School of Public and Population Health, The University of Texas Medical Branch.
Milbank Q. 2023 Apr;101(S1):460-477. doi: 10.1111/1468-0009.12635.
Policy Points Obesity has emerged as a main threat to future improvements in population health, and there is little evidence that the epidemic is retreating. The traditional model of "calories in, calories out," which has guided public health policy for decades, is increasingly viewed as far too simple a framing to explain the evolution of the epidemic or guide public policy. Advances in the science of obesity, coming from many fields, highlight the structural nature of the risk, which has provided an evidence base to justify and guide policies toward addressing the social and environmental drivers of obesity. Societies and researchers need to play the long game in that widespread reductions in obesity in the short run are unlikely. Nonetheless, there are opportunities. Policies specifically targeting the food environment such as taxing high-calorie beverages and foods, restricting the marketing of junk foods to children, enhancing food labeling, and improving the dietary environment at schools may yield long-run benefits.
政策要点肥胖已成为未来人口健康改善的主要威胁,而且几乎没有证据表明肥胖问题正在得到缓解。几十年来,一直指导着公共卫生政策的“卡路里摄入与消耗”传统模式,正逐渐被认为过于简单,无法解释这一流行趋势的演变,也无法为公共政策提供指导。来自多个领域的肥胖科学的进步,凸显了这种风险的结构性本质,为解决肥胖的社会和环境驱动因素提供了证据基础,并为相关政策提供了合理性和指导。社会和研究人员需要有长远眼光,因为在短期内广泛减少肥胖的可能性不大。尽管如此,还是有机会的。专门针对食品环境的政策,如对高卡路里饮料和食品征税、限制垃圾食品对儿童的营销、加强食品标签、改善学校的饮食环境,可能会带来长期的好处。