Box 5-1

Arkansas Framework for Combating Childhood and Adolescent Obesity, with National Recommendations for Action

Components of Arkansas activities

National Recommendations

U.S. Surgeon General

AAP

IOM

Assessment (primary data)

 

 

 

BMI measurement and reporting

 

Individual BMI reports

 

 

 

Subpopulation reports of obesity prevalence

 

School and school district reports of obesity prevalence

 

 

Statewide report of obesity prevalence

 

Pouring contract review disclosure

 

 

 

School health index (CDC) in all schools

 

 

 

Child Health Advisory Committee

Population Interventions

 

 

 

Professional education requirements for cafeteria workers

 

Vending machine/competitive food restrictions and elimination from schools

 

Content requirements for vended/competitive foods

 

Physical activity requirements

Health education requirements

Local/district-level School Nutrition and Physical Activity Advisory Committees

Individual Interventions

 

 

 

Child health reports to parents

 

Continuing medical education on obesity prevention/treatment for health professionals

 

Reimbursement plans for treating obesity

Surveillance

 

 

 

Annual evaluation of Act 1220 programs (UAMS COPH)

Annual statewide public school assessment of BMI

 

Public health impact assessments by HHS/ADH

 

 

NOTE: AAP = American Academy of Pediatrics; ADH = Arkansas Department of Health; BMI = body mass index; CDC = Centers for Disease Control and Prevention; HHS = U.S. Department of Health and Human Services; IOM = Institute of Medicine; UAMS COPH = University of Arkansas for Medical Sciences College of Public Health.

SOURCE: Copyrighted and published by Project HOPE/Health Affairs as Ryan et al., 2006, “Arkansas fights fat: translating research into policy to combat childhood and adolescent obesity,” Health Affairs 25(4), 992-1004. The published article is archived and available online at www.healthaffairs.org.



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