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



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





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

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