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NOTICE: The workshop that is the subject of this workshop summary 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.
This activity was supported by Contract/Grant No. 69449 between the National Academy of Sciences and the Robert Wood Johnson Foundation. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.
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Suggested citation: IOM (Institute of Medicine). 2013. Creating equal opportunities for a healthy weight: Workshop summary. Washington, DC: The National Academies Press.
THE NATIONAL ACADEMIES
Advisers of 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. C. D. Mote, Jr., 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.
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PLANNING COMMITTEE ON CREATING EQUAL OPPORTUNITIES FOR A HEALTHY WEIGHT1
SHIRIKI KUMANYIKA (Chair), Associate Dean for Health Promotion and Disease Prevention, Professor of Epidemiology, Perelman School of Medicine, University of Pennsylvania
CELESTE CLARK, Retired Senior Vice President of Global Public Policy and Public Affairs, Chief Sustainability Officer, Kellogg Company
PATRICIA CRAWFORD, Director, Dr. Robert C. and Veronica Atkins Center for Weight and Health, and Adjunct Professor, School of Public Health, University of California, Berkeley
CHRISTINA ECONOMOS, New Balance Chair in Childhood Nutrition and Associate Professor of Nutrition, Friedman School of Nutrition Science and Policy, Tufts University, and Director, ChildObesity180
JAMES SALLIS, Distinguished Professor of Family and Preventative Medicine, Chief Division of Behavioral Medicine, University of California, San Diego
ELLEN WARTELLA, Al-Thani Professor of Communication, Professor of Psychology, and Professor of Human Development and Social Policy and Director of the Center on Median and Human Development, Northwestern University, Evanston, Illinois
IOM Staff
LYNN PARKER, Scholar
HEATHER BREINER, Associate Program Officer
SARAH SIEGEL, Senior Program Assistant
SARAH ZIEGENHORN, Research Assistant
FAYE HILLMAN, Financial Associate
GERALDINE KENNEDO, Administrative Assistant
CLYDE BEHNEY, Acting Director, Food and Nutrition Board
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1Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.
Reviewers
This workshop 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 workshop summary as sound as possible and to ensure that the workshop 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 process. We wish to thank the following individuals for their review of this workshop summary:
David V. B. Britt, Sesame Workshop (Retired)
Deirdra Chester, U.S. Department of Agriculture
Sandra Hassink, Nemours Obesity Initiative, A.I. Dupont Hospital for Children
Arnell Hinkle, Community Adolescent Nutrition & Fitness
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Hugh H. Tilson, University of North Carolina at Chapel Hill. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.
Contents
1 INTRODUCTION AND THEMES OF THE WORKSHOP
Organization of the Workshop and This Summary
2 BUILDING PHYSICAL AND SOCIAL ENVIRONMENTS FOR PHYSICAL ACTIVITY IN HIGH-RISK COMMUNITIES
Strategies for Integrating Physical Activity into Everyday Life
Case Study: The City Project, Los Angeles
Advancing Health Equity Through Public Parks and Recreation Services
Strategies for Changing Food and Beverage Environments
Case Study: Obesity Prevention Initiatives in Philadelphia
4 EQUITY-FOCUSED APPROACHES TO OBESITY PREVENTION IN WORKPLACES
The Potential of Employee Wellness Programs
Case Study: Total Health at Kaiser Permanente
Improving the Health of WIC Employees
5 PATHWAYS TO OBESITY PREVENTION FOR ETHNIC MINORITY AND LOW-INCOME CHILDREN AND ADULTS IN PRIMARY CARE
Strategies for Health Care Providers and Insurers in Obesity Prevention
Case Study: The Power-Up After-School Program to Prevent Obesity
Obesity Prevention at the Upper Cardozo Health Center, Washington, DC
6 ADVERTISING, PROMOTION, AND EDUCATION: BRINGING HEALTH EQUITY TO THE MESSAGE ENVIRONMENT
Strategies for Changing the Message Environment
Case Study: The Advertising Council
7 UPGRADING FOOD AND PHYSICAL ACTIVITY OPTIONS BEFORE, DURING, AND AFTER SCHOOL IN LOW-INCOME NEIGHBORHOODS
Strategies for Making Schools a Focal Point for Obesity Prevention
Case Study: Food Services in the Riverside Unified School District
8 BRINGING THE PIECES TOGETHER
