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Appendix C: The Committee's Recommendations, Strategies, and Action Steps
Pages 427-446

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From page 427... ... RECOMMENDATION 1 Communities, transportation officials, community planners, health professionals, and governments should make promotion of physical activity a priority by substantially increasing access to places and opportunities for such activity. Strategy 1-1: Enhance the Physical and Built Environment Communities, organizations, community planners, and public health professionals should encourage physical activity by enhancing the physical and built environment, rethinking community design, and ensuring access to places for such activity. Read the entire page →
From page 428... ... Strategy 1-3: Adopt Physical Activity Requirements for Licensed Child Care Providers State and local child care and early childhood education regulators should establish requirements for each program to improve its current physical activity standards. Accelerating Progress in Obesity Prevention 428 Read the entire page →
From page 429... ... For federal-level government agencies, potential actions include • the Department of Health and Human Services (HHS) establishing pro cesses for the regular and routine communication of scientific advances in understanding the health benefits of physical activity, particularly with respect to obesity prevention (these processes could include, but are not limited to, regularly scheduled updates of the Physical Activity Guidelines for Americans and reports of the U.S. Read the entire page →
From page 430... ... Strategy 2-1: Adopt Policies and Implement Practices to Reduce Overconsumption of Sugar-Sweetened Beverages Decision makers in the business community/private sector, in nongovernmental organizations, and at all levels of government should adopt comprehensive strate gies to reduce overconsumption of sugar-sweetened beverages.3 For schools and other locations where children and adolescents are cared for, potential actions include • prohibiting access to sugar-sweetened beverages; • providing a variety of beverage options that are competitively priced and are recommended by and included in the Dietary Guidelines for Americans; and • making clean, potable water available. For the business community/private sector, nongovernmental organizations, and governments, potential actions include 1 The business community/private sector includes private employers and privately owned and/or operated locations frequented by the public, such as movie theaters, shopping centers, sporting and entertainment venues, bowling alleys, and other recreational/entertainment facilities. Read the entire page →
From page 431... ... For the food and beverage industry, potential actions include • developing and promoting a variety of beverage options for consumers, including a range of healthy beverage options, beverages with reduced sugar content, and smaller portion sizes (e.g., 8-ounce containers) Read the entire page →
From page 432... ... The business community and the private sector operating venues frequented by the public should ensure that a variety of foods and beverages, including those recom mended by the Dietary Guidelines for Americans, are sold or served at all times. For government agencies, potential actions include • the federal government expanding the healthy vending/concession guidelines to include all government-owned and/or -operated buildings, worksites, facilities,4 and other locations where foods and beverages are sold/served; and • all state and local government-owned and -operated buildings, worksites, facilities, and other locations where foods and beverages are sold/served (including through vending machines and concession stands) Read the entire page →
From page 433... ... . Potential actions include • states creating cross-agency teams to analyze and streamline regulatory pro cesses and create tax incentives for retailing of healthy foods in underserved neighborhoods; • states and localities creating cross-sectoral collaborations among the food and beverage industry, philanthropy, the finance and banking sector, the real estate sector, and the community to develop private funding to facilitate the development of healthy food retailing in underserved areas; and • localities utilizing incentive tools to attract retailing of healthy foods (e.g., supermarkets and grocery stores) Read the entire page →
From page 434... ... Department of Agriculture (USDA) developing policy options for promoting increased domestic production of foods recommend ed for a healthy diet that are generally underconsumed, including fruits and vegetables and dairy products, by reviewing incentives and disincentives that exist in current policy; • as part of its agricultural research agenda, USDA exploring the optimal mix of crops and farming methods for meeting the current Dietary Guidelines for Americans, including an examination of the possible impact of smaller scale agriculture, of regional agricultural product distribution chains, and of various agricultural models from small to large scale, as well as other efforts to ensure a sustainable, sufficient, and affordable supply of fresh fruits and vegetables; and Accelerating Progress in Obesity Prevention 434 Read the entire page →
From page 435... ... ; and related environmental change goals (e.g., improve physical environments, offer better food choices in public places, increase the availability of healthy food retailing) Read the entire page →
From page 436... ... They should cover foods and beverages marketed to children and adolescents aged 2-17 and should apply to a broad range of marketing and adver tising practices, including digital marketing and the use of licensed characters and toy premiums. If such marketing standards have not been adopted within 2 years by a substantial majority of food, beverage, restaurant, and media companies that market foods and beverages to children and adolescents, policy makers at the local, state, and federal levels should consider setting mandatory nutritional Accelerating Progress in Obesity Prevention 436 Read the entire page →
From page 437... ... Potential actions include • The FDA and USDA adopting a single standard nutrition labeling system for all fronts of packages and retail store shelves, the FDA and USDA con sidering making this system mandatory to enable consumers to compare products on a standard nutrition profile, and the guidelines provided by the Institute of Medicine (2011) being used for implementation; and • restaurants implementing the FDA regulations that require restaurants with 20 or more locations to provide calorie labeling on their menus and menu boards, and the FDA/USDA monitoring industry for compliance with this policy. Read the entire page →
From page 438... ... Potential actions include • removing the restrictions on the types of information that can be included in SNAP-Ed programs and encouraging advice about types of foods to reduce; • disseminating, immediately and effectively, notification of the revised regu lations, along with authoritative guidance on how to align federally funded nutrition education programs with the Dietary Guidelines; and • ensuring that such full alignment of nutrition education with the Dietary Guidelines applies to all federal programs with a nutrition education com ponent, particularly programs that target primary food shoppers in low income families (e.g., the Expanded Food and Nutrition Education Program and the Special Supplemental Nutrition Program for Women, Infants, and Children [WIC] Read the entire page →
From page 439... ... Potential actions include • health care providers' standards of practice including routine screening of body mass index (BMI) , counseling, and behavioral interventions for chil dren, adolescents, and adults to improve physical activity behaviors and dietary choices; • medical schools, nursing schools, physician assistant schools, and other rel evant health professional training programs (including continuing education programs) Read the entire page →
From page 440... ... Potential actions include • all those who provide health care or related services to women of child bearing age offering preconception counseling on the importance of con ceiving at a healthy BMI; Accelerating Progress in Obesity Prevention 440 Read the entire page →
From page 441... ... RECOMMENDATION 5 Federal, state, and local government and education authorities, with support from parents, teachers, and the business community and the private sector, should make schools a focal point for obesity prevention. Strategy 5-1: Require Quality Physical Education and Opportunities for Physical Activity in Schools Through support from federal and state governments, state and local education agencies and local school districts should ensure that all students in grades K-12 have adequate opportunities to engage in 60 minutes of physical activity per school day. Read the entire page →
From page 442... ... For local school districts, potential actions include • improving and maintaining an environment that is conducive to safe physi cal education and physical activity. Accelerating Progress in Obesity Prevention 442 Read the entire page →
From page 443... ... Federal, state, and local decision makers are responsible for ensuring that nutrition standards based on the Dietary Guidelines are adopted by schools; these decision makers, in partnership with regulatory agencies, parents, teachers, and food manufacturers, also are responsible for ensuring that these standards are implemented fully and that adherence is monitored so as to protect the health of the nation's children and adolescents. For the USDA, potential actions include • adopting nutrition standards for all federal child nutrition programs (i.e., the School Breakfast, National School Lunch, Afterschool Snack, Summer Food Service, and Special Milk programs) Read the entire page →
From page 444... ... , including a requirement for local education agencies to adopt and imple ment a K-12 food and nutrition curriculum based on state and federal guidance. For states, state legislatures, and departments of education, potential actions include • state legislatures and departments of education adopting, requiring, and financially supporting K-12 standards for food and nutrition curriculum based on USDA guidance; • state departments of education establishing requirements for training teachers in effectively incorporating nutrition education into their curricula; • states requiring teacher training programs to include curriculum require ments for the study of nutrition; Accelerating Progress in Obesity Prevention 444 Read the entire page →
From page 445... ... • state legislatures and departments of education adopting and requiring proficiency assessments for core elements of their state food and nutrition curriculum standards in accordance with the Common Core State Standards Initiative, and local education agency wellness policies articulating ways in which results of food and nutrition education proficiency assessments can be used to inform program improvement; and • state and local departments of education, working with local education agency wellness policies, to link changes in the meals provided through child nutrition services with the food literacy and nutrition education cur riculum to the extent possible. REFERENCE IOM (Institute of Medicine) Read the entire page →

From page 427...

... RECOMMENDATION 1 Communities, transportation officials, community planners, health professionals, and governments should make promotion of physical activity a priority by substantially increasing access to places and opportunities for such activity. Strategy 1-1: Enhance the Physical and Built Environment Communities, organizations, community planners, and public health professionals should encourage physical activity by enhancing the physical and built environment, rethinking community design, and ensuring access to places for such activity.

Appendix C: The Committee's Recommendations, Strategies, and Action Steps Pages 427-446

Appendix C: The Committee's Recommendations, Strategies, and Action Steps
Pages 427-446