Childhood obesity conclusion
Future research needs for childhood obesity prevention programs: identification of future research needs from comparative effectiveness review no. Future research needs for childhood obesity prevention programs: identification of future research needs from comparative effectiveness review no. The 2012 draft evidence report “childhood obesity prevention programs: a comparative effectiveness review and meta-analysis,” we identified and prioritized future research needs. Hstat)recent activityclearturn offturn onconclusion - future research needs for childhood obesity prevention programsconclusion - future research needs for childhood obesity prevention programsyour browsing activity is ty recording is turned recording back onsee more... Overweight and obesity in childhood are known to have significant impact on both physical and psychological health. The mechanism of obesity development is not fully understood and it is believed to be a disorder with multiple causes. Environmental factors, lifestyle preferences, and cultural environment play pivotal roles in the rising prevalence of obesity worldwide. In general, overweight and obesity are assumed to be the results of an increase in caloric and fat intake. On the other hand, there are supporting evidence that excessive sugar intake by soft drink, increased portion size, and steady decline in physical activity have been playing major roles in the rising rates of obesity all around the world. Consequently, both over-consumption of calories and reduced physical activity are involved in childhood all researchers agree that prevention could be the key strategy for controlling the current epidemic of obesity. Prevention may include primary prevention of overweight or obesity, secondary prevention or prevention of weight regains following weight loss, and avoidance of more weight increase in obese persons unable to lose weight. It seems, however, that these strategies have had little impact on the growing increase of the obesity epidemic. All in all, there is an urgent need to initiate prevention and treatment of obesity in uctionchildhood obesity has reached epidemic levels in developed countries. In some european countries such as the scandinavian countries the prevalence of childhood obesity is lower as compared with mediterranean countries, nonetheless, the proportion of obese children is rising in both cases [4]. The highest prevalence rates of childhood obesity have been observed in developed countries, however, its prevalence is increasing in developing countries as well.
The prevalence of childhood obesity is high in the middle east, central and eastern europe [5]. For instance, in 1998, the world health organization project monitoring of cardiovascular diseases (monica) reported iran as one of the seven countries with the highest prevalence of childhood obesity. Kg/yr, twofold increase in prevalence of obesity1971–19746–19nhanes i [68]relatively stable1976–19806–19nhanes ii [68]relatively stable1988–19946–19nhanes iii [68]doubled to 11%1999–20006–19nhanes iv [68]increased by 4%. And obesity in childhood have significant impact on both physical and psychological health; for example, overweight and obesity are associated with hyperlipidaemia, hypertension, abnormal glucose tolerance, and infertility. Overweight children followed up for 40 [11] and 55 years [12] were more likely to have cardiovascular and digestive diseases, and die from any cause as compared with those who were tion of childhood obesityalthough definition of obesity and overweight has changed over time [13, 14], it can be defined as an excess of body fat (bf). There is no consensus on a cutoff point for excess fatness of overweight or obesity in children and adolescents. European researchers classified overweight as at or above 85th percentile and obesity as at or above 95th percentile of bmi [18]. In addition, bmi fails to distinguish between fat and fat-free mass (muscle and bone) and may exaggerate obesity in large muscular children. While health consequences of obesity are related to excess fatness, the ideal method of classification should be based on direct measurement of fatness. Waist circumference, as a surrogate marker of visceral obesity, has been added to refine the measure of obesity related risks [25]. Waist circumference seems to be more accurate for children because it targets central obesity, which is a risk factor for type ii diabetes and coronary heart disease. To the best of our knowledge there is no publication on specific cut off points for waist circumference, but there are some ongoing of obesityalthough the mechanism of obesity development is not fully understood, it is confirmed that obesity occurs when energy intake exceeds energy expenditure. There are multiple etiologies for this imbalance, hence, and the rising prevalence of obesity cannot be addressed by a single etiology. However, environmental factors, lifestyle preferences, and cultural environment seem to play major roles in the rising prevalence of obesity worldwide [26–29]. In a small number of cases, childhood obesity is due to genes such as leptin deficiency or medical causes such as hypothyroidism and growth hormone deficiency or side effects due to drugs (e.
Overweight and obesity are mostly assumed to be results of increase in caloric intake, there is not enough supporting evidence for such phenomenon. However, a small caloric imbalance (within the margin of error of estimation methods) is sufficient over a long period of time to lead to obesity. With concurrent rise in childhood obesity prevalence in the usa, the national health and nutrition examination survey (nhanes) noted only subtle change in calorie intake among us children from the 1970s to 1988–1994. For many years it has been claimed that the increase in pediatric obesity has happened because of an increase in high fat intake, contradictory results have been obtained by cross-sectional and longitudinal studies. The main objection to the notion that dietary fat is responsible for the accelerated pediatric obesity epidemic is the fact that at the same time the prevalence of childhood obesity was increasing, the consumption of dietary fat in different populations was decreasing. Although fat eaten in excess leads to obesity, there is not strong enough evidence that fat intake is the chief reason for the ascending trend of childhood dietary is a growing body of evidence suggesting that increasing dairy intake by about two servings per day could reduce the risk of overweight by up to 70% [43]. There are few data reporting the relation between calcium or dairy intake and obesity among n 1970 and 1997, the united state department of agriculture (usda) surveys indicated an increase of 118% of per capita consumption of carbonated drinks, and a decline of 23% for beverage milk [47]. Soft drink intake has been associated with the epidemic of obesity [48] and type ii diabetes [49] among children. Physical has been hypothesized that a steady decline in physical activity among all age groups has heavily contributed to rising rates of obesity all around the world. Numerous studies have shown that sedentary behaviors like watching television and playing computer games are associated with increased prevalence of obesity [51, 52]. In addition, increased proportions of children who are being driven to school and low participation rates in sports and physical education, particularly among adolescent girls [51], are also associated with increased obesity prevalence. In response to the significant impact that the cultural environment of a child has on his/her daily choices, promoting a more active lifestyle has wide ranging health benefits and minimal risk, making it a promising public health tionalmost all public health researchers and clinicians agree that prevention could be the key strategy for controlling the current epidemic of obesity [55]. Prevention may include primary prevention of overweight or obesity itself, secondary prevention or avoidance of weight regains following weight loss, and prevention of further weight increases in obese individuals unable to lose weight. Until now, most approaches have focused on changing the behavior of individuals on diet and exercise and it seems that these strategies have had little impact on the growing increase of the obesity age group is the priority for starting prevention? Therefore it would be more sensible to initiate prevention and treatment of obesity during childhood.
Of dietary pattern and tv appears that gains can be made in obesity prevention through restricting television viewing. Recent efforts in preventing obesity include the initiative of using school report cards to make the parents aware of their children's weight problem. Summary of prevention and intervention strategies is presented in table sionobesity is a chronic disorder that has multiple causes. It is believed that both over-consumption of calories and reduced physical activity are mainly involved in childhood ntly, primary or secondary prevention could be the key plan for controlling the current epidemic of obesity and these strategies seem to be more effective in children than in adults. However, further research needs to examine the most effective strategies of intervention, prevention, and treatment of obesity. 2001, 20: articlepubmedgoogle scholarparsons tj, power c, logan s, summerbell cd: childhood predictors of adult obesity: a systematic review. 1999, 23: google scholarwhitaker rc, wright ja, pepe ms, seidel kd, dietz wh: predicting obesity in young adulthood from childhood and parental obesity. Articlepubmedgoogle scholarkelishadi r, pour mh, sarraf-zadegan n, sadry gh, ansari r, alikhassy h, bashardoust n: obesity and associated modifiable environmental factors in iranian adolescents: isfahan healthy heart program - heart health promotion from childhood. Articlepubmedgoogle scholaralnuaim ar, bamgboye ea, alherbish a: the pattern of growth and obesity in saudi arabian male school children. 1996, 20: scholarmccarthy hd, ellis sm, cole tj: central overweight and obesity in british youth aged 11-16 years: cross sectional surveys of waist circumference. 1992, 327: articlepubmedgoogle scholarflegal km, carroll md, ogden cl, johnson cl: prevalence and trends in obesity among us adults, 1999-2000. 1994, 59: google scholarflodmark ce, lissau i, moreno la, pietrobelli a, widhalm k: new insights into the field of children and adolescents' obesity: the european perspective (vol 28, pg 1189, 2004). 1990, 44: google scholardeurenberg p, pieters jj, hautvast jg: the assessment of the body fat percentage by skinfold thickness measurements in childhood and young adolescence. S0899-9007(96) articlepubmedgoogle scholareckel rh, krauss rm: american heart association call to action: obesity as a major risk factor for coronary heart disease. 1998, 67: google scholarlink k, moell c, garwicz s, cavallin-stahl e, bjork j, thilen u, ahren b, erfurth em: growth hormone deficiency predicts cardiovascular risk in young adults treated for acute lymphoblastic leukemia in childhood.
1995, 311: articlepubmedpubmed centralgoogle scholarbellisle f, rolland-cachera mf, deheeger m, guilloud-bataille m: obesity and food intake in children: evidence for a role of metabolic and/or behavioral daily rhythms. 2002, 21: articlepubmedgoogle scholarpereira ma, jacobs drj, van horn l, slattery ml, kartashov ai, ludwig ds: dairy consumption, obesity, and the insulin resistance syndrome in young adults: the cardia study. Food and consumers economics division, economic research service, us department of agriculturegoogle scholarludwig ds, peterson ke, gortmaker sl: relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. S0140-6736(00) articlepubmedgoogle scholargittelsohn j, wolever tm, harris sb, harris-giraldo r, hanley aj, zinman b: specific patterns of food consumption and preparation are associated with diabetes and obesity in a native canadian community. Articlepubmedgoogle scholartremblay ms, willms jd: is the canadian childhood obesity epidemic related to physical inactivity?. 2003, statistics canadagoogle scholarmuller mj, mast m, asbeck i, langnase k, grund a: prevention of obesity--is it possible?. Articlepubmedgoogle scholargortmaker sl, peterson k, wiecha j, sobol am, dixit s, fox mk, laird n: reducing obesity via a school-based interdisciplinary intervention among youth: planet health. Articlepubmedgoogle scholarzametkin aj, zoon ck, klein hw, munson s: psychiatric aspects of child and adolescent obesity: a review of the past 10 years. S0929-693x(01) articlepubmedgoogle scholarge k, t t, c t, t k: prevalence and trends in overweight and obesity among children and adolescents in thessaloniki, greece. Pmcid: pmc3278864childhood obesity: a global public health crisissameera karnik and amar kanekar1masters of public health program, american public university, east stroudsburg, pa, usa1department of health studies, east stroudsburg university of pennsylvania, east stroudsburg, pa, usacorrespondence to: ass. Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly article has been cited by other articles in ctintroduction:childhood obesity is a major public health crisis nationally and internationally. The purpose of this manuscript is to address various factors influencing childhood obesity, a variety of interventions and governmental actions addressing obesity and the challenges ahead for managing this s:in order to collect materials for this review a detailed search of cinahl, medline, eric, academic search premier databases was carried out for the time period s:some of the interventions used were family based, school based, community based, play based, and hospital based. Governments along with other health care organizations are taking effective actions like policy changing and environmentally safe interventions for children to improve physical sions:in conclusion, childhood obesity can be tackled at the population level by education, prevention and sustainable interventions related to healthy nutrition practices and physical activity ds: calorie imbalance, childhood obesity, interventions, physical activity, policy changingintroductionobesity is a major public health crisis among children and adults. Childhood-related obesity is an increasing concern with respect to the health and well-being of the child. Body mass index (bmi), a measure of weight with relation to height, is not only used as an outcome measure to determine obesity but also as a useful anthropometric index for cardiovascular risk.
Childhood obesity is defined as a bmi at or above 95th percentile for children of same age and sex. 4] classifications of obesity in children depend upon the body composition of the child, as it varies with respect to age and sex of the child. 4]magnitude of the problemthe prevalence of childhood obesity is increasing in developed and underdeveloped countries. 5] the development in reducing the problem of obesity and overweight is monitored nationally by using data from national health and nutrition examination survey. 6] childhood obesity prevalence among preschool children between age group of 2-5-year-old girls and boys has increased from 5. 6] the data collected for the same period shows that the adolescent (age group 12-19 years) obesity has increased from 5. 6]figure 1graphically shows the increasing trend of obesity among children and adolescent population from 1963 to 2008. 1prevalence of obesity among us children and adolescents aged 2-19, for selected years 1963-1965 through 2007-2008[6]healthy people 2010 have ranked obesity as number one health problem showing that prevalence of childhood obesity has increased over the years. 7] increased prevalence of childhood obesity may have adverse morbidity and mortality implications in the adult life of the child. There has been increased prevalence of childhood obesity in england, especially among school children over last few decades. 9] childhood obesity is common in united kingdom and according to the health survey conducted in 2004, obesity among 2-10-year olds was 14% and among 11-15-year olds was 15%. Boolean search strategy where the key words entered for search were “factors” and “childhood obesity” “interventions” and “governmental actions” and “economic problems” in differing orders were used to extract studies for this narrative s influencing childhood obesitychildhood obesity is due to the imbalance between caloric intake of the child and the calories utilized (for growth, development, metabolism, and physical activities). Normally the amount of calories a child consumes through food or beverages, if not used for energy activities, leads to obesity. Obesity can be multifactorial in c factorsthere are certain genetic factors which may lead to obesity in children. It is seen that children and teens nowadays lack the required amount of physical activity; hence the calories are not used properly and can lead to obesity.
12]it is seen that sedentary lifestyle is an important factor for obesity, as many children spend most of their time in front of television sets, play video games, and watch computers. Children are prone to sedentary lifestyle such as watching television, consuming more energy-dense foods or snacks with large portion sizes, and having reduced physical activity, giving rise to obesity. Health problems related to obesity are not only physical but psychological and social as well. Children feel depressed and are nervous about their obesity issue and this has a negative effect on their behavior. The complications caused due to childhood obesity are severe and could continue to affect the health of a child even in adulthood. It is essential that parents are aware of the potential risk the child is facing due to obesity and take actions to control the problem. Hence, making them aware of healthy intervention programs via the community is important to reduce childhood obesity. 17] these innovative interventions can encourage children to lead a healthy ood-obesity prevention interventionspreventive programs are conducted to control obesity in children and to modify the social and behavioral aspect of developing obesity. Some of the preventive programs revolve around educating the general population about healthy nutrition and providing information about health problems caused due to childhood obesity. 15] health care professionals can advise their patients, especially parents, about healthy child nutrition, tackling health problems due to childhood obesity, and benefits of breast feeding among newborn children to prevent weight gain. 21] federal or state actions to deal with childhood obesity are directing all the food vendors to provide exact calorie readable labels on their products, mentioning calories upfront on menus, restricting advertisements of unhealthy foods, and promoting healthy food making among parents. Children aged 7 years and younger with no secondary complications of obesity are advised weight management. Pharmacological therapy for children with obesity above the age of 12 years can include drugs like orlistat (which blocks fat from the intestine thus giving negative energy balance). 8] medical professionals are considering the benefits of bariatric surgery in extremely obese children to avoid complications of obesity in adulthood. According to a recent review about school-based interventions for obesity prevention, 17 out of 25 intervention studies were effective in reducing the body mass index.
23] some interventions targeting physical activity through physical education along with nutritional education worked in reducing obesity. 24]us governmental strategies to reduce childhood obesityaccording to the centers for disease control and prevention, identifying effective intervention strategies that can target both improvements in physical activity and providing nutritious diet to reduce childhood obesity are important. 21] interventions encouraging mothers to breastfeed their babies can be effective in reducing the risk of obesity in children. 21] the united states government is changing the health policies involving transportation, land use, education, agriculture, and economics so that it can have an important impact on healthy environment and health of people in turn reducing obesity. The first lady has also initiated an obesity prevention and control program titled ‘let's move’. Important data regarding evaluation of childhood obesity prevention schemes can be collected and can be used to make stronger and more effective strategies including policy building to reduce future childhood obesity rates. 25]conclusionschildhood obesity has become a public health crisis, not just in the united states but all over the world. Childhood obesity problem can be reduced by educating children and parents about healthy nutrition and encouraging them to be physically active. Centers for disease control and prevention, overweight and obesity; childhood overweight and obesity, contributing factors. Centers for disease control and prevention (2011) [last retrieved on 2011 feb 03];cdc grand rounds: childhood obesity in the united states. The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes. Pubmed]articles from international journal of preventive medicine are provided here courtesy of wolters kluwer -- medknow s:article | pubreader | epub (beta) | printer friendly | ng the evidence gap in obesity prevention: a framework to inform decision r: 10 conclusions and /10766 to get more information about this book, to buy it in print, or to download it as a free pdf. And ons about prevention are complex, not only for the obesity problem but also for other problems with multiple types and layers of causation. Recognition of the need to emphasize population-based approaches to obesity prevention, the urgency of taking action, and the desire of many decision makers to have evidence on which actions to take have created a demand for evidence with which to answer a range of questions. In reality, the evidence approaches that apply to decision making about the treatment of obesity or other clinical problems are inadequate and sometimes inappropriate for application to decisions about public health initiatives.
The need to work around evidence gaps and the limitations of using evidence hierarchies that apply to medical treatment for assessing population-based preventive interventions have been faced by the developers of several prior institute of medicine (iom) reports on obesity prevention (focused on child and adolescent obesity). Considering these issues in relation to obesity prevention has the potential to advance the field of public health generally while also meeting the immediate need for clarity on evidence issues related to addressing the obesity iom’s food and nutrition board formed the committee on an evidence framework for obesity prevention decision making, with funding from kaiser permanente, the robert wood johnson foundation, and the centers for disease control and prevention. This committee was asked to develop a framework for evidence-informed decision making in obesity prevention, focused on approaches for assessing policy, environmental, and community interventions designed to influence diet and physical activity. The committee was tasked to:Provide an overview of the nature of the evidence base for obesity prevention as it is currently construed;. A practical and action-oriented framework of recommendations for how to select, implement, and evaluate obesity prevention efforts;. A plan for communicating and disseminating the proposed framework and its recommendations; y a plan for evaluating and refining the proposed framework in current decision-making ition is increasing that overweight and obesity are not only problems of individuals, but also societywide problems of populations. There exist both a pressing need to act on the problem of obesity and a large gap between the type and amount of evidence needed to act and the type and amount of evidence available to meet that need. However, the methods used and the evidence generated by traditional research designs do not yield all the types of evidence useful to inform actions aimed at addressing obesity prevention and other complex public health challenges. Locate evidence, evaluate evidence, assemble evidence, and inform decisions) framework, designed to facilitate a systematic approach to the identification, implementation, and evaluation of promising, reasonable actions to address obesity prevention and other complex public health challenges (see figure 10-1). In other words, it is necessary to use an approach that encompasses the whole picture, highlighting the broader context and interactions among levels, to capture the complexity of obesity prevention and other multifactorial public health sing such challenges first requires specifying the question(s) being asked to guide the identification of evidence that is appropriate, inclusive, and relevant. This “why,” “what,” “how” typology stresses the need for multiple types of evidence to support decisions on obesity the question(s) of interest have been specified, locating useful evidence requires clear knowledge of the types of information that may be useful and an awareness of where that information can be found. Approaches to gather and synthesize information from other disciplines that address issues similar to those faced in obesity prevention and public health generally. Evidence identified and gathered to inform decision making for obesity prevention and other complex public health challenges should be assessed based on both its generalizability and level of certainty (i. Results of the overall evaluation of evidence should provide answers on what to do, how to do it, and how strongly the action is decision makers are coming to a decision on obesity prevention actions, it is important for them to understand the state of the available knowledge relevant to that decision. Successful evidence gathering, evaluation, and synthesis for use in obesity prevention usually require the involvement of a number of disciplines using a variety of methodologies and technical languages.
The framework incorporates a standardized approach using a uniform language and structure for summarizing the relevant evidence in a systematic, transparent, and transdisciplinary way that is critical for communicating the process and conclusions an emergent problem such as obesity, decisions to act often must be made in the face of a relative absence of evidence, or evidence that is inconclusive, inconsistent, or incomplete. The typical way of presenting results of obesity prevention efforts in journals often adds to the problem of incomplete evidence because useful aspects of the research related to its generalizability are not reported. If obesity prevention actions must be taken when evidence is limited, this incomplete evidence can be blended with theory, expert opinion, experience, and local wisdom to make the best decision possible. Important alternatives to waiting for the funding, implementation, and publication of formal research on obesity prevention are natural experiments as sources of practice-based evidence, “evaluability assessment” of emerging innovations (defined as assessing whether a program is ready for full-scale evaluation), and continuous quality assessment of ongoing programs. Framework process leads to knowledge integration, or the incorporation of new knowledge gained through the process of applying the framework into the context of the organization or system where decisions are evidence base to support the identification of effective obesity prevention interventions is limited in many areas. In obesity prevention–related research, the generation of evi dence from evaluation of ongoing and emerging initiatives is a particular chers, decision makers, and intermediaries working on obesity prevention and other complex multifactorial public health problems are the primary audiences for communicating and disseminating the l. It will be important to develop or adopt data collection tools and utilize methods and existing initiatives that will best serve this purpose, as well as to systematically integrate the feedback thus obtained to sustain and improve the framework’s applicability and united states has made progress toward translating science into practice in the brief time since the obesity epidemic was officially recognized. As discussed above, moreover, the evidence emerging from applied research on obesity prevention can be inconclusive, incomplete, and inconsistent. A systematic process is needed to improve the use of available evidence and increase and enhance the evidence base to inform decisions on obesity prevention and other complex public health problems. For assisting decision makers and researchers in using the current evidence base for obesity prevention and for taking a systems-oriented, transdisciplinary approach to generate more, and more useful, e the l. Framework as a guide in their utilization and generation of evidence to support decision making for complex, multifactorial public health challenges, including obesity assumptions that should guide the use of the framework include the following:A systems perspective can help in framing and explaining complex types of evidence that should be gathered to inform decision making are based on the nature of the questions being asked, including why? Centers for disease control and prevention, and public health organizations responsible for educating public health practitioners and related researchers should establish training capacity for the science and understanding of systems thinking and the use of systems mapping and other quantitative or qualitative systems analysis l editors should encourage the use of systems thinking for addressing complex problems by developing panels of peer reviewers with expertise in this area and charging them with making recommendations for how authors could use systems thinking more effectively in their a resource endation 3: government, foundations, professional organizations, and research institutions should build a system of resources (people, compendiums of knowledge, registries of implementation experience) to support evidence-based public policy decision making and research for complex health challenges, including obesity implement this recommendation:The secretary of health and human services, in collaboration with other public- and private-sector partners, should establish a sustainable registry of reports on evidence for environmental and policy actions for obesity ted citation:"10 conclusions and recommendations. To this registry should be the expanded view of evidence for decision making on obesity prevention proposed in this report and the sharing of experiences and innovative programs as the evidence evolves. A service provided by this registry should be periodic synthesis reviews based on mixed qualitative and quantitative secretary of health and human services, in collaboration with other public- and private-sector partners, should develop and fund a resource for compiling and linking existing databases that may contain useful evidence for obesity prevention and related public health initiatives. This resource should include links to data and research from disciplines and sectors outside of obesity prevention and public health and to data from nonacademic sources that are of interest to decision ish standards for evidence endation 4: government, foundations, professional organizations, and research institutions should catalyze and support the establishment of guidance on standards for evaluating the quality of evidence for which such standards are implement this recommendation:Government and private funders should give priority to funding for the development of guidance on standards for evaluating the quality of the full range of evidence types discussed in this report that are useful in making obesity prevention decisions, especially those for which the scientific literature is sional organizations and research institutions should encourage and bring attention to efforts by faculty, researchers, and students to establish guidance in this t the generation of endation 5: obesity prevention research funders, researchers, and publishers should consider, wherever appropriate, the inclusion in research studies of a focus on the generalizability of the findings and related implementation issues at every stage, from conception through implement this recommendation:Those funding research in obesity prevention should give priority to support for studies that include an assessment of the limitations, potential utility, and applicability of the research beyond the particular population, setting, and circumstances in which the studies are conducted, including by initiating requests for applications and similar calls for proposals aimed at such studies.
Related to generalizability to proposal review procedures and training reviewers to evaluate y prevention researchers and program evaluators should give special consideration to study designs that maximize evidence on l editors should provide guidelines and space for authors to give richer descriptions of interventions and the conditions under which they are tested to clarify their endation 6: research funders should increase opportunities for those carrying out obesity prevention initiatives to measure and share their outcomes so others can learn from their implement this recommendation:Organizations funding or sponsoring obesity prevention initiatives—including national, regional, statewide, or local programs; policy changes; and environmental initiatives—should provide resources for obtaining practice-based evidence from innovative and ongoing programs and policies in a more routine, timely, and systematic manner to capture their processes, implementation, and outcomes. These funders should also encourage and support assessments of the potential for evaluating the most innovative programs in their jurisdictions and sponsor scientific evaluations where the opportunities to advance generalizable evidence are ch funders, researchers, and journal editors should assign higher priority to studies that test obesity prevention interventions in real-world settings in which major contextual variables are identified and their influence is endation 7: research funders should encourage collaboration among researchers in a variety of disciplines so as to utilize a full range of research designs that may be feasible and appropriate for evaluating obesity prevention and related public health implement this recommendation:As part of their requests for proposals on obesity prevention research, funders should give priority to and reward transdisciplinary collaborations that include the creative use of research designs that have not been extensively used in prevention research but hold promise for expanding the evidence base on potential environmental and policy icate, disseminate, evaluate, and refine the l. Endation 8: a public–private consortium should bring together researchers, research funders, publishers of research, decision makers, and other stakeholders to discuss the practical uses of ted citation:"10 conclusions and recommendations. Framework, and develop plans and a timeline for focused experimentation with the framework and for its evaluation and potential implement this recommendation:Interested funders should bring together a consortium of representatives of key stakeholders (including decision makers, government funders, private funders, academic institutions, professional organizations, researchers, and journal editors) who are committed to optimizing the use of the current obesity prevention evidence base and developing a broader and deeper base of consortium should develop an action-oriented plan for funding and implementing broad communication, focused experimentation, evaluation, and refinement of the l. This plan should be based on the major purposes of the framework: to significantly improve the evidence base for obesity prevention decision making on policy and environmental solutions, and to assist decision makers in using the evidence ted citation:"10 conclusions and recommendations. The evidence gap in obesity prevention: a framework to inform decision paperback | $ members save 10% or register to save! 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 're looking at openbook, 's online reading room since 1999. Developing also experienced an increase in the prevalence of obesity especially in the urban an areas where the socio-economic status is high. Hence, childhood obesity is associated with affluence and families that are well y can be categorized into different levels. A case of severe obesity is defined tile of the body mass index for age and gender (flores and lin 31). Thus, obesity in this be defined as being greater than 120% of the mean body weight/height value (cameron,Norgan and ellison 5). Parental genes are one risk factor that seems to be a tor of the likelihood of obesity occurring in a child in the future. Furthermore, se in weight or rapid weight gain within the first 12 months increases the risk of obesity of seven years (philips 16). Consequences or problems associated with ch indicates that most children with obesity are normally happy and confident.
Other short-term ions include increased risk of developing asthma, joint problems and fatty the long-term, obesity will cause early puberty especially in girls at the age of r, obesity will increase cases of illnesses in individuals and contribute to poor socio-. Further, premature death will likely result of the cases of obesity where this chronic disease are tion and of the most valuable preventive measures against childhood obesity is the physical activities in their daily schedule. Another important factor in the prevention of childhood obesity is the control of children should barely eat fast foods such as french fries. This encourages the children to be equally active and hence reduce the probability ence of childhood obesity. Overweight parents ought an initiative of losing weight if they hope their children to take up a healthy eating s play a significant role in preventing childhood obesity through their ties. This includes ensuring that the children do not skip breakfast this is one of the causes of childhood obesity in many obese children. However, the most effective ms involve dietary and behavioral obesity is a common problem in today’s society due to behavioral and s. Academic search -driven presentations with excel and powerpoint course - linkedin oint: using photos and video effectively for great course - linkedin oint for teachers: creating interactive course - linkedin ood obesity research y research ood sharan mehta, e of childhood obesity in sent successfully..