Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation

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www.ispah.org
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Accelerating Progress in Obesity Prevention
Harold W. (Bill) Kohl
Sponsored by The Robert Wood Johnson Foundation
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Investments that Work

• Whole of school programs
• Transport policies and systems that prioritize
  walking, cycling, and public transport.
• Urban design regulations and infrastructure for
  equitable and safe access for recreationaly and
  transport-related walking and cycling across the
  life course.
• Physical activity and NCD prevention integrated
  into primary health care systems
• Public education, including mass media, to raise
  awareness and change social norms on physical
  activity.
• Community-wide programs involving multiple
  settings and sectors and that mobilize and
  integrate community engagement and resources.
• Sports systems and programs that promote sport
  for all and encourage participation across the
  life span.

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Committee on Accelerating Progress in Obesity
Prevention
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Review of Prior Recommendations

• 800 obesity prevention-related recommendations!
• Comprehensive review reflecting
• Institute of Medicine and National Research
  Council
• Childhood Obesity Action Network
• Healthy Eating Activity Living Convergence
  Partnership
• US Department of Health and Human Services
• (CDC, Community Preventive Services Task
  Force)
• Keystone Forum
• National Governors Association
• National Association of County and City Health
  Officials
• National Physical Activity Plan
• Robert Wood Johnson Foundation
• Trust for Americas Health
• USDA
• White House

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Guiding Principles

1. Bold, widespread, and sustained action.
2. Actions must drive cultural and societal changes.
3. Cultural and societal changes are needed and a
   system approach must be taken.
4. Solutions must come from multiple sources,
   involve multiple levels and sectors.
5. Recommendations should be based on best available
   scientific evidence (IOMs L.E.A.D. framework).
6. Cost, feasibility, and practicality of
   implementation must be considered.
7. Unintended consequences must be considered.
8. Incorporate ongoing evaluation of progress and
   need for any course corrections.
9. Must include assessment of potential for high
   impact reach and scope of potential effects
   timeliness of effects ability to reduce
   disparities and promote equity and have clearly
   measureable outcomes.

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Goals

1. Integrate Physical Activity Every Day in Every
   Way
2. Make Healthy Foods Available Everywhere
3. Market What Matters for a Healthy Life
4. Activate Employers and Health Care Professionals
5. Strengthen Schools as the Heart of Health

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Physical Activity Strategies

• Strategy 1-1 Enhance the physical and built
  environment.
• Strategy 1-2 Provide and support community
  programs designed to increase physical activity.
• Strategy 1-3 Adopt physical activity
  requirements for licensed child care providers.
• Strategy 1-4 Provide support for the science and
  practice of physical activity.
•  

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Strategy 1-1 Enhance the physical and built
environment
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Strategy 1-2 Provide and support community
programs designed to increase physical activity
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Strategy 1-3 Adopt physical activity
requirements for licensed child care providers
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Strategy 1-4 Provide support for the science and
practice of physical activity
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Mapping Systems of Change

• Sector of Action
• Business /Private
• Public
• Citizens/Civic Organizations
• Health Care
• Worksites/Employers

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Five Interacting Areas
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Multi-Sector Interactions
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Meeting the Challenge of Achieving Equity

• Transform inequitable environments
• Food and Beverage
• Physical Activity
• Message

• Target Critical Settings
• School
• Worksites

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• Engagement
• Leadership and Responsibility
• Assessment

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Committee Membership

• Daniel Glickman (chair), The
• Aspen Institute and
• Bipartisan Policy Center
• M.R.C. Greenwood (vice chair),
• University of Hawaii System
• William Purcell (vice chair),
• Jones Hawkins Farmer
• David Britt, retired Sesame
• Workshop
• Jamie Chriqui, University of
• Illinois, Chicago
• Patricia Crawford, University of
• California
• Christina Economos, Tufts
• University

Sandra Hassink, A.I. duPont Hospital for
Children Anthony Iton, The California
Endowment Steven Kelder, University of
Texas Harold (Bill) Kohl, University of
Texas Shiriki Kumanyika, University of
Pennsylvania Philip Marineau, LNK
Partners Vicky Rideout, VJR Consulting Eduardo
Sanchez, Blue Cross and Blue Shield of
Texas Ellen Wartella, Northwestern University
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To read more about Accelerating Progress in
Obesity Prevention and to download the full
report and report briefs (PDF) for free
visithttp//www.iom.edu/acceleratingobesityprev
ention
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HBOs The Weight of the Nation

• HBO/IOM/CDC/NIH/Michael Susan Dell
  Foundation/Kaiser Permanente
• Documentaries (4) for adult audience
• Short documentaries (12) on specific topics in
  obesity prevention
• Documentaries (3) for children and families
• Trade publication for general audiences (The
  Weight of the Nation)
• Website (http//theweightofthenation.hbo.com/)
• Social media (Facebook, Twitter, Youtube, and
  GetGlue)
• Screening kits with discussion guides
• Marketing efforts, including reaching families
  with children
• Written materials for school-age children and
  teachers (Scholastic, Inc.)