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Engaging Communities in Addressing Structural Drivers of Obesity: Proceedings of a Workshop - in Brief
Pages 1-10

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From page 1...
... The map giving special attention to the relevance and impact of was used to prioritize three cross-cutting foundational power within communities for obesity solutions that take areas that the roundtable has since pursued, including into consideration broader structural drivers of obesity. through a three-part workshop series in 2021 -- structural It explored barriers and opportunities for solutions racism, biased mental models and social norms, and at the community level and highlighted examples of effective health communication -- which Eneli said were community initiatives that emphasize the intersection considered to be deep leverage points in the system that of obesity with structural racism, bias and stigma, could bring about lasting, systems-wide change.
From page 2...
... The workshop began with an introductory session Unstructured weight loss interventions that provide featuring two speakers who set the stage for the general suggestions for doing so typically fail to produce workshop. The first speaker, Nikhil Dhurandhar, meaningful weight loss, Dhurandhar stated, because professor, Helen Devitt Jones Endowed Chair, and individuals are unfamiliar with calorie values of both chairperson of the Department of Nutritional Sciences at food and physical activity, and physiologic and metabolic Texas Tech University, discussed the distinction between adaptations to weight loss often challenge individuals' causes of and contributors to obesity and the importance attempts to lose weight.
From page 3...
... getting what one needs in order to lead a comfortable, productive, and safe life. Community power has been Angela Odoms-Young, associate professor and director defined as "the ability of communities most impacted of the Food and Nutrition Education in Communities by structural inequality to develop, sustain, and grow Program in the Division of Nutritional Sciences at Cornell an organized base of people who act together through University, highlighted the importance of understanding democratic structures to set agendas, shift public and addressing structural racism as a pathway to obesity discourse, influence who makes decisions, and cultivate solutions.
From page 4...
... Archer noted that although a Whole Foods Market The framework's left half representing a socio-ecological recently opened in Harlem, many community residents model illustrates three categories of upstream drivers "did not feel that Whole Foods was built for them." of health -- discriminatory beliefs, institutional power, After the store worked to raise awareness of its 365 and social inequities. Iton suggested that the two halves brand's more reasonable price point and began offering of the framework could be thought of as inequities and educational classes about healthy eating, Archer said that disparities, conditions and consequences, or democratic more community residents have visited the store.
From page 5...
... DYNAMICS AS KEY TO POWER AND ENGAGEMENT Participants also provided feedback on whether they The third session of the workshop featured two wanted parental involvement in the intervention, and presentations that continued the focus on community identified incentives, engaging activities, and electronic power dynamics as a key component of systems that communication as core components for program drive obesity. engagement and retention (Lee et al., 2021)
From page 6...
... cost of living, low wages, and the COVID-19 crisis' disruptions to the state's highly imported food supply Pérez-Escamilla reported that according to a childhood have elevated the need to strengthen community food obesity prevention life course framework, it is not systems and address health and wellness. enough to address excess weight starting with younger school-age children because fundamental drivers of Communities along Oahu's Wai'anae Coast, where childhood obesity are established prior to gestation Okihiro's team works, have some of the state's highest (e.g., pre-pregnancy body mass index and excess rates of poverty and chronic diet-related diseases.
From page 7...
... With insecurity while strengthening community food systems. respect to Local Matters' efforts to advocate for policies WOPRx program participants receive a $50/month that support community food access and education, voucher to purchase fresh produce at WCCHC's farmer's Brown highlighted a new Community Advocates group market for up to 18 months, Okihiro said, and the WOPRx that provides ongoing feedback about Local Matters team created EMR templates to record each encounter programs, discusses neighborhood needs, and builds with program participants and facilitate communication group members' advocacy skills.
From page 8...
... He reminded attendees that the workshop series is titled Translating CLOSING REFLECTIONS AND REMARKS Knowledge of Fundamental Drivers of Obesity into Leah Whigham, founding director of the Center for Practice. The three workshops in the series are rooted in Community Health Impact and associate professor at The the foundational understanding that obesity is a result of University of Texas Health Science Center at Houston, complex systems, he said, that in many cases are broken summarized key takeaways from the workshop.
From page 9...
... 2021. Perceived barriers/facilitators to a healthy lifestyle Preferences of adolescents with overweight/obesity among diverse adolescents with overweight/obesity: for behavioral weight loss interventions.
From page 10...
... SPONSORS This workshop was partially supported by the Academy of Nutrition and Dietetics; Alliance for a Healthier Generation; American Academy of Pediatrics; American Cancer Society; American College of Sports Medicine; American Council on Exercise; Blue Shield of California Foundation; General Mills, Inc.; The JPB Foundation; Kresge Foundation; Mars, Inc.; MedTech Coalition for Metabolic Health; National Recreation and Parks Association; Nemours Children's Health System; Novo Nordisk; Obesity Action Coalition; Partnership for a Healthier America; Reinvestment Fund; Rudd Center for Food Policy and Health; Robert Wood Johnson Foundation; SHAPE America; Society of Behavioral Medicine; Stop & Shop Supermarket Company; The Obesity Society; Wake Forest Baptist Medical Center; and Walmart. STAFF HEATHER COOK, AMANDA NGUYEN, CYPRESS LYNX, and MARIAH BRUNS, Food and Nutrition Board, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine.


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