Brief Summary

Institute of Medicine Regional Symposium

Progress in Preventing Childhood Obesity: Focus on Schools

In collaboration with the Kansas Health Foundation Supported by The Robert Wood Johnson Foundation

June 27–28, 2005

Wichita Hyatt Regency Hotel

Wichita, Kansas

Committee on Progress in Preventing Childhood Obesity

Food and Nutrition Board

INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS
Washington, D.C. www.nap.edu



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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium Brief Summary Institute of Medicine Regional Symposium Progress in Preventing Childhood Obesity: Focus on Schools In collaboration with the Kansas Health Foundation Supported by The Robert Wood Johnson Foundation June 27–28, 2005 Wichita Hyatt Regency Hotel Wichita, Kansas Committee on Progress in Preventing Childhood Obesity Food and Nutrition Board INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES THE NATIONAL ACADEMIES PRESS Washington, D.C. www.nap.edu

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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. The study is supported by Grant No. 052339 between the National Academy of Sciences and The Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the authors and do not necessarily reflect the views of the organizations or agencies that provided support for the project. Additional copies of this summary are available from the National Academies Press, 500 Fifth Street, N.W., Box 285, Washington, DC 20055. Call (800) 624–6242 or (202) 334–3313 (in the Washington metropolitan area), Internet, http://www.nap.edu. For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 2006 by the National Academy of Sciences. All rights reserved. Illustration by Becky Heavner. Printed in the United States of America. The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent, adopted as a logotype by the Institute of Medicine, is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium “Knowing is not enough; we must apply. Willing is not enough; we must do.” —Goethe INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES Advising the Nation, Improving Health.

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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium THE NATIONAL ACADEMIES Advisers to the Nation on Science, Engineering, and Medicine The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J.Cicerone is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Wm. A.Wulf is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V.Fineberg is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J.Cicerone and Dr. Wm. A.Wulf are chair and vice chair, respectively, of the National Research Council. www.national-academies.org

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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium COMMITTEE ON PROGRESS IN PREVENTING CHILDHOOD OBESITY JEFFREY P.KOPLAN (Chair), Woodruff Health Sciences Center, Emory University, Atlanta, GA ROSS C.BROWNSON, Department of Community Health, St. Louis University School of Public Health, MO ANN BULLOCK, Health and Medical Division, Eastern Band of Cherokee Indians, Cherokee, NC SUSAN B.FOERSTER, Cancer Prevention and Nutrition Section, California Department of Health Services, Sacramento, CA JENNIFER GREENE, Department of Educational Psychology, University of Illinois Urbana-Champaign DOUGLAS B.KAMEROW, Health, Social and Economics Research, RTI International, Washington, DC MARSHALL W.KREUTER, Institute of Public Health, College of Health and Human Sciences, Georgia State University, Atlanta, GA RUSSELL R.PATE, Department of Exercise Science, University of South Carolina JOHN C.PETERS, Food and Beverage Technology, Procter & Gamble Company, Cincinnati, OH KENNETH E.POWELL, Georgia Department of Human Resources (emeritus), Atlanta, GA THOMAS N.ROBINSON, Division of General Pediatrics and Stanford Prevention Research Center, Stanford University School of Medicine, Palo Alto, CA EDUARDO J.SANCHEZ, Texas Department of State Health Services, Austin, TX ANTRONETTE YANCEY, Department of Health Services, UCLA School of Public Health, Los Angeles, CA Liaison to the IOM Food and Nutrition Board SHIRIKI K.KUMANYIKA, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia

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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium Staff VIVICA I.KRAAK, Co-Study Director CATHARYN T.LIVERMAN, Co-Study Director LINDA D.MEYERS, Director, Food and Nutrition Board SHANNON L.WISHAM, Research Associate JON Q.SANDERS, Senior Program Assistant

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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium FOOD AND NUTRITION BOARD ROBERT M.RUSSELL (Chair), Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA LARRY R.BEUCHAT, Center for Food Safety, University of Georgia, Griffin MICHAEL P.DOYLE, Center for Food Safety, University of Georgia, Griffin SUSAN FERENC, SAF*Risk, LC, Madison, WI NANCY F.KREBS, Department of Pediatrics, University of Colorado Health Sciences Center, Denver SHIRIKI KUMANYIKA, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia REYNALDO MARTORELL, Department of Global Health, Emory University, Atlanta, GA J.GLENN MORRIS, JR., Department of Epidemiology and Preventive Medicine University of Maryland School of Medicine, Baltimore SUZANNE P.MURPHY, Cancer Research Center of Hawaii, University of Hawaii, Honolulu JOSE M.ORDOVAS, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA LYNN PARKER, Child Nutrition Programs and Nutrition Policy, Food Research and Action Center, Washington, DC NICHOLAS J.SCHORK, Department of Psychiatry, Polymorphism Research Laboratory, University of California, San Diego REBECCA J.STOLTZFUS, Division of Nutritional Sciences, Cornell University, Ithaca, NY JOHN W.SUTTIE, Department of Biochemistry, University of Wisconsin, Madison WALTER C.WILLETT, Department of Nutrition, Harvard School of Public Health, Boston, MA CATHERINE E.WOTEKI, Global Director of Scientific Affairs, Mars, Incorporated, McLean, VA BARRY L.ZOUMAS, Department of Agricultural Economics and Rural Sociology, Pennsylvania State University, University Park

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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium Staff LINDA D.MEYERS, Director GERALDINE KENNEDO, Administrative Assistant ANTON L.BANDY, Financial Associate IOM boards do not review or approve individual reports and are not asked to endorse conclusions and recommendations. The responsibility for the content of the report rests with the authoring committee and the institution.

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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium Reviewers This summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published summary as sound as possible and to ensure that the summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this summary: Benjamin Caballero, Center for Human Nutrition, Johns Hopkins Bloomberg School, Baltimore, Maryland Steve Coen, Kansas Health Foundation, Wichita Simone A.French, Division of Epidemiology, University of Minnesota, Minneapolis Susan L.Handy, Department of Environmental Science and Policy University of California, Davis Vickie L.James, Healthy Kids Challenge, Dighton, Kansas Aviva Must, Tufts University School of Medicine, Boston Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the final draft of the summary before its release.

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Progress in Preventing Childhood Obesity: Focus on Schools - Brief Summary, Institute of Medicine Regional Symposium Appointed by the National Research Council, they were responsible for making certain that an independent examination of this summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this summary rests entirely with the authoring committee and the institution.