Upstream Determinants of Overweight and Obesity in Europe.

IF 9.5 2区医学 Q1 ENDOCRINOLOGY & METABOLISM Current Obesity Reports Pub Date : 2023-12-01 Epub Date: 2023-08-18 DOI:10.1007/s13679-023-00524-1

Stefanie Vandevijvere, Robby De Pauw, Sanne Djojosoeparto, Vanessa Gorasso, Leonor Guariguata, Anne Lene Løvhaug, Melissa Mialon, Iris Van Dam, Peter von Philipsborn

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Abstract

Purpose of review: To review the upstream determinants of overweight and obesity in Europe, including food and built environments, and political, commercial, and socioeconomic determinants.

Recent findings: Overweight and obesity affect 60% of European adults, and one in three children, and are more common in individuals with low compared to high socioeconomic position (SEP). Individuals in low SEP groups are more exposed to unhealthy built and food environments, including higher exposure to unhealthy food marketing. Industries influencing the food system have much economic power, resulting in ignoring or silencing the role of ultra-processed foods and commercial practices in weight gain. Overall, effective policies to address overweight and obesity have been insufficiently implemented by governments. To accelerate implementation, strengthened political commitment is essential. Policies must also focus on the upstream, structural, and systemic drivers of overweight and obesity; be comprehensive; and target socioeconomic inequalities in diets and physical activity.

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欧洲超重和肥胖的上游决定因素。

审查目的：回顾欧洲超重和肥胖的上游决定因素，包括食品和建筑环境，以及政治、商业和社会经济决定因素：超重和肥胖影响着 60% 的欧洲成年人和三分之一的儿童，在社会经济地位（SEP）较低的人群中比在社会经济地位较高的人群中更为常见。社会经济地位低的群体更容易受到不健康的建筑和食品环境的影响，包括更容易受到不健康食品营销的影响。影响食品系统的行业拥有强大的经济实力，导致忽视或压制超加工食品和商业行为对体重增加的作用。总体而言，各国政府没有充分实施有效的政策来解决超重和肥胖问题。要加快实施，必须加强政治承诺。政策还必须关注超重和肥胖的上游、结构性和系统性驱动因素；必须全面；必须针对饮食和体育活动中的社会经济不平等现象。

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来源期刊

Current Obesity Reports Medicine-General Medicine

CiteScore

16.40

自引率

1.10%

发文量

期刊介绍： The main objective of Current Obesity Reports is to provide expert review articles on recent advancements in the interdisciplinary field of obesity research. Our aim is to offer clear, insightful, and balanced contributions that will benefit all individuals involved in the treatment and prevention of obesity, as well as related conditions such as cardiovascular diseases, endocrine disorders, gynecological issues, cancer, mental health, respiratory complications, and rheumatological diseases. We strive to redefine the way knowledge is expressed and provide organized content for the benefit of our readership.