Dong Yanhui, Yuan Changzheng, Dang Jiajia, Song Xinli, Cheng Guo, Chen Yajun, Wang Haijun, Mi Jie, Xi Bo, Song Yi
Institute of Child, Adolescent Health and School of Public Health, Peking University and National Health Commission Key Laboratory of Reproductive Health, Beijing, China.
School of Public Health, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Lancet Public Health. 2024 Dec;9(12):e1125-e1135. doi: 10.1016/S2468-2667(24)00263-9. Epub 2024 Nov 20.
Prevention and control of childhood obesity in China is complex. Despite numerous existing policy endeavours, particularly Healthy China 2030, accompanied by multiministerial initiatives, childhood obesity persists and even exacerbates. In this paper, we review current national policies, assess progress of the existing system managing childhood weight, and identify implementation challenges. Leveraging insights from existing literature and guided by a PEDALS (ie, problem, evidence-based practice, determinants, actions, long term, and scalability) framework, we propose a strategy to refine and integrate current policies, interventions, and research into a policy framework, embedding evidence-based practices into practical solutions for childhood obesity prevention and control in China.
中国儿童肥胖的预防与控制工作十分复杂。尽管目前已有诸多政策举措，特别是《“健康中国2030”规划纲要》，并伴有多部门联合行动，但儿童肥胖问题依然存在，甚至愈演愈烈。在本文中，我们回顾了当前的国家政策，评估了现有儿童体重管理体系的进展，并确定了实施过程中面临的挑战。借助现有文献中的见解，并以PEDALS（即问题、循证实践、决定因素、行动、长期目标和可扩展性）框架为指导，我们提出了一项战略，将当前的政策、干预措施和研究进行完善与整合，形成一个政策框架，将循证实践融入到中国儿童肥胖预防与控制的实际解决方案中。
