Department of Family Medicine and Public Health, School of Medicine, University of California at San Diego, San Diego, California.
Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health Distinguished Outreach Faculty, University of Arizona, Tucson, Arizona.
CA Cancer J Clin. 2020 Jul;70(4):245-271. doi: 10.3322/caac.21591. Epub 2020 Jun 9.
The American Cancer Society (ACS) publishes the Diet and Physical Activity Guideline to serve as a foundation for its communication, policy, and community strategies and, ultimately, to affect dietary and physical activity patterns among Americans. This guideline is developed by a national panel of experts in cancer research, prevention, epidemiology, public health, and policy, and reflects the most current scientific evidence related to dietary and activity patterns and cancer risk. The ACS guideline focuses on recommendations for individual choices regarding diet and physical activity patterns, but those choices occur within a community context that either facilitates or creates barriers to healthy behaviors. Therefore, this committee presents recommendations for community action to accompany the 4 recommendations for individual choices to reduce cancer risk. These recommendations for community action recognize that a supportive social and physical environment is indispensable if individuals at all levels of society are to have genuine opportunities to choose healthy behaviors. This 2020 ACS guideline is consistent with guidelines from the American Heart Association and the American Diabetes Association for the prevention of coronary heart disease and diabetes as well as for general health promotion, as defined by the 2015 to 2020 Dietary Guidelines for Americans and the 2018 Physical Activity Guidelines for Americans.
美国癌症协会(ACS)发布了饮食和身体活动指南,作为其传播、政策和社区战略的基础,最终影响美国人的饮食和身体活动模式。该指南由癌症研究、预防、流行病学、公共卫生和政策方面的全国专家小组制定,反映了与饮食和活动模式与癌症风险相关的最新科学证据。ACS 指南侧重于针对个人的饮食和身体活动模式选择的建议,但这些选择是在社区环境中进行的,社区环境为健康行为提供便利或制造障碍。因此,本委员会提出了社区行动建议,以配合减少癌症风险的 4 项个人选择建议。这些社区行动建议认识到,如果社会各阶层的个人都有真正的机会选择健康行为,那么一个支持性的社会和物理环境是不可或缺的。该 2020 年 ACS 指南与美国心脏协会和美国糖尿病协会的指南一致,这些指南针对预防冠心病和糖尿病以及促进一般健康,如 2015 年至 2020 年美国人饮食指南和 2018 年美国人身体活动指南所定义。