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Suggested Citation:"Front Matter." Institute of Medicine. 2013. Creating Equal Opportunities for a Healthy Weight: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18553.
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CREATING EQUAL
OPPORTUNITIES
FOR A
HEALTHY WEIGHT

WORKSHOP SUMMARY

Heather Breiner, Lynn Parker, and Steve Olson, Rapporteurs

Standing Committee on Childhood Obesity Prevention

Food and Nutrition Board

INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2013. Creating Equal Opportunities for a Healthy Weight: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18553.
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THE NATIONAL ACADEMIES PRESS   500 Fifth Street, NW   Washington, DC 20001

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.

International Standard Book Number-13: 978-0-309-29473-7
International Standard Book Number-10: 0-309-29473-8

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2013 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Cover credit: Design by Casey Weeks.

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine). 2013. Creating equal opportunities for a healthy weight: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2013. Creating Equal Opportunities for a Healthy Weight: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18553.
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Knowing is not enough; we must apply.
Willing is not enough; we must do.

—Goethe

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INSTITITE OF MEDICINE
OF THE NATIONAL ACADEMIES

Advising the Nation. Improving Health.

Suggested Citation:"Front Matter." Institute of Medicine. 2013. Creating Equal Opportunities for a Healthy Weight: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18553.
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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.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine. 2013. Creating Equal Opportunities for a Healthy Weight: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18553.
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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

___________________

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.

Suggested Citation:"Front Matter." Institute of Medicine. 2013. Creating Equal Opportunities for a Healthy Weight: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18553.
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Suggested Citation:"Front Matter." Institute of Medicine. 2013. Creating Equal Opportunities for a Healthy Weight: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18553.
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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.

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Creating Equal Opportunities for a Healthy Weight is the summary of a workshop convened by the Institute of Medicine's Standing Committee on Childhood Obesity Prevention in June 2013 to examine income, race, and ethnicity, and how these factors intersect with childhood obesity and its prevention. Registered participants, along with viewers of a simultaneous webcast of the workshop, heard a series of presentations by researchers, policy makers, advocates, and other stakeholders focused on health disparities associated with income, race, ethnicity, and other characteristics and on how these factors intersect with obesity and its prevention. The workshop featured invited presentations and discussions concerning physical activity, healthy food access, food marketing and messaging, and the roles of employers, health care professionals, and schools.

The IOM 2012 report Accelerating Progress in Obesity Prevention acknowledged that a variety of characteristics linked historically to social exclusion or discrimination, including race, ethnicity, religion, socioeconomic status, gender, age, mental health, disability, sexual orientation or gender identity, geographic location, and immigrant status, can thereby affect opportunities for physical activity, healthy eating, health care, work, and education. In many parts of the United States, certain racial and ethnic groups and low-income individuals and families live, learn, work, and play in places that lack health-promoting resources such as parks, recreational facilities, high-quality grocery stores, and walkable streets. These same neighborhoods may have characteristics such as heavy traffic or other unsafe conditions that discourage people from walking or being physically active outdoors. The combination of unhealthy social and environmental risk factors, including limited access to healthy foods and opportunities for physical activity, can contribute to increased levels of chronic stress among community members, which have been linked to increased levels of sedentary activity and increased calorie consumption. Creating Equal Opportunities for a Healthy Weight focuses on the key obesity prevention goals and recommendations outlined in Accelerating Progress in Obesity Prevention through the lens of health equity. This report explores critical aspects of obesity prevention, while discussing potential future research, policy, and action that could lead to equity in opportunities to achieve a healthy weight.

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