Childhood Obesity Declines Project: An Exploratory Study of Strategies Identified in Communities Reporting Declines.

Autor:	Ottley PG; 1 Division of Violence Prevention, Centers for Disease Control and Prevention , Atlanta, GA., Dawkins-Lyn N; 2 Division of Health, Research, Informatics, and Technology, ICF, Atlanta, GA., Harris C; 2 Division of Health, Research, Informatics, and Technology, ICF, Atlanta, GA., Dooyema C; 3 Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention , Atlanta, GA., Jernigan J; 3 Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention , Atlanta, GA., Kauh T; 4 Research-Evaluation-Learning Unit, Robert Wood Johnson Foundation , Princeton, NJ., Kettel Khan L; 3 Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention , Atlanta, GA., Young-Hyman D; 5 Office of Behavioral and Social Science, National Institutes of Health , Bethesda, MD.
Jazyk:	angličtina
Zdroj:	Childhood obesity (Print) [Child Obes] 2018 Mar; Vol. 14 (S1), pp. S12-S21.
DOI:	10.1089/chi.2018.0020
Abstrakt:	Background: Although childhood obesity rates have been high in the last few decades, recent national reports indicate a stabilization of rates among some subpopulations of children. This study examines the implementation of initiatives, policies, and programs (referred to as strategies) in four communities that experienced declines in childhood obesity between 2003 and 2012. Methods and Results: The Childhood Obesity Decline project verified obesity declines and identified strategies that may have influenced and supported the decline in obesity. The project used an adaptation of the Systematic Screening and Assessment method to identify key informants in each site. Four settings were highlighted related to childhood: (1) communities, (2) schools, (3) early care and education, and (4) healthcare. The findings indicate that programs and policies were implemented across local settings (primarily in schools and early childhood settings) and at the state level, during a timeframe of supportive federal policies and initiatives. Conclusions: Multilevel approaches were aimed to improve the nutrition and physical activity environments where children spend most of their time. We hypothesized that other, more distal strategies amplified and reinforced the impact of the efforts that more directly targeted children. The simultaneous public health messaging and multilayered initiatives, supported by cross-sector partnerships and active, high-level champions, were identified as likely important contributors to success in attaining declines in rates of childhood obesity.
Databáze:	MEDLINE
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