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Koletzko, B. (2018): Ernährungsorientierte Strategien zur Bekämpfung der Adipositasepidemie. In: Monatsschrift Kinderheilkunde, Bd. 166, Nr. 5: S. 403-413

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Abstract

Childhood obesity worldwide has increased more than eightfold over four decades, with dramatic consequences for health and lifetime opportunities of affected individuals and resulting societal costs. A recent report of the World Health Organization (WHO) emphasized the key role of an obesogenic environment for promoting weight gain and obesity. Highlighted are changes in dietary habits and availability of marketed foods while physical activity declined and sedentary life styles and screen times increased. The WHO provides detailed recommendations for tackling the obesity epidemic. Breastfeeding and adequate infant and young child feeding should be strongly supported due to their strong protective effects. The intake of food products with high energy density and low nutrient content and of sugared beverages should be minimized. All educational institutions should eliminate the distribution of sugared beverages and offer only healthy foods and drinks, along with enhancing related knowledge and skills. The WHO also recommends a taxation of sugared beverages, restricting advertising to children, a consistent evaluation of health-related food quality through nutrient profiles, and clear and easily understandable labeling of the food quality. Previous attempts to combat the obesity epidemic with educational programs and voluntary measures have not shown satisfactory effects. In addition, nutrition policy and regulatory measures are needed to effectively protect the health and future of our children.

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