• Strengthen research and program efforts addressing obesity prevention, with a focus on experimental behavioral research and community-based intervention research and on the rigorous evaluation of the effectiveness, cost-effectiveness, sustainability, and scaling up of effective prevention interventions

  • Support extensive program and research efforts to prevent childhood obesity in high-risk populations with health disparities, with a focus both on behavioral and environmental approaches

  • Support nutrition and physical activity grant programs, particularly in states with the highest prevalence of childhood obesity

  • Strengthen support for relevant surveillance and monitoring efforts, particularly NHANES

  • Undertake an independent assessment of federal nutrition assistance programs and agricultural policies to ensure that they promote healthful dietary intake and physical activity levels for all children and youth

  • Develop and evaluate pilot projects within the nutrition assistance programs that would promote healthful dietary intake and physical activity and scale up those found to be successful

To implement this recommendation, state and local governments should:

  • Provide coordinated leadership and support for childhood obesity prevention efforts, particularly those focused on high-risk populations, by increasing resources and strengthening policies that promote opportunities for physical activity and healthful eating in communities, neighborhoods, and schools

  • Support public health agencies and community coalitions in their collaborative efforts to promote and evaluate obesity prevention interventions

REFERENCES

Alaimo K, Olson CM, Frongillo EA Jr. 2001. Low family income and food insufficiency in relation to overweight in US children: Is there a paradox? Arch Pediatric Adolesc Med 155(10):1161-1167.

America on the Move. 2004. America on the Move. [Online]. Available: http:// www.americaonthemove.org [accessed May 15, 2004].

Bray GA, Nielsen SJ, Popkin BM. 2004. Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. Am J Clin Nutr 79(4):537-543.

Burstein NR, Fox MK, Hiller JB, Kornfeld R, Lam K, Price C, Rodda DT. 2000. Profile of WIC Children. Cambridge, MA. Prepared by Abt Associates for USDA, FNS, Office of Analysis, Nutrition, and Evaluation.



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