Health Initiative To Address Adolescent Obesity

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Local Government Actions to Prevent Childhood Obesity

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309139279
Total Pages : 107 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Local Government Actions to Prevent Childhood Obesity by : National Research Council

Download or read book Local Government Actions to Prevent Childhood Obesity written by National Research Council and published by National Academies Press. This book was released on 2010-01-10 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt: The prevalence of childhood obesity is so high in the United States that it may reduce the life expectancy of today's generation of children. While parents and other adult caregivers play a fundamental role in teaching children about healthy behaviors, even the most positive efforts can be undermined by local environments that are poorly suited to supporting healthy behaviors. For example, many communities lack ready sources of healthy food choices, such as supermarkets and grocery stores. Or they may not provide safe places for children to walk or play. In such communities, even the most motivated child or adolescent may find it difficult to act in healthy ways. Local governments-with jurisdiction over many aspects of land use, food marketing, community planning, transportation, health and nutrition programs, and other community issues-are ideally positioned to promote behaviors that will help children and adolescents reach and maintain healthy weights. Local Government Actions to Prevent Childhood Obesity presents a number of recommendations that touch on the vital role of government actions on all levels-federal, state, and local-in childhood obesity prevention. The book offers healthy eating and physical activity strategies for local governments to consider, making it an excellent resource for mayors, managers, commissioners, council members, county board members, and administrators.

Preventing Childhood Obesity

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133408
Total Pages : 435 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Preventing Childhood Obesity by : Institute of Medicine

Download or read book Preventing Childhood Obesity written by Institute of Medicine and published by National Academies Press. This book was released on 2005-01-31 with total page 435 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children's health has made tremendous strides over the past century. In general, life expectancy has increased by more than thirty years since 1900 and much of this improvement is due to the reduction of infant and early childhood mortality. Given this trajectory toward a healthier childhood, we begin the 21st-century with a shocking developmentâ€"an epidemic of obesity in children and youth. The increased number of obese children throughout the U.S. during the past 25 years has led policymakers to rank it as one of the most critical public health threats of the 21st-century. Preventing Childhood Obesity provides a broad-based examination of the nature, extent, and consequences of obesity in U.S. children and youth, including the social, environmental, medical, and dietary factors responsible for its increased prevalence. The book also offers a prevention-oriented action plan that identifies the most promising array of short-term and longer-term interventions, as well as recommendations for the roles and responsibilities of numerous stakeholders in various sectors of society to reduce its future occurrence. Preventing Childhood Obesity explores the underlying causes of this serious health problem and the actions needed to initiate, support, and sustain the societal and lifestyle changes that can reverse the trend among our children and youth.

Bridging the Evidence Gap in Obesity Prevention

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309149894
Total Pages : 336 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Bridging the Evidence Gap in Obesity Prevention by : Institute of Medicine

Download or read book Bridging the Evidence Gap in Obesity Prevention written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-24 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new approach to decision making and research on obesity prevention to use a systems perspective to gain a broader understanding of the context of obesity and the many factors that influence it.

Health Initiative to Address Adolescent Obesity

Author : James P. Fleenor
Publisher :
ISBN 13 :
Total Pages : 96 pages
Book Rating : 4.:/5 (651 download)

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Book Synopsis Health Initiative to Address Adolescent Obesity by : James P. Fleenor

Download or read book Health Initiative to Address Adolescent Obesity written by James P. Fleenor and published by . This book was released on 2005 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Community Perspectives on Obesity Prevention in Children

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309140811
Total Pages : 112 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Community Perspectives on Obesity Prevention in Children by : Institute of Medicine

Download or read book Community Perspectives on Obesity Prevention in Children written by Institute of Medicine and published by National Academies Press. This book was released on 2010-01-01 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the public health threat of childhood obesity has become clear, the issue has become the focus of local, state, and national initiatives. Many of these efforts are centered on the community environment in recognition of the role of environmental factors in individual behaviors related to food and physical activity. In many communities, for example, fresh produce is not available or affordable, streets and parks are not amenable to exercise, and policies and economic choices make fast food cheaper and more convenient than healthier alternatives. Community efforts to combat obesity vary in scope and scale; overall, however, they remain fragmented, and little is known about their effectiveness. At the local level, communities are struggling to determine which obesity prevention programs to initiate and how to evaluate their impact. In this context, the Institute of Medicine held two workshops to inform current work on obesity prevention in children through input from individuals who are actively engaged in community- and policy-based obesity prevention programs. Community perspectives were elicited on the challenges involved in undertaking policy and programmatic interventions aimed at preventing childhood obesity, and on approaches to program implementation and evaluation that have shown promise. Highlights of the workshop presentations and discussions are presented in this volume.

Childhood Obesity Prevention in Texas

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309148723
Total Pages : 87 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Childhood Obesity Prevention in Texas by : Institute of Medicine

Download or read book Childhood Obesity Prevention in Texas written by Institute of Medicine and published by National Academies Press. This book was released on 2009-12-01 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood Obesity Prevention in Texas summarizes the information gathered at a workshop held February 5-6, 2009, in Austin, Texas. At this workshop, committee members met with Texas lawmakers, public officials, and community leaders to exchange ideas and to view first-hand strategies that are being implemented effectively at the state and local levels to prevent and reverse childhood obesity. Texas leaders at the workshop expressed the strong belief that the state's economic vitality and security depend on the health of its population. Accordingly, the state is no longer simply describing the personal, community, and financial costs of its obesity crisis; it is taking proactive steps to address the problem through strategic initiatives. An overarching strategy is to address obesity by targeting the state's youth, in whom it may be possible to instill healthy behaviors and lifestyles to last a lifetime. A guiding principle of these efforts is that they should be evidence based, community specific, sustainable, cost-effective, and supported by effective partnerships. Moreover, the goal is for the responsibility to be broadly shared by individuals, families, communities, and the public and private sectors.

The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity

Author :
Publisher : Office of the Surgeon General
ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity by :

Download or read book The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity written by and published by Office of the Surgeon General. This book was released on 2001 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Promotes the recognition, treatment, and prevention of conditions of overweight and obesity in the United States.

Legal Strategies in Childhood Obesity Prevention

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309210224
Total Pages : 104 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Legal Strategies in Childhood Obesity Prevention by : Institute of Medicine

Download or read book Legal Strategies in Childhood Obesity Prevention written by Institute of Medicine and published by National Academies Press. This book was released on 2011-08-08 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 1980, childhood obesity rates have more than tripled in the United States. Recent data show that almost one-third of children over 2 years of age are already overweight or obese. While the prevalence of childhood obesity appears to have plateaued in recent years, the magnitude of the problem remains unsustainably high and represents an enormous public health concern. All options for addressing the childhood obesity epidemic must therefore be explored. In the United States, legal approaches have successfully reduced other threats to public health, such as the lack of passive restraints in automobiles and the use of tobacco. The question then arises of whether laws, regulations, and litigation can likewise be used to change practices and policies that contribute to obesity. On October 21, 2010, the Institute of Medicine (IOM) held a workshop to bring together stakeholders to discuss the current and future legal strategies aimed at combating childhood obesity. Legal Strategies in Childhood Obesity Prevention summarizes the proceedings of that workshop. The report examines the challenges involved in implementing public health initiatives by using legal strategies to elicit change. It also discusses circumstances in which legal strategies are needed and effective. This workshop was created only to explore the boundaries of potential legal approaches to address childhood obesity, and therefore, does not contain recommendations for the use of such approaches.

Early Childhood Obesity Prevention Policies

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309210283
Total Pages : 202 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Early Childhood Obesity Prevention Policies by : Institute of Medicine

Download or read book Early Childhood Obesity Prevention Policies written by Institute of Medicine and published by National Academies Press. This book was released on 2011-10-31 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity is a serious health problem that has adverse and long-lasting consequences for individuals, families, and communities. The magnitude of the problem has increased dramatically during the last three decades and, despite some indications of a plateau in this growth, the numbers remain stubbornly high. Efforts to prevent childhood obesity to date have focused largely on school-aged children, with relatively little attention to children under age 5. However, there is a growing awareness that efforts to prevent childhood obesity must begin before children ever enter the school system. Early Childhood Obesity Prevention Policies reviews factors related to overweight and obese children from birth to age 5, with a focus on nutrition, physical activity, and sedentary behavior, and recommends policies that can alter children's environments to promote the maintenance of healthy weight. Because the first years of life are important to health and well-being throughout the life span, preventing obesity in infants and young children can contribute to reversing the epidemic of obesity in children and adults. The book recommends that health care providers make parents aware of their child's excess weight early. It also suggests that parents and child care providers keep children active throughout the day, provide them with healthy diets, limit screen time, and ensure children get adequate sleep. In addition to providing comprehensive solutions to tackle the problem of obesity in infants and young children, Early Childhood Obesity Prevention Policies identifies potential actions that could be taken to implement those recommendations. The recommendations can inform the decisions of state and local child care regulators, child care providers, health care providers, directors of federal and local child care and nutrition programs, and government officials at all levels.

Progress in Preventing Childhood Obesity

Author : National Academies
Publisher : National Academies Press
ISBN 13 : 0309181135
Total Pages : 44 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Progress in Preventing Childhood Obesity by : National Academies

Download or read book Progress in Preventing Childhood Obesity written by National Academies and published by National Academies Press. This book was released on 2006-04-04 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2002, Congress charged the Institute of Medicine (IOM) with developing a prevention-focused action plan to reduce the number of obese children and youth in the United States. In 2005, with support from The Robert Wood Johnson Foundation (RWJF), the IOM is building on its previous work by conducting a study to assess progress toward the obesity prevention recommendations in the original report. The IOM organized three regional meetings in the midwest, southeastern, and western United States to galvanize obesity prevention efforts of local, state, and national decision-makers, community and school leaders, grassroots organizations, and industry representatives including the food, beverage, restaurant, leisure, recreation, and entertainment industries. These three meetings will involve disseminating the findings and recommendations of the original IOM report and catalyzing dialogues that highlight best practices and identify assets and barriers to moving forward with obesity prevention efforts in each selected region. In collaboration with The California Endowment, the committee held its third regional symposium on December 1, 2005 in Irvine, California. The symposium included three plenary panels that focused on food and physical activity products, portfolio shifts, and packaging innovations; retailing healthy lifestyles with regard to food and physical activity; and the business response to childhood obesity. Participants also engaged in two break-out sessions. The first session focused on marketing communication strategies that promote both healthful products and physical activity opportunities. The second session focused on public and private education campaigns and industry self-regulation of advertising to children. A program agenda is at the end of this summary. The symposium provided a useful forum for stakeholders to explore viable strategies and exchange information about promising practices for addressing barriers to obesity prevention initiatives, and to identify how public health interests can coincide with the business interests of companies to have a positive impact on reversing the childhood obesity trend. This summary highlights the recurring themes for accelerating change and how industry collectively can move forward with obesity prevention efforts that emerged from the symposium. The themes include reverse the obesity trend; market health and nutrition; make a business commitment to health; change the food and physical activity environment; forge strategic partnerships; garner political support to ally public health and industry; educate stakeholders; collect, disseminate, and share local data; and evaluate programs and interventions. This summary, along with those of two other symposia summaries and a more detailed discussion of insights and regional examples, will be incorporated in the IOM committee's final report on progress in preventing childhood obesity that will be released in the fall of 2006.

Progress in Preventing Childhood Obesity

Author : National Academies
Publisher : National Academies Press
ISBN 13 : 0309101905
Total Pages : 44 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Progress in Preventing Childhood Obesity by : National Academies

Download or read book Progress in Preventing Childhood Obesity written by National Academies and published by National Academies Press. This book was released on 2006-05-04 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2002, Congress charged the Institute of Medicine (IOM) with developing a prevention-focused action plan to reduce the number of obese children and youth in the United States. In 2005, with support from The Robert Wood Johnson Foundation (RWJF), the IOM is building on its previous work by conducting a study to assess progress toward the obesity prevention recommendations in the original report. The IOM organized three regional meetings in the midwest, southeastern, and western United States to galvanize obesity prevention efforts of local, state, and national decision-makers, community and school leaders, grassroots organizations, and industry representatives including the food, beverage, restaurant, leisure, recreation, and entertainment industries. These three meetings will involve disseminating the findings and recommendations of the original IOM report and catalyzing dialogues that highlight best practices and identify assets and barriers to moving forward with obesity prevention efforts in each selected region. In collaboration with The California Endowment, the committee held its third regional symposium on December 1, 2005 in Irvine, California. The symposium included three plenary panels that focused on food and physical activity products, portfolio shifts, and packaging innovations; retailing healthy lifestyles with regard to food and physical activity; and the business response to childhood obesity. Participants also engaged in two break-out sessions. The first session focused on marketing communication strategies that promote both healthful products and physical activity opportunities. The second session focused on public and private education campaigns and industry self-regulation of advertising to children. A program agenda is at the end of this summary. The symposium provided a useful forum for stakeholders to explore viable strategies and exchange information about promising practices for addressing barriers to obesity prevention initiatives, and to identify how public health interests can coincide with the business interests of companies to have a positive impact on reversing the childhood obesity trend. This summary highlights the recurring themes for accelerating change and how industry collectively can move forward with obesity prevention efforts that emerged from the symposium. The themes include reverse the obesity trend; market health and nutrition; make a business commitment to health; change the food and physical activity environment; forge strategic partnerships; garner political support to ally public health and industry; educate stakeholders; collect, disseminate, and share local data; and evaluate programs and interventions. This summary, along with those of two other symposia summaries and a more detailed discussion of insights and regional examples, will be incorporated in the IOM committee's final report on progress in preventing childhood obesity that will be released in the fall of 2006.

Innovations in Addressing Childhood Obesity

Author : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Publisher :
ISBN 13 :
Total Pages : 160 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Innovations in Addressing Childhood Obesity by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health

Download or read book Innovations in Addressing Childhood Obesity written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2012 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Progress in Preventing Childhood Obesity

Author : National Academies
Publisher : National Academies Press
ISBN 13 : 0309101409
Total Pages : 36 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Progress in Preventing Childhood Obesity by : National Academies

Download or read book Progress in Preventing Childhood Obesity written by National Academies and published by National Academies Press. This book was released on 2006-03-28 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: The nation faces a growing epidemic of childhood obesity that threatens the immediate health of our children and their prospects of growing up healthy into adulthood. During the past 30 years, obesity in the United States has more than doubled among young children aged 2-5 years and adolescents aged 12-19 years, and it has more than tripled among youth aged 6-11 years. Currently, more than 9 million children 6 years of age and older are considered to be obese. The sequelae of obesity among children and youth are also rapidly increasing, including an increased risk of type 2 diabetes, hypertension, metabolic syndrome, asthma, and social and psychological consequences including low self-esteem and depression. To develop a prevention-focused action plan to reduce the number of obese children and youth in the United States, the Institute of Medicine organized three regional symposia, and held its second regional symposium in Atlanta, Georgia on October 6-7, 2005. Progress in Preventing Childhood Obesity: Focus on Communities highlights the recurring themes that emerged from the symposium for accelerating change and moving forward with obesity prevention efforts: empower communities and neighborhoods, change the environment, forge strategic partnerships, garner and mobilize political support, educate stakeholders, identify leaders and build on cultural assets, collect and disseminate local data, evaluate programs and interventions, and translate successful interventions to other communities. Approximately 90 individuals active in childhood obesity prevention efforts in the southeastern region of the United States who represented a range of stake holder perspectives and innovative practices in local communities including students, community leaders, physicians, health educators, clergy, teachers, and state and federal government officials were invited to participate in the symposium. The contents of this summary reflect specific examples presented and discussed during the symposium, and unless otherwise noted, the general perspectives of the participants. This summary, along with two other symposia summaries, and a more detailed discussion of insights and regional examples, will be incorporated in the IOM committee's final report on progress in preventing childhood obesity that will be released in the fall of 2006.

Obesity Prevention

Author : Laurette Dube
Publisher : Academic Press
ISBN 13 : 0080922090
Total Pages : 832 pages
Book Rating : 4.0/5 (89 download)

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Book Synopsis Obesity Prevention by : Laurette Dube

Download or read book Obesity Prevention written by Laurette Dube and published by Academic Press. This book was released on 2010-06-25 with total page 832 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the years, approaches to obesity prevention and treatment have gone from focusing on genetic and other biological factors to exploring a diversity of diets and individual behavior modification interventions anchored primarily in the power of the mind, to the recent shift focusing on societal interventions to design "temptation-proof" physical, social, and economic environments. In spite of repeated calls to action, including those of the World Health Organization (WHO), the pandemic continues to progress. WHO recently projected that if the current lifestyle trend in young and adult populations around the world persist, by 2012 in countries like the USA, health care costs may amount to as much as 17.7% of the GDP. Most importantly, in large part due to the problems of obesity, those children may be the first generation ever to have a shorter life expectancy than that of their parents. Obesity Prevention presents the most current research and proposals for addressing the pandemic. Past studies have focused primarly on either genetic or behavioral causes for obesity, however today's research indicates that a strongly integrated program is the best prospect for success in overcoming obesity. Furthermore, focus on the role of society in establishing an affordable, accessible and sustainable program for implementing these lifestyle changes is vital, particularly for those in economically challenged situations, who are ultimately at the highest risk for obesity. Using studies from both neuroscience and behavioral science to present a comprehensive overview of the challenges and possible solutions, The brain-to-society approach to obesity prevention focuses on what is needed in order to sustain a healthy, pleasurable and affordable lifestyle. - Explores the "brain-to-society" approach to obesity prevention, focusing on an integrative approach to addressing the obesity pandemic - Presents both the nueroscientific and the behavioral factors that impact eating habits - Identifies the challenges and suggests solutions for altering attitudes toward food on both an individual and a societal level

Advances in Communication Research to Reduce Childhood Obesity

Author : Jerome D. Williams
Publisher : Springer Science & Business Media
ISBN 13 : 1461455111
Total Pages : 558 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Advances in Communication Research to Reduce Childhood Obesity by : Jerome D. Williams

Download or read book Advances in Communication Research to Reduce Childhood Obesity written by Jerome D. Williams and published by Springer Science & Business Media. This book was released on 2013-02-12 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rates of childhood obesity are alarmingly high and increasing each year. Studies have shown that obese children are more likely to become obese adults and are likely to suffer with numerous health consequences like coronary heart disease, high blood pressure, and Type II diabetes, among others. Studies also indicate that television viewing and exposure to advertising for food products influences children's attitudes toward, food preferences and food purchase requests for foods with low nutritional value. It is important to better understand the role of media in childhood obesity and to learn how media may be used to address this issue in a positive way. This book focuses on communication and media research that can have an impact on reducing childhood obesity. Emphasis is placed on topics related to how the media communicate health-related messages about food, nutrition and diet that influence childhood obesity. Particular emphasis is on the new media, given the fact that media now have more central roles in socializing today’s children and youth than ever before. Advertising and marketing messages reach young consumers through a variety of vehicles – broadcast and cable television, radio, magazines, computers through the Internet, music, cell phones – and in many different venues – homes, schools, child-care settings, grocery stores, shopping malls, theaters, sporting events, and even airports. In addition, given the disparity in obesity rates between children of color and the general population, special attention is given to research on media targeting these populations.

Childhood Obesity Prevention in Texas

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309144175
Total Pages : 86 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Childhood Obesity Prevention in Texas by : Institute of Medicine

Download or read book Childhood Obesity Prevention in Texas written by Institute of Medicine and published by National Academies Press. This book was released on 2010-01-01 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood Obesity Prevention in Texas summarizes the information gathered at a workshop held February 5-6, 2009, in Austin, Texas. At this workshop, committee members met with Texas lawmakers, public officials, and community leaders to exchange ideas and to view first-hand strategies that are being implemented effectively at the state and local levels to prevent and reverse childhood obesity. Texas leaders at the workshop expressed the strong belief that the state's economic vitality and security depend on the health of its population. Accordingly, the state is no longer simply describing the personal, community, and financial costs of its obesity crisis; it is taking proactive steps to address the problem through strategic initiatives. An overarching strategy is to address obesity by targeting the state's youth, in whom it may be possible to instill healthy behaviors and lifestyles to last a lifetime. A guiding principle of these efforts is that they should be evidence based, community specific, sustainable, cost-effective, and supported by effective partnerships. Moreover, the goal is for the responsibility to be broadly shared by individuals, families, communities, and the public and private sectors.

Preventing Childhood Obesity

Author : Elizabeth Waters
Publisher : John Wiley & Sons
ISBN 13 : 1444359290
Total Pages : 459 pages
Book Rating : 4.4/5 (443 download)

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Book Synopsis Preventing Childhood Obesity by : Elizabeth Waters

Download or read book Preventing Childhood Obesity written by Elizabeth Waters and published by John Wiley & Sons. This book was released on 2011-08-24 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity is one of the biggest public health challenges in the 21st century. Devising effective policy and practice to combat childhood obesity is a high priority for many governments and health professionals internationally. This book brings together contributors from around the world and showcases the latest evidence-based research on community and policy interventions to prevent unhealthy weight gain and improve the health and well-being of children. The authors highlight from the evidence available what is and what is not effective and provide recommendations on how to implement and evaluate promising interventions for obesity prevention. This book is an essential read for all public health practitioners, early childhood professionals, health care providers and clinicians working to reduce the prevalence of childhood obesity in their communities.