日本“瘦腰令”到中国“控重潮”：我们是在“内卷健康”吗？

Core Viewpoint - The article discusses China's three-year "Weight Management Year" initiative, which aims to address obesity through innovative and localized strategies, contrasting with Japan's more rigid legislative approach to health management [4][5][10]. Policy Background - Japan's "Metabo" law, initiated in 2008, mandates waist measurements for employees over 40, reflecting a collective governance model due to high healthcare costs associated with metabolic syndrome [5][6]. - In contrast, China's obesity rates are projected to reach 34.3% among adults and over 19% among children by 2025, prompting the need for a more flexible and innovative approach to health management [5][6]. Governance Approach - Japan's model relies on legal enforcement and economic penalties, which, while effective in the short term, has led to high compliance costs and employee resistance [6]. - China's strategy emphasizes "social co-governance" and digital innovation, incorporating local dietary habits and offering incentives like health points for insurance discounts, balancing strict standards with flexible guidance [7][8]. Cultural Factors - Japan effectively integrates traditional fermented foods into health promotion, while China is exploring its cultural wisdom through seasonal health guidelines, though it still has room for improvement in modernizing traditional practices [8][9]. - Shenzhen's pilot program for personalized health solutions using smart technology indicates a move towards precision health management [8]. Industry Dynamics - Japan's weight management industry has developed a comprehensive ecosystem, with significant growth in organic food brands and functional products, driven by government initiatives [9]. - China's health ecosystem is evolving with digital infrastructure, community weight loss groups, and new professions in health management, creating a multi-faceted approach that goes beyond Japan's reliance on corporate regulation [9][10].