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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity.
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Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity.

机译：剖析肥胖环境：确定和优先考虑肥胖的环境干预措施的框架的开发和应用。

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BACKGROUND: The "obesogenicity" of modern environments is fueling the obesity pandemic. We describe a framework, known as ANGELO (analysis grid for environments linked to obesity), which is a conceptual model for understanding the obesogenicity of environments and a practical tool for prioritizing environmental elements for research and intervention. METHODS: Development of the ANGELO framework. The basic framework is a 2 x 4 grid which dissects the environment into environmental size (micro and macro) by type: physical (what is available), economic (what are the costs), political (what are the "rules"), and sociocultural (what are the attitudes and beliefs). Within this grid, the elements which influence food intake and physical activity are characterized as obesogenic or "leptogenic" (promoting leanness). RESULTS: Application of the ANGELO framework. The ANGELO framework has been piloted at the population level (island communities) to prioritize the settings/sectors for intervention and at the setting level (fast food outlets) to prioritize research needs and interventions. Environmental elements were prioritized by rating their validity (evidence of impact), relevance (to the local context), and potential changeability. CONCLUSIONS: The ANGELO framework appears to be a flexible and robust instrument for the needs analysis and problem identification stages of reducing the obesogenicity of modern environments. Copyright 1999 American Health Foundation and Academic Press.
机译：背景：现代环境的“致肥胖性”助长了肥胖病的流行。我们描述了一个名为ANGELO（与肥胖症相关的环境的分析网格）的框架，该框架是用于了解环境的致肥胖性的概念模型，并且是用于优先研究和干预环境要素的实用工具。方法：开发ANGELO框架。基本框架是2 x 4的网格，该网格按类型将环境分为环境大小（微观和宏观）：物理（可用），经济（成本），政治（“规则”）和社会文化（什么是态度和信仰）。在该网格内，影响食物摄入和身体活动的元素被定为致肥胖或“致瘦”（促进瘦身）。结果：ANGELO框架的应用。在人口一级（岛屿社区）试行了ANGELO框架，以优先考虑要干预的环境/部门，而在环境一级（快餐店）则优先研究需求和干预。通过对环境要素的有效性（影响的证据），相关性（与当地情况相关）和潜在的可变性进行评级，从而对环境要素进行了优先排序。结论：ANGELO框架似乎是用于减少现代环境的致肥胖性的需求分析和问题识别阶段的灵活而强大的工具。版权所有1999美国健康基金会和学术出版社。

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