Balanced Diet The overall dietary pattern of foods consumed that provide all the essential nutrients in the appropriate amounts to support life processes, including growth and development in children without promoting excess body fat accumulation and excess weight gain.

Behavioral Branding A strategy used by social marketing programs to create brands that individuals associate with a specific behavior or lifestyle. Examples include the VERB™ campaign, which encourages tweens (children ages 8 to 13 years) to associate VERB with physical activity, and the truth® brand, which represents an inspirational antismoking brand for teens that builds a positive image of youth as nonsmokers, cool and edgy, and rebellious against the tobacco industry.

Behavioral Outcomes Behavioral changes made by individuals or populations that affect diet and physical activity levels and that enhance health. These may include increasing physical activity levels, increasing fruit and vegetable consumption, balancing caloric intakes and expenditures, reducing television viewing time, and increasing breastfeeding rates.

Best Practice An intervention or effort that is likely to reduce childhood obesity and for which there is a sufficient amount of robust evidence that provides a level of certainty that the intervention is linked to reducing the incidence or prevalence of childhood obesity and related co-morbidities.

Bill A proposed new law or amendment to an existing law that is presented to the legislature for consideration. A bill requires approval by both chambers of the legislature and action by a governor or the president to amend an existing law or to become a law.

Body Mass Index Body mass index (BMI) is an indirect measure of body fat calculated as the ratio of a person’s body weight (in kilograms) to the square of a person’s height in meters:

BMI (kg/m2 ) = weight (kilograms) ÷ height (meters)2

BMI (lb/in2 ) = weight (pounds) ÷ height (inches)2 × 703

In children and youth, assessment of BMI is based on growth charts for age and gender and is referred to as BMI for age. According to the Centers for Disease Control and Prevention (CDC), a child with a BMI for age that is equal to or greater than the 95th percentile is considered overweight. A child with a BMI for age that is equal to or between the 85th and 95th percentile is considered to be at risk of becoming overweight. In this report,



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