managed by more of the same. Here, we view adolescent obese pregnancy through the lens of the social contract with youth. The disruption of this contract is faced by today's adolescents, with work, social and economic dilemmas which perpetuate socioeconomic and health inequities across generations. The lack of employment, education and social opportunities, together with obesogenic settings, increase vulnerability and exposure to lifelong health risks, affecting their offspring's life chances too. To break such vicious circles of disadvantage and achieve sustainable solutions in real-world settings, strong efforts on the part of policymakers, healthcare providers and the community must be oriented towards guaranteeing equity and healthy nutrition and environments for today's adolescents. The involvement of adolescents themselves in developing such programs is paramount, not only so that they feel a sense of agency but also to better meet their real life needs.
青少年的健康和福祉是全世界都非常关注的问题，青少年会遇到特殊的挑战、脆弱性和限制。青少年为人父母和肥胖的双重挑战具有公共卫生相关性，因为这会对父母和后代的生活产生改变健康和社会经济的影响。在个人和人群层面上的预防和治疗策略在长期内都没有成功，这表明青少年怀孕和肥胖问题不能通过更多相同的方法来解决。在这里，我们通过与年轻人的社会契约的视角来看待青少年肥胖怀孕问题。今天的青少年面临着这种契约的破坏，他们面临着工作、社会和经济困境，这些困境使代际之间的社会经济和健康不平等永久存在。缺乏就业、教育和社会机会，加上肥胖的环境，增加了他们对终身健康风险的脆弱性和暴露程度，也影响了他们后代的生活机会。为了打破这种劣势的恶性循环，并在现实环境中实现可持续的解决方案，政策制定者、医疗保健提供者和社区必须共同努力，保障当今青少年的公平和健康营养环境。让青少年自己参与制定这些计划至关重要，不仅是为了让他们感到有归属感，也是为了更好地满足他们的实际生活需求。
