Sridhar Gumpeny R, Gumpeny Lakshmi
Department of Endocrinology and Diabetes, Endocrine and Diabetes Centre, Visakhapatnam 530002, Andhra Pradesh, India.
Department of Internal Medicine, Gayatri Vidya Parishad Institute of Healthcare and Medical Technology, Visakhapatnam 530048, Andhra Pradesh, India.
World J Clin Pediatr. 2024 Sep 9;13(3):93729. doi: 10.5409/wjcp.v13.i3.93729.
Childhood obesity, an escalating global health challenge, is intricately linked to the built environment in which children live, learn, and play. This review and perspective examined the multifaceted relationship between the built environment and childhood obesity, offering insights into potential interventions for prevention. Factors such as urbanization, access to unhealthy food options, sedentary behaviors, and socioeconomic disparities are critical contributors to this complex epidemic. Built environment encompasses the human-modified spaces such as homes, schools, workplaces, and urban areas. These settings can influence children's physical activity levels, dietary habits, and overall health. The built environment can be modified to prevent childhood obesity by enhancing active transportation through the development of safe walking and cycling routes, creating accessible and inviting green spaces and play areas, and promoting healthy food environments by regulating fast-food outlet density. School design is another area for intervention, with a focus on integrating outdoor spaces and facilities that promote physical activity and healthy eating. Community engagement and education in reinforcing healthy behaviors is necessary, alongside the potential of technology and innovation in encouraging physical activity among children. Policy and legislative support are crucial for sustaining these efforts. In conclusion, addressing the built environment in the fight against childhood obesity requires the need for a comprehensive, multipronged approach that leverages the built environment as a tool for promoting healthier lifestyles among children, ultimately paving the way for a healthier, more active future generation.
儿童肥胖是一个日益严峻的全球健康挑战,与儿童生活、学习和玩耍的建筑环境有着复杂的联系。这篇综述及观点文章探讨了建筑环境与儿童肥胖之间的多方面关系,为潜在的预防干预措施提供了见解。城市化、获取不健康食品的机会、久坐行为以及社会经济差异等因素是这一复杂流行病的关键促成因素。建筑环境包括人类改造的空间,如家庭、学校、工作场所和城市区域。这些环境会影响儿童的身体活动水平、饮食习惯和整体健康。通过开发安全的步行和自行车道来加强主动出行、创建可达且吸引人的绿地和游乐区、以及通过调节快餐店密度来促进健康食品环境等方式,可以对建筑环境进行改造以预防儿童肥胖。学校设计是另一个干预领域,重点是整合促进身体活动和健康饮食的户外空间和设施。在强化健康行为方面,社区参与和教育必不可少,同时技术和创新在鼓励儿童进行身体活动方面也具有潜力。政策和立法支持对于维持这些努力至关重要。总之,在抗击儿童肥胖的斗争中应对建筑环境问题,需要采取全面、多管齐下的方法,将建筑环境作为促进儿童更健康生活方式的工具,最终为更健康、更活跃的下一代铺平道路。