Shanthi Mendis, Ian Graham, Francesco Branca, Tea Collins, Collin Tukuitonga, Asela Gunawardane, Jagat Narula
{"title":"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。","authors":"Shanthi Mendis, Ian Graham, Francesco Branca, Tea Collins, Collin Tukuitonga, Asela Gunawardane, Jagat Narula","doi":"10.5334/gh.1459","DOIUrl":null,"url":null,"abstract":"<p><p>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 4<sup>th</sup> 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 3<sup>rd</sup> 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.</p>","PeriodicalId":56018,"journal":{"name":"Global Heart","volume":"20 1","pages":"70"},"PeriodicalIF":3.1000,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396183/pdf/","citationCount":"0","resultStr":"{\"title\":\"Alarming Rise of Obesity: The 4<sup>th</sup> United Nations High-Level Meeting on Noncommunicable Diseases and Mental Health Should Advance Action to Tackle Obesity.\",\"authors\":\"Shanthi Mendis, Ian Graham, Francesco Branca, Tea Collins, Collin Tukuitonga, Asela Gunawardane, Jagat Narula\",\"doi\":\"10.5334/gh.1459\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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 4<sup>th</sup> 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 3<sup>rd</sup> 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.</p>\",\"PeriodicalId\":56018,\"journal\":{\"name\":\"Global Heart\",\"volume\":\"20 1\",\"pages\":\"70\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-08-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396183/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Global Heart\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5334/gh.1459\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global Heart","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5334/gh.1459","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
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.
Global HeartMedicine-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.