Lam Thao Minh, Aarestrup Julie, van den Akker Erica L T, Baker Jennifer L, Banik Anna, Berntzen Bram J, Bertoni Lucrezia, Beulens Joline W J, Bjørnsbo Kirsten, Bryant Sheree, Cereijo Luis, Choudhary Priyanka, Cuenca Cuenca Valeria C, Diez Julia, Ekelund Ulf, Ezzati Majid, O'Flynn Matthew, Franco Manuel, van de Geest Jet, Gullon Pedro, Heggie Lisa, Herstad Sondre H, Holm Søren, Leach Rachel Jackson, Lien Nanna, Lobstein Tim, Luszczynska Aleksandra, Mackenbach Joreintje, Meeusen Renate, Meijer Paul, Meshkovska Biljana, Miettunen Jouko, Nedelec Rozenn, Olney Jack, Paduszyńska Natalia, Patel Nishit, Powis Jaynaide, Mohan Raju Jayashankaramma S, Roseboom Tessa, van Rossum Elisabeth F C, Sanchez-Lastra Miguel A, Sarker Fahmida, Sassi Franco, Sebert Sylvain, Siwa Maria, Stuber Josine, Tarp Jakob, Toft Ulla, Torp Kamille A B, van Uhm Jorrit, Valiente Borox Roberto, Wagtendonk Alfred, Wetzel Maggie, Woodward Euan, Zhu Jingmin, Lakerveld Jeroen
Department of Epidemiology and Data Science, Amsterdam UMC, Amsterdam, The Netherlands.
Amsterdam Public Health, Health Behaviors and Chronic Diseases, Amsterdam, The Netherlands.
Glob Health Action. 2025 Dec;18(1):2517492. doi: 10.1080/16549716.2025.2517492. Epub 2025 Jul 18.
The steady rise in overweight and obesity in Europe disproportionately affects people and communities with a lower socio-economic position (SEP). Many obesity prevention approaches exist, but these have had limited reach and unsatisfactory effects thus far, especially in low-SEP populations. In this context, there is a need for implementation of effective individual-level and population-based preventive strategies that also tackle health inequalities. Effective strategies require consideration of the complex and cross-domain obesity risk factors across the life course. Feasible and acceptable strategies require multisectoral collaborations and innovative approaches, including a whole-of community and systems perspective. With the Horizon Europe-funded OBCT project, we aim to quantify the relative contribution of biological, socio-cultural and built environment factors to obesity and the interactions of these risks within and across various life course stages; and translate the resulting knowledge into practical, equitable, and effective tools for action. These tools will include: a comprehensive obesity risk screener; a map of the obesogenicity of neighbourhood environments as well as trends in obesity prevalence of each European country; recommendations for lifestyle behaviours (diet, physical activity, sedentary behaviours) to prevent obesity during key life transition stages; a decision support dashboard for policy makers; and co-developed toolboxes to support implementation of policy recommendations in low-SEP communities. OBCT's outputs will highlight the areas and domains in which obesity should be targeted and will empower the research community, policymakers, health professionals and residents in Europe to adapt and implement strategies to effectively reduce obesity risk, particularly in low-SEP communities.
欧洲超重和肥胖人数的稳步上升对社会经济地位较低的人群和社区产生了不成比例的影响。现有的许多肥胖预防方法，但到目前为止，这些方法的覆盖范围有限，效果也不尽如人意，尤其是在社会经济地位较低的人群中。在这种背景下，需要实施有效的个人层面和基于人群的预防策略，以解决健康不平等问题。有效的策略需要考虑生命历程中复杂的跨领域肥胖风险因素。可行且可接受的策略需要多部门合作和创新方法，包括从整个社区和系统的角度出发。通过由“地平线欧洲”资助的OBCT项目，我们旨在量化生物、社会文化和建筑环境因素对肥胖的相对贡献，以及这些风险在不同生命历程阶段内和之间的相互作用；并将由此产生的知识转化为实际、公平且有效的行动工具。这些工具将包括：一个全面的肥胖风险筛查工具；一份邻里环境致肥性地图以及每个欧洲国家肥胖患病率趋势；在关键生命过渡阶段预防肥胖的生活方式行为（饮食、体育活动、久坐行为）建议；一个供政策制定者使用的决策支持仪表板；以及共同开发的工具箱，以支持在社会经济地位较低的社区实施政策建议。OBCT的成果将突出应针对肥胖问题的领域和范畴，并使欧洲的研究界、政策制定者、卫生专业人员和居民能够调整并实施策略，以有效降低肥胖风险，特别是在社会经济地位较低的社区。
