Creating Equal Opportunities for a Healthy Weight Workshop Summary (2013) / Chapter Skim
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1 Introduction and Themes of the Workshop
1 Introduction and Themes of the Workshop
Pages 1-14
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. Written by an expert committee in response to the epidemic of excess weight in America, the report evaluates obesity prevention strategies and offers recommendations for accelerating progress in obesity prevention.
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SOURCE: IOM, 2012a. For each of these five environments, the report presents an overarching recommendation and a set of strategies and potential actions designed to achieve that recommendation.
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These same neighborhoods may have characteristics such as heavy traffic or other unsafe conditions that discourage people from walking or being physically active outdoors. The combination of unhealthy social and environmental risk factors, including limited access to healthy foods and opportunities for physical activity, can contribute to increased levels of chronic stress among community members, which have been linked to increased levels of sedentary activity and increased calorie consumption.
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The workshop will feature invited presentations and discussions concerning the key obesity prevention goals and recommendations outlined in the 2012 IOM report Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation related to physical activity, healthy food access, food marketing and messaging; and the roles of employers, health care pro fesssionals, and schools. Workshop attendees will explore the health equity issues in each of these critical aspects of obesity prevention, while discussing potential future research, policy, and action in each area that could lead to equity in opportunities to achieve a healthy weight.
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Yancey, M.D., M.P.H.,2 associate professor of health services at the University of California, Los Angeles, and a member of the standing committee, who died of lung cancer at age 55 shortly before the workshop. A college athlete, fashion model, poet, and inventor of Instant Recess® -- short activity breaks in which anyone can participate at any time -- Yancey was a pioneer and a national leader in introducing physical activity into all settings and among all groups.
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FRAMEWORKS FOR ANALYSIS Kumanyika briefly summarized several of the frameworks that can be used to analyze disparities relevant to obesity prevention and develop potential solutions. One such framework identifies differential exposures, differential vulnerabilities, and differential consequences in the context of social stratification (Diderichsen et al., 2001)
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This failure to close existing gaps is apparent in some of the otherwise encouraging reports of declining obesity prevalence in children. In Mississippi, childhood obesity has declined somewhat in white children but has only leveled off in black children (Center for Mississippi Health Policy, 2012)
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. In each panel session, a member of the standing committee introduced the strategies described in Accelerating Progress in Obesity Prevention for achieving progress in the respective environment.
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The following subsections are a continuation of the issues discussed at the workshop, and should not be seen as consensus conclusions or recommendations. Physical Activity Civil rights laws provide an opportunity to reverse overt discrimination, such as the lack of public parks and recreational facilities in disadvantaged communities.
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Foods and Beverages Straightforward measures such as eliminating sugary drinks from schools, promoting the drinking of tap water, and providing calorie information to consumers can improve food and beverage environments for members of high-risk populations. A combination of media campaigns, menu labeling laws, school nutrition policies, and incentives for food and beverage outlets has the demonstrated ability to reduce childhood obesity.
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Food service departments can be central to the efforts of schools to improve nutrition for students. Out-of-school programs can complement and augment the efforts of schools to encourage healthy eating and physical activity.
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As an avid proponent of taking short physical activity breaks to incorporate physical activity into daily routines, she might say -- not really with apology -- that she
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Toni Yancey was wise beyond her years. Close examination of her academic and creative writing reveals remarkable insights that will continue to inform efforts to create equal opportunities for achieving a healthy weight.
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