Preventing Childhood Obesity: How Do We Measure Up? (IOM, 2007), provides a progress report on efforts undertaken since the 2005 report, with a particular focus on minority and underserved populations, and recommends evaluation of prevention efforts. To sustain a nationwide call to action for childhood obesity prevention, the IOM maintains a Standing Committee on Childhood Obesity.

The present report summarizes the information gathered at a workshop held February 5–6, 2009, in Austin, Texas. Texas was chosen as a case study because of its childhood obesity statistics, demographics, size, and efforts to prevent and reduce obesity. At this workshop, committee members met with Texas lawmakers, public officials, and community leaders to exchange ideas and to view first-hand strategies that are being implemented effectively at the state and local levels to prevent and reverse childhood obesity.

The focus on obesity efforts in Texas is particularly appropriate given that state’s sobering statistics. Texas is home to three of the five cities with the highest obesity rates in the nation. In 2007, two-thirds of Texas adults and one-third of Texas high school students were either overweight or obese. Moreover, information released in January 2009 by the state demographer indicates that, absent preventive measures, the number of obese Texans will triple by 2040 to reach 15 million (Eschbach and Fonseca, 2009). According to Texas Governor Rick Perry, “Texas obesity rates are well above the national average, and the negative effects are spreading.” Indeed, if the obesity epidemic in Texas is not controlled, particularly among children, one can easily envision a scenario in which the state’s children and young adults compete with aging baby boomers for limited health resources. In the face of this prospect, one Texas lawmaker has gone so far as to identify obesity as the state’s most serious threat.

Texas leaders at the workshop expressed the strong belief that the state’s economic vitality and security depend on the health of its population. Accordingly, the state is no longer simply describing the personal, community, and financial costs of its obesity crisis; it is taking proactive steps to address the problem through strategic initiatives. An overarching strategy is to address obesity by targeting the state’s youth, in whom it may be possible to instill healthy behaviors and lifestyles to last a lifetime. A guiding principle of these efforts is that they should be evidence based, community specific, sustainable, cost-effective, and supported by effective partnerships. Moreover, the goal is for the responsibility to be broadly shared by individuals, families, communities, and the public and private sectors.

This report describes a variety of efforts highlighted at the workshop aimed at preventing and reversing childhood obesity in Texas. The report also identifies themes that emerged during the workshop discussions, including common attributes of successful programs and barriers that can impede action.

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