肥胖的惊人增长:第四届联合国非传染性疾病和精神卫生问题高级别会议应推动解决肥胖问题的行动。

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Global Heart Pub Date : 2025-08-28 eCollection Date: 2025-01-01 DOI:10.5334/gh.1459
Shanthi Mendis, Ian Graham, Francesco Branca, Tea Collins, Collin Tukuitonga, Asela Gunawardane, Jagat Narula
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引用次数: 0

摘要

肥胖是一个日益严重的全球危机,增加了一系列非传染性疾病的风险和后果,包括心血管疾病、2型糖尿病、癌症、慢性呼吸系统疾病、脂肪变性肝病和肾脏疾病。儿童肥胖一直持续到成年,增加了他们罹患包括心血管疾病在内的非传染性疾病的风险。越来越多的证据证实,有可负担和可扩展的政策来促进健康饮食和定期身体活动,以预防超重和肥胖,包括儿童和青少年。尽管肥胖造成的负担及其可预防性,但这一主题似乎并不是全球公共卫生界议程上的一个优先事项,国家一级预防肥胖的公共卫生政策的实施也不完整。在即将召开的联合国第四次非传染性疾病问题高级别会议上,国家元首和政府首脑不仅需要作出预防肥胖的政治承诺,还需要采取具体步骤,增加和监测预算拨款,以执行预防全民缺乏身体活动和不健康饮食的政策。肥胖是一种慢性疾病,影响着世界上超过10亿人,是心血管疾病、2型糖尿病和癌症的主要危险因素。如果不同时遏制肥胖的上升,就不可能推进非传染性疾病的预防和控制。2018年联合国大会第三届非传染性疾病问题高级别会议的政治宣言呼吁实施具有成本效益和基于证据的干预措施,以遏制超重和肥胖,特别是儿童肥胖的上升。从那时起,支持定期体育活动和健康饮食对预防肥胖的影响的证据变得越来越有说服力。然而,由于公共政策反应不力、商业行为者的强烈反对以及应对实施挑战的困难,所有年龄组的肥胖患病率都有所上升。在2025年9月第四次联合国非传染性疾病问题高级别会议召开之前,本文件概述了自2018年以来越来越多的证据、最近的事态发展和吸取的教训,并强调了预防肥胖方面的新机遇和仍然存在的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Alarming Rise of Obesity: The 4th United Nations High-Level Meeting on Noncommunicable Diseases and Mental Health Should Advance Action to Tackle Obesity.

Obesity is a growing global crisis increasing the risk and outcomes of a range of noncommunicable diseases including cardiovascular diseases, type 2 diabetes, cancer, chronic respiratory disease, steatotic liver disease, and kidney disease.Obesity in children tracks into adulthood increasing their risk of noncommunicable diseases including cardiovascular diseases.A growing body of evidence confirms that there are affordable and scalable policies to promote a healthy diet and regular physical activity to prevent overweight and obesity including in children and adolescents.Despite the burden caused by obesity and its preventability, the topic does not appear to be a priority on the agenda of the global public health community and implementation of public health policies to prevent obesity at country level has been patchy.At the upcoming United Nations 4th High Level Meeting on noncommunicable diseases, Heads of State and Government need to go beyond making political commitments to prevent obesity and, take concrete steps to increase and monitor budget allocations for implementing policies for population wide prevention of physical inactivity and unhealthy diet.Obesity is a chronic disease that affects over one billion people in the world and is a major risk factor for cardiovascular disease, type 2 diabetes, and cancer. It is impossible to advance prevention and control of noncommunicable diseases, without simultaneously halting the rise of obesity. The 2018 political declaration of the 3rd United Nations General Assembly High-Level Meeting on noncommunicable diseases calls for the Implementation of cost-effective and evidence-based interventions to halt the rise of overweight and obesity, especially childhood obesity. Since then, the evidence supporting the impact of regular physical activity and a healthy diet on the prevention of obesity has become more compelling. However, the prevalence of obesity across all age groups has increased due to the ineffective public policy response, the fierce opposition from commercial actors, and difficulties in navigating implementation challenges. This paper outlines the growing evidence, recent developments, and lessons learnt since 2018 and highlights new opportunities and remaining challenges with regard to prevention of obesity, ahead of the 4th United Nations High-Level Meeting on noncommunicable diseases in September 2025.

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来源期刊
Global Heart
Global Heart Medicine-Cardiology and Cardiovascular Medicine
CiteScore
5.70
自引率
5.40%
发文量
77
审稿时长
5 weeks
期刊介绍: Global Heart offers a forum for dialogue and education on research, developments, trends, solutions and public health programs related to the prevention and control of cardiovascular diseases (CVDs) worldwide, with a special focus on low- and middle-income countries (LMICs). Manuscripts should address not only the extent or epidemiology of the problem, but also describe interventions to effectively control and prevent CVDs and the underlying factors. The emphasis should be on approaches applicable in settings with limited resources. Economic evaluations of successful interventions are particularly welcome. We will also consider negative findings if important. While reports of hospital or clinic-based treatments are not excluded, particularly if they have broad implications for cost-effective disease control or prevention, we give priority to papers addressing community-based activities. We encourage submissions on cardiovascular surveillance and health policies, professional education, ethical issues and technological innovations related to prevention. Global Heart is particularly interested in publishing data from updated national or regional demographic health surveys, World Health Organization or Global Burden of Disease data, large clinical disease databases or registries. Systematic reviews or meta-analyses on globally relevant topics are welcome. We will also consider clinical research that has special relevance to LMICs, e.g. using validated instruments to assess health-related quality-of-life in patients from LMICs, innovative diagnostic-therapeutic applications, real-world effectiveness clinical trials, research methods (innovative methodologic papers, with emphasis on low-cost research methods or novel application of methods in low resource settings), and papers pertaining to cardiovascular health promotion and policy (quantitative evaluation of health programs.
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