WHO Interim Report Comm Ending Childhood Obesity 2015

8/9/2019 WHO Interim Report Comm Ending Childhood Obesity 2015

1/30

,


2/30

I R C E C O 2

HO/NMH/PND/ECHO/15.1

H O 2015

A . P H O HO (..) HO P, H O,

20 A A, 1211 G 27, S (.: +41 22 791 3264; : +41 22 791 4857;

: @.).

R HO

HO P HO

(../////.).

T

H

O , ,

, . D

.

T

H O

. E ,

.

A H O

. H,

, . T

. I

H O .

T C E C O

H

O.


3/30

I R C E C O 3

...................................................................................................................... 4

BACKGROUND ......................................................................................................................................... 5

INTRODUCTION ....................................................................................................................................... 6

H IT IS CRITICAL TO ADDRESS THE CHALLENGE OF CHILDHOOD OBESIT ........................................ 8

OVERARCHING POLIC CONSIDERATIONS ............................................................................................ 10

TOARDS A COMPREHENSIVE STRATEG ............................................................................................ 12

....................................................... 13

1 ........................................................................... 14

.

........................................................................................ 14

.

..................................................................................................... .......... 16

2 . .............. 17

. ............................................................................................. 18

. ......................................................................................................... 19

. .......................................................................................... 21

3 ............... 22

ISSUES AND RESPONSIBILITIES .............................................................................................................. 22

IMPLEMENTATION, MONITORING AND ACCOUNTABILIT ........................................................ .......... 24

RESEARCH GAPS .................................................................................................................................... 24

QUESTIONS FOR CONSULTATION ......................................................................................................... 25

ANNE 1: C C E C O .......................... 26

: ........................................................................................................................................ 28


4/30

I R C E C O 4

A A 10 19

BMI B ()/ ()2

BMI BMI ,

C U 19

I U 12 NCD N

HIC H

LMIC L

M P , ()

GSE A G S E E

C O

GIMA A G I, M

A E C O

.., , ,

.

.., , U 5


5/30

I R C E C O 5

1.

O , H A,

H O (HO),

O 1,

.

2.

A ,

( 19 ),

,

. C ,

, . A

,

.

3. T ,

DG HO C E C

O (ECHO), 15 .2 T C ,

. T C

.

4. T C , DG, ,

(GSE), 21

, ,

(GIMA), 23 , . 1.

. 1

1 R HA53.17 ; HA57.17

, ; HA61.14

: ; HA63.14

; HA65.6 ,

; HA66.10

G A P C N .2 T ://../

//// ( 10 O 2014).


6/30

I R C E C O 6

5.

T C

,

.

6.

T

C G 13 14 J 2015. A

C GSE,

GIMA. T GSE

C

. I

, C

.

7.

I , C

, . D

, C HO , . F

, C

DG 2015.

8.

, 275%

471% 1980 2013. T

. C

(HIC)

(LMIC). H,

LMIC HIC (1) LMIC

. C .

9.

C ,

, ,

(NCD). T

, ,

(2). B

(2, 3). L

NCD

(BMI) (4) ..,

,

.


7/30

I R C E C O 7

10.

I

NCD.

L ,

,

, , (5). T HIC

LMIC, .

11.

T ,

BMI. M

BMI, . I

BMI , ..,

(6). B

,

, ,

. I , , ,

.

12.

N

;

, ,

. R

, ..,

( ). E

,

, . N

(7, 8).

13.

T , ,

. I

. T

,

,

, (

) , . T

.

E , , .

14. T HO U N

,

3. R

4.

3 R HA53.17 ; HA57.17

, ; HA61.14


8/30

I R C E C O 8

15.

T , ,

LMIC. A 42

2013. I A,

8.5% 2010 ( 12 )

12.7% 2020. I A, 2010 4.9% 18

(11). I , 70

2025, LMIC (1). T

,

.

16.

P / . I HIC

LMIC.

,

(12). O

, , ,

BMI .

17.

C ,

, 2 , ,

(13). I ,

: ; HA63.14

; HA65.6 ,

; HA66.10 P D H M

G A P C N .4 M

, HO, 2013; T . R ,

HO, 2001; C . R : , HO,

2002; G , HO, 2012; P

, HO, 2010.

:

) ;

) ,

,

.


9/30

I R C E C O 9

,

(14, 15). C,

(2). F,

, ,

.

18.

T

, . E

,

,

(16). E

,

, , (17). T

. T

.

19. C

. T

,

(18). D ,

(1, 20). T ,

, . P

.

20.

C

. N

, ,

,

.

, HIC

LMIC.

21.

A ()

. O ,

, (.., , , )

. N ,

,

.

22. H,

(


10/30

I R C E C O 10

). R,

. T,

S

. A

. T

.

23. T

. T

S P C

R C. T M D G

, S

D G.

24.

T . T

. A ,

.

25.

T P D U N G A H

M P C N 5 2011

NCD.

26.

T C

, ,

, , , , , . A ,

. A

, ,

,

. G

,

5 A/RES/66/2 P D H M G A P

C N D

C

.


11/30

I R C E C O 11

. T P D H A

NCD. A ,

,

,

.

27.

O , ,

H A P

,

,

. F,

. T ,

,

. A

. T

, , ,

, . T

(21).

28. G

. T , ,

,

. T

,

.

29. C

. P,

, ,

, ( ,

) . T

.


12/30

I R C E C O 12

30. A

. I

, ,

, . H C . T

, ,

NGO . A

, ,

.

31. A . 2. A ,

. P

, , . T

, ,

. T

,

. I

. E

, ,

. S

I.

G

.

II.

C

.

III.

N ,

,

.

IV.

P

,

.

V.

A

.


13/30

I R C E C O 13

. S

.

. 2

N: E : , ; ;

; , ,

; ; , , , .

32.

T

. I ,

, ,

. T

.

33.

T C

. E

. S . F,

, ,

,

. N

. F

, .


14/30

I R C E C O 14

1

34.

,

. T

.

.

35. T

. A

,

. A

.

36.

M

,

C A C6

.

37. I ,

, , .

,

. T

,

.

38. T

(22, 23). T

.

A , ,

, , (24)

H A7.

39.

T ,

, , ,

( ) . G

, ,

. T

6 HA56.23

7 HA63.14


15/30

I R C E C O 15

. T

. S

. T

, ,

.

40. R

. I

.

41.

T

. O,

(21). T

, (25). D

,

. T

(26). S

(21).


16/30

I R C E C O 16

.

42.

R ,

20% , HO

(27), 1315 (28). L

,

, (..,

, , , ).

U

1.

G

, :

:

.

P , ,

, , . T

.

. E

.

:

.

I , , .

.

I

( , , )

, .

.

P

.

:

.

C ,

,

.

.

I ,

,

.

.

E

,

.


17/30

I R C E C O 17

,

. R

, , ,

. T

. T ,

, (

), (.., ,

),

(2, 30).

2 .

43.

,

,

. T

,

. T , ,

. T

, .

1

G

:

:

.

P

, , ,

, .

. R

.

:

. C , , ,

, (, .).

.

I ,

, .

.

E

.

. E

,

.


18/30

I R C E C O 18

.

44. T

. E

( ),

, , (

),

(3136);

, , . C

,

. T

. S

HIC; (37).

45.

T BMI,

, (38).

46.

T , ,

, ,

,

, .

47.

I

, ,

LMIC.I : , ,

;

,

; ,

;

(3).

48.

T

,

, ,

, .


19/30

I R C E C O 19

.

49.

B

(40). I . G

,

. P

. S ,

.

50. E

. I ,

, . G

. A , , ,

. C (41)

, ,

. F

.

51. T HIC ,

. E

2 5 , ,

, (42). T

, .

52. B ( ,

)

. S

/ ,

, ,

2

I

NCD , :

.

A , ,

,

.

.

T ,

.

.

T ,

,

.


20/30

I R C E C O 20

. E

,

.

53.

T

(42). S

,

.

2

I ,

5 , :

.

P, , ,

. T : C M B S

H A ,

;

;

,

, (ILO C183

M P C, 2000).

.

E I C F

. T (..,

, )

.

. T ,

,

(25 )

:

•

;

• (.., );

• (.., ).

.

I ,

.


21/30


22/30

I R C E C O 22

3

57.

,

,

. E

, BMI . T (1218 ) (512 ) (43). S

. H,

.

58.

T

. P

, . L

,

.

T ,

. T 2013

U K N I H C E

(44). U K,

.

59.

T C

. A ,

C

, . I

.

I,

. I C

,

, .

3

. H /,

( , )

.

.

H

.


23/30

I R C E C O 23

60. I ,

. T

,

, , , , /,

, , ,

. T

. I

. E,

.

()

61.

T NGO

. A ,

, , , ,

. C NGO

,

. T

. C

NGO

, .

62.

T . I , ,

. T ,

, , ,

, , . A

, . H,

. C

. I , ,

, ,

, . T C

, , , ,

, ,

, .


24/30

I R C E C O 24

,

63.

I

. I

,

. S, , , ,

. T DG HO

A G I, M

A E C O(GIMA),

, ,

. A ,

GIMA

C,

.

64.

I C ,

. M ,

, .

.

NCD

?

.

( , , , ) NCD

?. A NCD ?

. T , ,

NCD ?

. T BMI

,

.

. I / ,

?

. F

LMIC, ,

, , ,

.

. H

?


25/30

I R C E C O 25

. E , ,

.

.

E

.. T ,

, , .

.

F

(.., 50% S A)

.

. ( )

?

.

, ?

. T .

. , ?

.

E LIMC HIC LMIC.

.

E

HIC LMIC, .

.

?

.

, ?

.

?

1. A C

?

2. H /

?

3.

?

4.

?

5.

H /

?

6. H /

?


26/30


27/30

I R C E C O 27

F A

P M U S

A U N O

I O G

A

N

*

M G, C S

P

G

*

DG

S P C (SPC)

N C

*

C, S N (SUN)

M

S R UN S

G F S N

C H L T F

*


28/30

I R C E C O 28

:

1. N M, F T, R M, T B, G N, M C, . G, ,

19802013:

G B D S 2013. L. 2014;384(9945):76681.

2. L SE. C O A C D: Q L

C B C R F. J A C C

(JACC). 2014;64(15):158890.3. N PR, O'B M, H R, B R, B J, C R, . I

. P. 2006;118(3):594601.

4. K MM, A, B P, N KJ. A

. G. 2014;60(3):2228.

5. H MA, G PD. E :

? P R. 2014;94(4):102776.

6. S SMS, . S : T

. A J H B. 2012;24:50614.

7. H MA, G PD. D G

. B P R C O G. 2014.

8. H , F R, C M, F M, J C, C JC, . C ,

, . E R. 2010;32(2):159224.9. B RE, V CG, SP, B A, C P, O M, . M

. L.

2013;382(9890):42751.

10. O M, B M. P

. A J C N. 2000;72(4):10329.

11. O M, B M, B E. G

. A J C N. 2010;92(5):125764.

12. T EM, G M, K K, RE J, RS SL. R/

. P. 2010;125(4):68695.

13. L TJLR. E E. P 2.

N . I J P O. 2006;1(1):3341.

14. P MA, V K. C : ' , , . O T I H C. 2013;27(2):99112.

15. M AL, L HJ, L JC. OA B E F

C. P R. 2014.

16. F EA, G C, M R. L .

P. 2014;133(5):85462.

17. MR F, R T, B A, SN. H

E. E J E. 2008;23(8):499509.

18. CS, D US. M ,

. R E M D. 2008;9(3):20311.

19. M JA, T JC. C :

. A N M. 2012;60 S 2:4050.

20. C S, J. A : . A J C N. 2008;88(1):229.

21. H O R O E. U

. C, D: HO R O E, 2014.

22. H G, S M, MD L, F A, MK AM, R M, . R

. R F S

A. G: U S, C S M, 2003.

23. MG JM, G JA, K VI. F . T

? . , DC: I M, N A P; 2006.


29/30


30/30

44. N I H C E. M

: . NICE 47

2013. A : ://...//47.

WHO Interim Report Comm Ending Childhood Obesity 2015

Documents