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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Integrating Systems
and Sectors Toward
Obesity Solutions

PROCEEDINGS OF A WORKSHOP

Emily A. Callahan, Rapporteur

Roundtable on Obesity Solutions

Food and Nutrition Board

Health and Medicine Division

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was partially supported by the Academy of Nutrition and Dietetics; Alliance for a Healthier Generation; American Academy of Pediatrics; American College of Sports Medicine; American Council on Exercise; American Society for Nutrition; Banner Health; Bipartisan Policy Center; BlueCross BlueShield of North Carolina Foundation; Blue Shield of California Foundation; The California Endowment; General Mills, Inc.; Greater Rochester Health Foundation; Intermountain Healthcare; The JPB Foundation; The Kresge Foundation; Mars, Inc.; National Recreation and Park Association; Nemours; Novo Nordisk; Obesity Action Coalition; The Obesity Society; Partnership for a Healthier America; Reinvestment Fund; Robert Wood Johnson Foundation; SHAPE America; Society of Behavioral Medicine; Wake Forest Baptist Medical Center; Walmart; WW International, Inc.; and YMCA of the USA. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-67620-5
International Standard Book Number-10: 0-309-67620-7
Digital Object Identifier: https://doi.org/10.17226/25766

Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2021 by the National Academy of Sciences. All rights reserved.

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2021. Integrating systems and sectors toward obesity solutions: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25766.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×

Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×

PLANNING COMMITTEE ON INTEGRATING SYSTEMS AND SECTORS TOWARD OBESITY SOLUTIONS1

CHRISTINA ECONOMOS (Co-Chair), Co-Founder and Director, ChildObesity180 and Professor and New Balance Chair in Childhood Nutrition, Friedman School of Nutrition Science and Policy, Tufts University

NICOLAAS (NICO) PRONK (Co-Chair), President, HealthPartners Institute and Chief Science Officer, HealthPartners

SARA BLEICH, Professor of Public Health Policy, Harvard T.H. Chan School of Public Health and Carol K. Pforzheimer Professor, Radcliffe Institute for Advanced Study

GISELLE CORBIE-SMITH, Kenan Distinguished Professor of Social Medicine, Director of Center for Health Equity Research, and Professor of Internal Medicine, University of North Carolina at Chapel Hill

SARA CZAJA, Professor of Gerontology in Medicine and Director of the Center on Aging and Behavioral Research, Weill Cornell Medical College

APRIL OH, Senior Advisor for Implementation Science and Health Equity, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health

DANIEL E. RIVERA, Professor of Chemical Engineering and Program Director of the Control Systems Engineering Laboratory, Arizona State University

Health and Medicine Division Staff

LESLIE J. SIM, Roundtable Director (through December 2020)

HEATHER DEL VALLE COOK, Roundtable Director

AMANDA NGUYEN, Program Officer

MEREDITH YOUNG, Research Associate

CYPRESS LYNX, Research Associate

ZARIA FYFFE, Senior Program Assistant

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×

ROUNDTABLE ON OBESITY SOLUTIONS1

NICOLAAS (NICO) PRONK (Chair), HealthPartners Institute and HealthPartners, Bloomington, Minnesota

CHRISTINA ECONOMOS (Vice Chair), Tufts University, Boston, Massachusetts

IHUOMA ENELI (Vice Chair), American Academy of Pediatrics, Columbus, Ohio

SHARON ADAMS-TAYLOR, The School Superintendents Association, Alexandria, Virginia

KATIE ADAMSON, YMCA of the USA, Washington, DC

JAMY D. ARD, Wake Forest University, Winston-Salem, North Carolina

DANIELLE BERMAN, Food and Nutrition Service, U.S. Food and Drug Administration, Washington, DC

ROBIN P. BLACKSTONE, University of Arizona, Phoenix, Arizona

HEIDI MICHELS BLANCK, Centers for Disease Control and Prevention, Atlanta, Georgia

JEANNE BLANKENSHIP, Academy of Nutrition and Dietetics, Washington, DC

SARA N. BLEICH, Harvard T.H. Chan School of Public Health, Boston, Massachusetts

DON W. BRADLEY, Duke University, Durham, North Carolina

HEIDI F. BURKE, Greater Rochester Health Foundation, Rochester, New York

JAMIE BUSSEL, Robert Wood Johnson Foundation, Princeton, New Jersey

MERRY DAVIS, BlueCross BlueShield of North Carolina Foundation, Durham, North Carolina

JENNIFER FASSBENDER, Reinvestment Fund, Philadelphia, Pennsylvania

AMENDA FISHER, Walmart, Betonville, Arkansas

GARY D. FOSTER, WW International, Inc., New York, New York

DAVID D. FUKUZAWA, The Kresge Foundation, Troy, Michigan

ALLISON GERTEL-ROSENBERG, Nemours Children’s Health System, Washington, DC

MARJORIE A. INNOCENT, National Association for the Advancement of Colored People, Baltimore, Maryland

JOHN JAKICIC, University of Pittsburgh, Pennsylvania

ELIZABETH A. JOY, Intermountain Healthcare, Salt Lake City, Utah

SCOTT I. KAHAN, The George Washington University, Washington, DC

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×

PETER T. KATZMARZYK, Pennington Biomedical Research Center, Baton Rouge, Louisiana

CATHERINE KWIK-URIBE, Mars, Inc., Germantown, Maryland

THEODORE KYLE, The Obesity Society, Pittsburgh, Pennsylvania

LISEL LOY, Bipartisan Policy Center, Washington, DC

KELLIE MAY, National Recreation and Park Association, Ashburn, Virginia

MYETA M. MOON, United Way Worldwide, Alexandria, Virginia

STEPHANIE A. MORRIS, SHAPE America, Reston, Virginia

JOSEPH NADGLOWSKI, JR., Obesity Action Coalition, Tampa, Florida

MELISSA NAPOLITANO, The George Washington University, Washington, DC

PATRICIA NECE, Obesity Action Coalition, Tampa, Florida

MEGAN NECHANICKY, General Mills, Inc., Minneapolis, Minnesota

BARBARA PICOWER, The JPB Foundation, New York, New York

SUE P. POLIS, National League of Cities, Washington, DC

AMELIE G. RAMIREZ, Salud America!, San Antonio, Texas

TOM RICHARDS, American Council on Exercise, San Diego, California

NANCY ROMAN, Partnership for a Healthier America, Washington, DC

SYLVIA ROWE, SR Strategy, LLC, Washington, DC

LAURIE STRADLEY, Alliance for a Healthier Generation, Asheville, North Carolina

SUSAN Z. YANOVSKI, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland

LESLIE ZOLOV, Novo Nordisk, Washington, DC

Health and Medicine Division Staff

LESLIE J. SIM, Roundtable Director (through December 2020)

HEATHER DEL VALLE COOK, Roundtable Director

AMANDA NGUYEN, Program Officer

MEREDITH YOUNG, Research Associate

CYPRESS LYNX, Research Associate

ZARIA FYFFE, Senior Program Assistant

ANN L. YAKTINE, Director, Food and Nutrition Board

Food and Nutrition Board Liaison

SHIRIKI KUMANYIKA, Drexel University, Philadelphia, Pennsylvania

Consultant

WILLIAM (BILL) H. DIETZ, The George Washington University, Washington, DC

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings, nor did they see the final draft before its release. The review of this proceedings was overseen by SHARI BARKIN, Vanderbilt University Medical Center. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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PageR9
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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PageR12
Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Integrating Systems and Sectors Toward Obesity Solutions: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25766.
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A virtual workshop titled Integrating Systems and Sectors Toward Obesity Solutions, held April 6, 2020 (Part I), and June 30, 2020 (Part II), was convened by the Roundtable on Obesity Solutions, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine. The workshop introduced the concept of complex systems and the field of systems science, and explored systems science approaches to obesity solutions. Speakers provided an overview of systems science theories, approaches, and applications, highlighting examples from within and outside the obesity field. Presentations and discussions examined complex systems in society that have the potential to shape public health and well-being, and considered opportunities for systems change as they relate to obesity solutions. Specifically, the workshop explored factors that can influence obesity - such as (in)equity, relationships, connections, networks, capacity, power dynamics, social determinants, and political will - and how these factors can impact communications and cross-sector collaboration to address obesity. This publication summarizes the presentations and discussion of the workshop.

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