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Controlling the obesity pandemic: Geoffrey Rose revisited
The ongoing obesity pandemic threatens the health of hundreds of millions globally. However, to date, no country has had much success in limiting its growth, let alone reversing it. This commentary demonstrates the relevance to the obesity pandemic of the public health conceptual framework of epidem...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer International Publishing
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481849/ https://www.ncbi.nlm.nih.gov/pubmed/35451744 http://dx.doi.org/10.17269/s41997-022-00636-6 |
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author | Frank, John W. |
author_facet | Frank, John W. |
author_sort | Frank, John W. |
collection | PubMed |
description | The ongoing obesity pandemic threatens the health of hundreds of millions globally. However, to date, no country has had much success in limiting its growth, let alone reversing it. This commentary demonstrates the relevance to the obesity pandemic of the public health conceptual framework of epidemiologist Geoffrey Rose, first published as “Sick Individuals and Sick Populations” in 1985. That framework provides a useful way to analyze the pandemic’s prevention and control options, based on the notions of primordial, primary, secondary and tertiary prevention—the full spectrum of “more upstream and more downstream” approaches, each with its pros and cons. Based on an analysis of key studies to date, this commentary argues strongly that only the primordial prevention approach is likely to be successful against the obesity pandemic—but its onerous requirements for society-wide behavioural and cultural change may make that public health struggle a long one. |
format | Online Article Text |
id | pubmed-9481849 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-94818492022-09-18 Controlling the obesity pandemic: Geoffrey Rose revisited Frank, John W. Can J Public Health Commentary The ongoing obesity pandemic threatens the health of hundreds of millions globally. However, to date, no country has had much success in limiting its growth, let alone reversing it. This commentary demonstrates the relevance to the obesity pandemic of the public health conceptual framework of epidemiologist Geoffrey Rose, first published as “Sick Individuals and Sick Populations” in 1985. That framework provides a useful way to analyze the pandemic’s prevention and control options, based on the notions of primordial, primary, secondary and tertiary prevention—the full spectrum of “more upstream and more downstream” approaches, each with its pros and cons. Based on an analysis of key studies to date, this commentary argues strongly that only the primordial prevention approach is likely to be successful against the obesity pandemic—but its onerous requirements for society-wide behavioural and cultural change may make that public health struggle a long one. Springer International Publishing 2022-04-22 /pmc/articles/PMC9481849/ /pubmed/35451744 http://dx.doi.org/10.17269/s41997-022-00636-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Commentary Frank, John W. Controlling the obesity pandemic: Geoffrey Rose revisited |
title | Controlling the obesity pandemic: Geoffrey Rose revisited |
title_full | Controlling the obesity pandemic: Geoffrey Rose revisited |
title_fullStr | Controlling the obesity pandemic: Geoffrey Rose revisited |
title_full_unstemmed | Controlling the obesity pandemic: Geoffrey Rose revisited |
title_short | Controlling the obesity pandemic: Geoffrey Rose revisited |
title_sort | controlling the obesity pandemic: geoffrey rose revisited |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481849/ https://www.ncbi.nlm.nih.gov/pubmed/35451744 http://dx.doi.org/10.17269/s41997-022-00636-6 |
work_keys_str_mv | AT frankjohnw controllingtheobesitypandemicgeoffreyroserevisited |