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Currently Skimming:

1 The Vision
Pages 17-32

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From page 17...
... • Targeted actions are needed to reduce the inequitable distribution of health promotion resources and risk factors that contribute to health disparities in low-income, minority, and other disadvantaged populations. T he epidemic of obesity in the United States has major human and societal costs, both now and for future generations.
From page 18...
... The purpose of this report, developed by the Institute of Medicine's (IOM's) Committee on Accelerating Progress in Obesity Prevention, is to chart the path ways to a timely resolution of the obesity epidemic in the U.S.
From page 19...
... Favorable environments and behavioral settings positively influence individual, family, and population expectations, norms, and behaviors related to physical activity and healthy eating. Outcomes for individuals and society reflect decreased obesity rates with commensurate improvements in the health and societal outcomes highlighted in Chapter 2.
From page 20...
... 20 Outcomes related to Impact on home Environments and environments and behaviors behavioral settings Impact on body weight obesity and health Children grow and develop People and families on a healthy trajectory Government, industries, change their personal People avoid excess schools, and communities Adults avoid incremental environments and weight gain or lose undertake or support policies weight gain behavior in response weight and maintain or other strategies and Children and adults avoid to healthier weight loss actions to change physical obesity-related health and environmental options and economic structures, psychosocial problems institutions, and systems Default options and cues to choices in environments Population behavior Average weights in the where children and adults and social norms population shift live, work, and play are more reflect collective downward likely to promote physical Societal costs of obesity individual choices in activity and healthy eating decrease healthier Fewer people are environments overweight or obese Population quality of life improves Race/ethnicity; gender; socioeconomic status; residential area; and social, political, and historical contexts that influence the baseline, opportunities, and responses to changes in environments for physical activity and eating. FIGURE 1-1 The logic of populationwide obesity prevention.
From page 21...
... . An impressive body of evidence confirms that the drivers of the epidemic involve interactions among several complex, ever-changing systems, including the food system, transportation systems, community infrastructure, school systems, health care systems, and the intricate behavioral and physiological systems that influence individual physical activity and eating behaviors and body weight.
From page 22...
... Societal-Level Engagement Prevention of obesity at the societal level requires supports for child health and development, including food, education, and family life. The health of the public is ultimately a collective responsibility, and the fear of engendering political opposition through bold and widespread action can stand in the way of positive change in the nation's current physical activity, food, and other environments that influence individual behavior and choice.
From page 23...
... 57-58) "key elements identified from these past successes include • recognition that there was a crisis; • major economic implications associated with the crisis; • a science base including research, data, and evidence; • sparkplugs, or leaders who can work for their cause through their knowl edge, competence, talents, skills, and even charisma; • coalitions to move the agenda forward and a strategic, integrated media advocacy campaign; • involvement of the government at the state level to apply regulatory and fiscal authority, and at the local level to implement change; • mass communication that includes consistent positive messages supported by scientific consensus and repeated in a variety of venues; • policy and environmental changes that promote healthy lifestyle behaviors; and • a plan that includes many components which work synergistically." Community-Level Engagement Community engagement is a powerful vehicle for bringing about environmental and behavioral changes that will improve the health of the community and its members.
From page 24...
... Children and adults, particularly caregivers, make decisions about their own phys ical activity and eating behaviors on a daily basis; they may also make decisions Accelerating Progress in Obesity Prevention 24
From page 25...
... . Building the awareness and will within households to influence the home environment and family dynamics positively with respect to physical activity and food choices is an essential part of changing the overall system.
From page 26...
... A variety of characteristics historically linked to social exclusion or discrimination, such as race or ethnicity, religion, socioeconomic status, gender, age, mental health, dis ability, sexual orientation or gender identity, geographic location, and immigration status, are known to influence health status. In its 2011 Action Plan to Reduce Racial and Ethnic Health Disparities, the Department of Health and Human Services (HHS)
From page 27...
... To change this inequitable resource and risk distribution, robust and long-term community engagement and civic participation among these disadvantaged populations must occur. LEADERSHIP Responsibility for leading efforts to make the changes needed to prevent obesity potentially rests with everyone that can influence physical activity and food environments.
From page 28...
... Chapter 2 describes the con sequences of obesity; reviews current trends of overweight and obesity and societal trends that are drivers of excess weight gain at a population level; and outlines advances in and barriers to implementing environmental and policy changes that can help accelerate progress in obesity prevention. Chapter 3 describes the logic of obesity prevention, including goals and key pathways and targets for change, and explains the importance of taking a systems perspective on the problem.
From page 29...
... ; message environments with respect to physical activity and healthy eating (Chapter 7) ; health care and work environments (Chapter 8)
From page 30...
... 2003. Critical issues in developing and following community based participatory research principles.
From page 31...
... 2005. Environmental influences on food choice, physical activity and energy balance.


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