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Summary
Pages 1-16

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From page 1...
... Inherent in this charge was a recognition that, while a large number of promising individual programs and interventions currently are being supported, implemented, and evaluated, there is a growing need to identify a set of obesity prevention actions that, both individually and together, can accelerate meaningful change on a societal level. Prior work by the nation's researchers to illuminate various aspects of the obesity problem has helped inform obesity prevention efforts.
From page 2...
... Exposure to these influences, both positive and negative, varies by subpopulation and can result in inequities in the prevalence of obesity. If a community has no safe places to walk or play, lacks food out lets offering affordable healthy foods, and is bombarded by advertisements for unhealthy foods and beverages, its residents will have less opportunity to engage Accelerating Progress in Obesity Prevention 2
From page 3...
... Given the scope and scale of what is needed and the inevitability of a time lag before true progress can be estimated, however, the developments to date create a unique opportunity to restate goals and refine targets and approaches in order to accelerate progress. Broad positive societal changes that support and sustain individual and family behaviors will need to affect activity and eating environments for all ages.
From page 4...
... 2. Priority and targeted actions must drive cultural and societal changes to improve environments that influence physical activity and food intake options.
From page 5...
... TAKING A SYSTEMS PERSPECTIVE TO ACCELERATE PROGRESS In this report, the committee presents five key interrelated recommendations whose implementation would have a substantial effect on accelerating obesity prevention over the next decade; an explanation of the kinds of engagement and leadership that can build capacity and mobilize action; and a call for monitoring progress in the implementation of the recommendations (see Figure S-1)
From page 6...
... For each strategy, the report also suggests a set of actions that are likely to make a positive contribution to that strategy's achievement based on research evidence or, where evidence is lacking or limited, have a logical con nection with its achievement. Accelerating Progress in Obesity Prevention 6
From page 7...
... interactions and feedback loops among the recommendations and strategies. Engagement and Equity It is essential to recognize that accelerating progress toward obesity prevention will need to occur at every level, from individual, to family, to community, to society as a whole.
From page 8...
... A major premise of the committee's systems approach to leadership is that it is a shared responsibility across sectors and levels, and one that may not follow typi cal hierarchical or individual sector-based approaches. All individuals, organiza tions, agencies, and sectors that do or can influence physical activity and nutrition environments are called on to assess and begin to act on their potential roles as leaders in obesity prevention.
From page 9...
... The Vision The committee's recommendations, strategies, and actions can be seen as a system of large-scale transformative approaches that is urgently needed to accelerate progress in obesity prevention. This system comprises major reforms in access to and opportunities for physical activity; widespread reductions in the availability of unhealthy food and beverage options and increases in access to healthier options at affordable, competitive prices; an overhaul of messages that surround Americans (through marketing and education)
From page 10...
... Communities, organi zations, community planners, and public health professionals should encourage physical activity by enhancing the physical and built environment, rethinking com munity design, and ensuring access to places for such activity. 2 Note that physical education and opportunities for physical activity in schools are covered in Recommendation 5, on school environments.
From page 11...
... Unhealthy foods and beverages displace the consumption of foods recommended in the Dietary Guidelines for Americans and may lead to the development of obesity. 5 Sugar-sweetened beverages are defined to include all beverages containing added caloric sweeteners, including, but not limited to, sugar- or otherwise calorically sweetened regular sodas, less than 100 percent fruit drinks, energy drinks, sports drinks, and ready-to-drink teas and coffees.
From page 12...
... agriculture policy for obesity, and should ensure that such policy includes under standing and implementing, as appropriate, an optimal mix of crops and farming methods for meeting the Dietary Guidelines for Americans. Accelerating Progress in Obesity Prevention 12
From page 13...
... Congress, the Administration, other federal policy makers, and foundations should dedicate substantial funding and support to the development and implementation of a robust and sustained social marketing program on physical activity and nutrition. This program should encompass carefully targeted, culturally appropriate messages aimed at specific audiences (e.g., tweens, new parents, mothers)
From page 14...
... Strategy 3-4: Adopt consistent nutrition education policies for federal programs with nutrition education components. USDA should update the policies for Supplemental Nutrition Assistance Program Education and the policies for other federal programs with nutrition education components to explicitly encourage the provision of advice about types of foods to reduce in the diet, consistent with the Dietary Guidelines for Americans.
From page 15...
... The Dietary Guidelines for Americans provide specific science-based recommendations for optimizing dietary intake to prevent disease and promote health. Implementation of these guidelines would shift children's and adolescents' dietary intake to prevent obesity and risk factors associated with chronic disease risk by increasing the amounts of fruits, vegetables, and high-fiber 15 Summary
From page 16...
... Strategy 5-3: Ensure food literacy, including skill development, in schools. Through leadership and guidance from federal and state governments, state and local education agencies should ensure the implementation and monitoring of sequential food literacy and nutrition science education, spanning grades K-12, based on the food and nutrition recommendations in the Dietary Guidelines for Americans.


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