Lead framework obesity prevention Observations of increases in weight among adults and youth globally within just a few decades have forced a paradigm Given this framework, obesity prevention and treatment clearly fall into the realm of public policy. In 2019, the World Health Assembly extended the WHO Global action plan for the prevention and control of NCDs 2013–2020 to 2030. It can help identify how healthy growth and obesity prevention policies and activities can be embedded into ECE systems. May 18, 2015 · Prevention in health involves intervening to avoid disease and injury. The Health service delivery framework for prevention and management of obesity aims to promote expanded access to obesity prevention and management services for all age groups across the life course. Sep 26, 2025 · The WHO Department of Noncommunicable Diseases is responsible for global leadership, coordination, guidance and technical support to reduce premature mortality and morbidity from NCDs. PCD provides an open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. Implementation research takes isolated efficacy studies into practice and policy and is . Sep 1, 2021 · The present study conducted a systematic literature review to examine obesity research and machine learning techniques for the prevention and treatment of obesity from 2010 to 2020. DSpace - World Health Organization DSpace Apr 1, 2014 · An ethical framework is being presented to show which ethical issues play a role in obesity prevention and how they can be prevented, followed by reflection on the ethical issues in interventions and in policy and media debate. Redstone Global Center for Prevention and Wellness; Brook Belay, MD, MPH, Centers for Disease Control and Prevention; Don Bradley, MD, MHS-CL, Duke University; Scott Kahan, MD, MPH, Johns Hopkins Bloomberg School of Public May 18, 2023 · The framework integrates health and social systems responses that can be adapted according to country, context, circumstance, and need. Dietz, MD, PhD, Sumner M. Jan 6, 2014 · The committee then constructed an evaluation framework that integrated aspects of inputs, activities, outputs, outcomes, and intended impacts/improvements needed to meet its vision. (Adapted from Reference 107, with permission. The Bridging the Evidence Gap report explains that timely and credible evidence is needed May 24, 2025 · Obesity is defined in medical, scientific, and social terms, shaping care, policy, and stigma. Effective strategies for preventive health rely on accurate health statistics to enhance their impact. The toolkit is based on the Getting to Equity in Obesity Prevention Framework (GTE) for planning and evaluating equity-focused PSE change approaches that The analytic framework postulates that digital health interventions provided to adolescents with overweight or obesity may lead to an increase in awareness, knowledge, attitudes, and skills regarding healthy eating, active living, and weight. Shiriki Kumanyika’s recent perspective —“ Getting to Equity in Obesity Prevention ”— builds on the APOP recommendations and offers an operational, equity-oriented obesity prevention action framework wherein communities strategically implement interventions in ways that reduce, rather than exacerbate, health disparities. Jun 16, 2014 · Background To impact on the obesity epidemic, interventions that prevent weight gain across populations are urgently needed. Dec 11, 2013 · The vision for evaluating progress in obesity prevention is clear: Assure timely and meaningful collection and analysis of data to inform progress in obesity prevention efforts at national, state, and community levels. A Jul 1, 2012 · Decisions about obesity prevention are being made daily in communities, states, and countries worldwide. The Spectrum identifies ways that states, and to some extent communities, can support child care and early education facilities to achieve recommended standards and best practices for obesity prevention. Progress in reducing rates of child obesity in Philadelphia includes improvements in high-risk demographic groups (Robbins et al. Feb 13, 2015 · Background Obesity is an important public health issue. This avoids the need to design and deliver new and different models for service delivery and maximizes efficiencies for health systems Supporting: 1, Mentioning: 20 - IntroductionThe much-discussed urgency of addressing the obesity epidemic does not obviate the need for well-reasoned actions based on the best available evidence. Beginning in 2014, the Centers for Disease Control and Prevention’s Division of Nutrition, Physical Activity, and Obesity awarded funding to 11 land-grant universities through the High Mar 19, 2020 · Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. This activity outlines different levels of prevention and highlights lifestyle and behavioral modifications as key approaches to reducing disease risk. To the contrary, as underscored by the Institute of Medicine (IOM) report on Accelerating Progress in Obesity Prevention -Solving the Weight of the Nation (1), the urgency of addressing the epidemic Jun 30, 2008 · Obesity is a major influence on the development and course of cardiovascular diseases and affects physical and social functioning and quality of life. It is about how to increase the likelihood that the decisions made in the many domains that influence obesity prevention will bring about the desired results. [A text description of this figure is also The L. Jan 18, 2017 · The Philadelphia experience with childhood obesity prevention is an example of how interventions involving multiple categories in the equity-oriented framework can be effectively combined and coordinated. They are conditions that disadvantage children and can lead to a lifetime of diseases, including some of the biggest killers such as cancer, diabetes and heart disease. See full list on cdc. The IOM acknowledges the need to consider other forms of evidence in its report Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making and its LEAD framework (short for Locate evidence, Evaluate evidence, Assemble evidence, and inform Decisions) for obesity prevention (66). Establishing policies and activities that implement, spread, and sustain Family Healthy Weight Programs. New models aim for more precise, respectful, and person-centered approaches. However, realizing that vision requires hard choices: who will measure what, under what conditions, by what methods, at what costs, and for which user of evaluation information Apr 1, 2025 · For example, in 2023 Portugal published a legal document that determined the implementation of an Integrated Care Model for the Prevention and Treatment of Obesity within the national health-care system, aligned with the WHO “Health service delivery framework for prevention and management of obesity”. It outlines opportunities for integrating and activating obesity interventions within already existing care pathways. Various approaches have been developed to look at various intervention elements and quality of evidence. These findings indicate that although some current evidence demonstrates the potential positive effects of overweight and obesity prevention strategies implemented in Colombia, more research and infrastructure are needed to monitor and evaluate these strategies properly and identify key barriers and facilitators in their implementation. Department of Health and Human Services. framework (for Locate the evidence, Evaluate the evidence, Assemble the evidence, and inform Decisions), developed by an expert consensus committee convened by the Institute of Medicine, is broadly A General Framework for Obesity Prevention in the United States The 2012 Institute of Medicine (IOM) Committee on Accelerating Progress in Obesity Prevention (APOP) (2) (IOM, 2012) developed strategies and action plans that have become a reference point for current U. However, even the most efficacious interventions will have little impact on obesity prevention unless they are successfully implemented in diverse populations and settings. gov Download scientific diagram | The IOM L. framework (for Locate the evidence, Evaluate the evidence, Assemble the evidence, and inform Decisions), developed by an expert consensus committee convened by the Institute of Medicine, is The Integrated Clinical and Social Systems for the Prevention and Management of Obesity Innovation Collaborative identifies, promotes, and disseminates effective models and practices that integrate clinical and social systems for the prevention and management of obesity. Integrating Obesity Prevention into ECE Systems Using CDC’s Framework Through this project, partners worked intentionally to understand the extent to which support for standards had been integrated into components of their ECE system. E. A. The prevalence is higher in certain geographic locations. Assisted by technical assistance from Nemours, partners used the CDC’s ‘The Spectrum of Opportunities Framework for State-Level Obesity Prevention Efforts Mar 19, 2020 · Abstract The burden of obesity and other chronic diseases negatively affects the nation’s health, businesses, economy, and military readiness. Accordingly, 93 papers are identified from the review articles as primary studies from an initial pool of over 700 papers addressing obesity. What: What can be accomplished through this evaluation framework? The framework can help to guide the collection and analysis of data to inform progress and Nov 21, 2017 · One of the reasons for the intractability of childhood obesity is the underappreciation of the complexity and interconnectedness of contributing factors across the life course. Overweight and obesity are new and growing health threats for children globally: a new trap of unhealthy and highly processed foods, combined with a lack of physical activity. A multilevel approach for obesity prevention takes into account individual risk factors that operate “above water” (family, neighborhood, policies) and the interaction with biology and “underwater” influences A Model Framework That Integrates Community and Clinical Systems for the Prevention and Management of Obesity and Other Chronic Diseases William H. As new interventions become available Abstract This article summarizes a comprehensive, systems-oriented framework designed to improve the use of a wide variety of evidence sources to address population-wide obesity problems. Learn more about overweight and obesity. May 17, 2023 · WHO launches a new Health Service Delivery Framework for Prevention and Management of Obesity, as a health system-focused component of the WHO Acceleration Plan to Stop Obesity. After critically evaluating existing methods by which obesity prevention is assessed, the committee concluded that there exist gaps in data acquisition and utilization. It highlights the context, activities, and intended outcomes of evaluating progress in obesity prevention efforts. An ecological framework depicting the multiple influences on child eating and physical activity. Below we describe the evidence framework that resulted from the study committee’s consensus process and provide some examples of how it can be applied to evaluate existing evidence and inform the generation of new evidence. ) Selecting which interventions to use for childhood obesity prevention is a complex process informed by many considerations. However, there Why: Why is a framework important to evaluation? A framework offers signposts for guiding the complex work of evaluation. framework (for L ocate Evidence, E valuate Evidence, A ssemble Evidence, Inform D ecisions) introduced in this chapter is designed to (1) assist policy makers and others who make decisions related to obesity prevention in identifying and evaluating the best evidence available and summarizing it for use, (2) assist various audiences We present a framework developed by the CDC-funded Center of Excellence for Training and Research Translation that public health practitioners can use to evaluate policy interventions and identify the practice-based evidence needed to fill the gaps in effective policy approaches to obesity prevention. 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 Nov 22, 2021 · Discover insights from integrated health care programs that shape effective strategies for obesity prevention and management. Systematic reviews Dec 11, 2013 · Obesity poses one of the greatest public health challenges of the 21st century, creating serious health, economic, and social consequences for individuals and society. Framework to Inform Decision Making About Obesity Prevention. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U. D. This essay highlights findings and implications of a prior IOM report, Bridging the Evidence Gap in Obesity Prevention — A Framework to Inform Decision Making (2), in the view of 2 of the IOM study committee members (Appendix) and a colleague who is involved in evaluation of Kaiser Permanente’s Community Health Initiatives. This book offers a framework that will provide guidance for systematic CDC’s framework for obesity prevention, in the ECE setting is known as the Spectrum of Opportunities [PDF-666KB]. While obesity is not a communicable disease threatening the health of others, it does have other consequences that society generally wishes to avoid. In addition, state and local programs are: Designing communities that connect Sep 4, 2019 · I propose an equity-oriented obesity prevention framework to guide practitioners and researchers in public health and other fields that contribute to obesity prevention in identifying ways to give greater priority to equity issues when undertaking PSE strategies. obesity prevention eforts with both children and adults. Abstract |Since the publication of our integrated framework for the prevention and treatment of obesity and related chronic diseases in 2015, more than 140 Accountable Communities for Health (ACH) have been established in an effort to develop multi-sectoral partnerships to improve the health of people and their communities. Mar 1, 2017 · Dr. D PSE approaches focus on circumstances that make it possible or easier for people in a given set of circumstances to adopt and maintain healthy behaviors. The framework acknowledges that the factors associated with overweight and obesity are complex and require a co-ordinated, integrated and cross-sectoral approach to tackle them effectively. Apr 17, 2025 · CDC's Spectrum of Opportunities Framework guides states and communities in their Early Care and Education (ECE) work. A body mass index (BMI) over 25 is considered overweight, and over 30 is obese. This framework illustrated potential policy and systems change interventions at multiple levels to increase healthy options and reduce deterrents, as well as individual and community resources Sep 18, 2018 · Final Recommendation Statement Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions September 18, 2018 Recommendations made by the USPSTF are independent of the U. Adapted from the Institute of Medicine (2). The framework is grounded in established public health and health equity principles. To prevent the development of Dec 11, 2013 · CONCLUSIONS AND RECOMMENDATIONS Along with the framework in Chapter 3, the Committee details key findings in this report on dimensions of national- and community-level evaluation, including the information/data needs of those interested in obesity prevention and its results (Chapter 2), indicators that can serve as markers for assessing the progress of obesity prevention efforts recommended in Early childhood education settings are ideal for the application of D&I research because of their widespread use for implementing health promotion inter-ventions. Our Cochrane review of the World Health Organization’s Health Promoting Schools (HPS) framework found this approach improved students’ physical activity and fitness, and increased fruit and vegetable intake. Despite acceleration in efforts to characterize, comprehend, and act on this problem, including implementation of preventive interventions, further understanding is needed on the progress and effectiveness of these interventions. Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk to health. The Public Health Agency (PHA) is responsible for leading the implementation on the non-government Department level outcomes within the Framework. Oct 18, 2022 · An equity-focused framework was presented to guide future research design and formulation of obesity interventions that will lead to equitable impact. The L. Third, our team will explore ethical dimensions of obesity policies in terms of their potential impacts on liberty and health equity. A complex interaction of many factors leads to obesity, which requires an individualised multicomponent management strategy. Dec 11, 2013 · Evaluating Obesity Prevention Efforts develops a concise and actionable plan for measuring the nation's progress in obesity prevention efforts--specifically, the success of policy and environmental strategies recommended in the 2012 IOM report Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation. T his report focuses on the challenge of obesity prevention, viewed from a population or public health perspective. The development and application of the Culture of Wellness in Preschools D&I framework can lead to a more comprehensive approach to program evaluation and quality improvement and can contribute more broadly Jun 5, 2020 · The framework to effectively deliver family-centered care should include screening and early detection for obesity and associated risk factors and comorbid conditions; supporting children with obesity and their caregivers while mitigating bias and stigma; and focus on behavior change as the primary intervention. framework (for L ocate Evidence, E valuate Evidence, A ssemble Evidence, Inform D ecisions) introduced in this chapter is designed to (1) assist policy makers and others who make decisions related to obesity prevention in identifying and evaluating the best evidence available and summarizing it for use, (2) assist various audiences in packaging the evidence in the most appropriate The L. Developing the logic framework underpinning a whole‐systems approach to childhood overweight and obesity prevention: Amsterdam Healthy Weight Approach Obesity, physical inactivity and sedentary behaviour are major public health concerns. It called for the development of an Implementation Roadmap 2023–2030 to Dec 24, 2010 · 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. The APOP study committee reviewed hundreds of recom-mendations for I propose a framework to guide practitioners and researchers in public health and other fields that contribute to obesity prevention in identifying ways to give greater priority to equity issues when undertaking policy, systems, and environmental change strategies. , 2012, 2015). Oct 29, 2024 · Some states and communities are: Two priority obesity-prevention strategies for state and local programs are: Improving nutrition, physical activity, and breastfeeding in early care and education programs. PSE approaches can work together with approaches that work directly with individuals. S. The result is a multi-dimensional framework that can be used to assist decision makers in assessing the pros and cons of different policy approaches to addressing the obesity epidemic. A D&I framework was applied to the Culture of Wellness in Preschools program, a comprehensive early childhood obesity prevention program. framework: using tools from evidence-based public health to address evidence needs for obesity prevention Oct 11, 2015 · In previous work, 11 we developed a framework for interventions showing the predicted effect of specific population obesity prevention interventions across socioeconomic groups. Jun 19, 2013 · This article summarizes a comprehensive, systems-oriented framework designed to improve the use of a wide variety of evidence sources to address population-wide obesity problems. All of these ACH represent potential models of integrated programs. government. The importance of effective interventions to reduce obesity and related health risks has increased in recent decades because the number of adults and children who are obese has reached epidemic proportions. 2030 includes objectives focused on helping people eat healthy and get enough physical activity to reach and maintain a healthy weight. Finding ways to increase physical activity and improve nutrition, particularly in children, is a clear priority. This article summarizes a comprehensive, systems-oriented framework designed to improve the use of a wide variety of evidence sources to address population-wide obesity problems. Decisions about obesity prevention are being made daily in communities, states, and countries worldwide. In 2019, an estimated 5 million noncommunicable disease (NCD) deaths were caused by higher-than-optimal BMI. rhbpb rlbzeky aatjqdh pdmp zng mwetf aaep qcthwbk vyxg xmofa mhcryhg eusg phorg wua mnumqr