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大食物观视域下国家食养指南的价值、挑战与对策
Values, challenges and countermeasures of national dietary guidelines from the perspective of the comprehensive food outlook

广西医学 页码:933-939

作者机构:熊妍,博士,研究方向为健康服务与管理。

基金信息:山西省卫生健康事业高质量发展重大专项(SXWSJKYB25102);中国营养学会合理膳食早餐营养科普专项(CNS⁃RDSF⁃2026⁃020)

DOI:10.11675/j.issn.0253⁃4304.2026.07.01

  • 中文简介
  • 英文简介
  • 参考文献

“预防为主”是我国卫生健康工作的核心方针。随着慢性病负担持续加重,“重治疗、轻预防”的问题日渐突出,在健康生活方式特别是饮食管理上,长期以来缺乏可操作、可量化、可推广的制度载体。2023年以来,国家卫生健康委员会针对常见慢性病密集发布了11项食养指南,这标志着我国健康治理由 “以疾病治疗为中心” 转向 “以膳食干预为入口”。虽然近年来食养指南在持续加强宣贯,但仍面临基层服务体系支撑能力不足、公众认知偏差与长期践行难度大、跨部门协同缺位、考核评估机制与动态优化机制不完善、科普传播形式单一且低效等多重挑战。本文在大食物观视域下介绍食养指南的出台背景,总结食养指南的意义与价值,并针对现存困境提出推动食养指南落地见效的对策建议,旨在践行大食物观及推进健康中国建设。

“Prevention first” has long been the fundamental principle of China's health and wellness work. As the burden of chronic diseases continues to rise, the issue of “emphasizing treatment over prevention” has become increasingly prominent. For a long time, there has been a lack of practical, measurable, and scalable institutional frameworks for promoting healthy lifestyles, particularly in dietary management. Since 2023, the National Health Commission of the People's Republic of China has released 11 dietary guidelines for common chronic diseases, marking a shift in China's health governance from “putting disease treatment at the center” to “taking dietary intervention as the entry point”. Although dietary guidelines have been continuously strengthened in terms of publicity and dissemination in recent years, they still face multiple challenges such as insufficient support capacity of the grassroots service system, public cognitive biases and difficulties in long⁃term implementation, lack of cross⁃departmental collaboration, incomplete assessment and evaluation mechanisms and dynamic optimization mechanisms, as well as single and inefficient forms of scientific popularization. This paper, from the perspective of the comprehensive food outlook, introduces the background of the release of the dietary guidelines, summarizes the significance and values of the dietary guidelines, and proposes countermeasures and suggestions to promote the implementation and effectiveness of dietary guidelines in response to existing problems, aiming to practice the comprehensive food outlook and promote the construction of a healthy China.

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