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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×

UNDERSTANDING AND OVERCOMING

THE CHALLENGE OF
OBESITY AND OVERWEIGHT

IN THE ARMED FORCES

PROCEEDINGS OF A WORKSHOP

Emily A. Callahan, Rapporteur

Roundtable on Obesity Solutions

Food and Nutrition Board

Health and Medicine Division

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported in part by the Academy of Nutrition and Dietetics; Alliance for a Healthier Generation; American Academy of Pediatrics; American College of Sports Medicine; American Council on Exercise; American Heart Association; American Society for Nutrition; Bipartisan Policy Center; Blue Cross and Blue Shield of North Carolina Foundation; The California Endowment; ChildObesity180/Tufts University; Chobani; Edelman; General Mills, Inc.; Greater Rochester Health Foundation; HealthPartners, Inc.; The JPB Foundation; Kaiser Permanente; The Kresge Foundation; Mars, Inc.; National Recreation and Park Association; Nemours; Nestlé Nutrition; Novo Nordisk; Obesity Action Coalition; The Obesity Society; Partnership for a Healthier America; Reebok International; Reinvestment Fund; Robert Wood Johnson Foundation; Salud America!; Weight Watchers International, Inc.; and YMCA of the USA. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-47676-8
International Standard Book Number-10: 0-309-47676-3
Digital Object Identifier: https://doi.org/10.17226/25128

Additional copies of this publication 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.

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and overcoming the challenge of obesity and overweight in the armed forces: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25128.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×

Image

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×

Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×

PLANNING COMMITTEE ON UNDERSTANDING AND OVERCOMING THE CHALLENGE OF OBESITY AND OVERWEIGHT IN THE ARMED FORCES1

BERNADETTE MARRIOTT (Chair), Professor and Director, Nutrition Section, Division of Gastroenterology and Hepatology, Department of Medicine and Military Division, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina

CAPT. HEIDI MICHELS BLANCK, Chief, Obesity Branch, Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention

RENEE COLE, Director, Healthy Eating Behavior Initiative; Deputy, Military Nutrition Division, U.S. Army Research Institute of Environmental Medicine

PAMELA GREGORY, Navy Nutrition Program Manager, Physical Readiness Program

KARI HARRIS, Deloitte Consulting, LLP

JENNIFER B. HARWARD, Deputy Chief, Air Force Health Promotion, Air Force Medical Support Agency

JEFF HILD, Policy Director, Sumner M. Redstone Global Center for Prevention and Wellness, Milken Institute School of Public Health, The George Washington University

LISEL LOY, Vice President, Programs, Bipartisan Policy Center

ESTHER MYERS, CEO, EF Myers Consulting, Inc.

DONNA RYAN, Professor Emerita, Pennington Biomedical Research Center, Louisiana State University

ANNE UTECH, Acting National Director, Nutrition and Food Service, U.S. Department of Veterans Affairs

Health and Medicine Division Staff

LESLIE J. SIM, Roundtable Director

HEATHER DEL VALLE COOK, Senior Program Officer

ELLE ALEXANDER, Associate Program Officer

AMANDA NGUYEN, Associate Program Officer

MEREDITH YOUNG, Research Assistant

CYPRESS LYNX, Senior Program Assistant

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×

ROUNDTABLE ON OBESITY SOLUTIONS1

BILL PURCELL III (Chair), Farmer Purcell White & Lassiter, PLLC, Nashville, Tennessee

RUSSELL R. PATE (Vice Chair), University of South Carolina, Columbia

MARY T. STORY (Vice Chair), Duke University, Durham, North Carolina

SHARON ADAMS-TAYLOR, The School Superintendents Association, Alexandria, Virginia

KATIE ADAMSON, YMCA of the USA, Washington, DC

ANDREA M. AZUMA, Kaiser Permanente, Oakland, California

CAPT. HEIDI MICHELS BLANCK, Centers for Disease Control and Prevention, Atlanta, Georgia

JEANNE BLANKENSHIP, Academy of Nutrition and Dietetics, Washington, DC

DON W. BRADLEY, Duke University, Durham, North Carolina

CEDRIC X. BRYANT, American Council on Exercise, San Diego, California

HEIDI F. BURKE, Greater Rochester Health Foundation, Rochester, New York

DEBBIE I. CHANG, Nemours, Newark, Delaware

JOHN COURTNEY, American Society for Nutrition, Bethesda, Maryland

ANNE DATTILO, Nestlé Nutrition, Florham Park, New Jersey

MERRY DAVIS, Blue Cross and Blue Shield of North Carolina Foundation, Durham, North Carolina

CHRISTINA ECONOMOS, Tufts University, Boston, Massachusetts

IHUOMA ENELI, American Academy of Pediatrics, Columbus, Ohio

JENNIFER FASSBENDER, Reinvestment Fund

GARY FOSTER, Weight Watchers International, Inc., New York, New York

DAVID D. FUKUZAWA, The Kresge Foundation, Troy, Michigan

MARJORIE INNOCENT, National Association for the Advancement of Colored People, Baltimore, Maryland

SCOTT I. KAHAN, The George Washington University, Washington, DC

AMY KULL, Edelman, San Francisco, California

SHIRIKI KUMANYIKA, Drexel University, Philadelphia, Pennsylvania

CATHERINE KWIK-URIBE, Mars, Inc., Germantown, Maryland

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×

THEODORE KYLE, The Obesity Society, Pittsburgh, Pennsylvania

LISEL LOY, Bipartisan Policy Center, Washington, DC

KELLIE MAY, National Recreation and Park Association, Ashburn, Virginia

MYETA M. MOON, United Way Worldwide, Alexandria, Virginia

JOSEPH NADGLOWSKI, Obesity Action Coalition, Tampa, Florida

BARBARA PICOWER, The JPB Foundation, New York, New York

SUE PECHILIO POLIS, National League of Cities, Washington, DC

ROBERT C. POST, Chobani, New York, New York

AMELIE G. RAMIREZ, Salud America!, San Antonio, Texas

OLIVIA ROANHORSE, Notah Begay III Foundation, Santa Ana Pueblo, New Mexico

NANCY ROMAN, Partnership for a Healthier America, Washington, DC

KEVIN R. RONNEBERG, HealthPartners, Inc., Minneapolis, Minnesota

SYLVIA ROWE, S.R. Strategy, LLC, Washington, DC

JAMES F. SALLIS, University of California, San Diego

EDUARDO J. SANCHEZ, American Heart Association, Dallas, Texas

MARION STANDISH, The California Endowment, Oakland, California

MAHA TAHIRI, General Mills, Inc., Minneapolis, Minnesota

KATHLEEN TULLIE, Reebok International, Canton, Massachusetts

MONICA HOBBS VINLUAN, Robert Wood Johnson Foundation, Princeton, New Jersey

HOWELL WECHSLER, Alliance for a Healthier Generation, New York, New York

JAMES R. WHITEHEAD, American College of Sports Medicine, Indianapolis, Indiana

TRACY ZVENYACH, Novo Nordisk, Washington, DC

Health and Medicine Division Staff

LESLIE J. SIM, Roundtable Director

HEATHER DEL VALLE COOK, Senior Program Officer

ELLE ALEXANDER, Associate Program Officer

AMANDA NGUYEN, Associate Program Officer

MEREDITH YOUNG, Research Assistant

CYPRESS LYNX, Senior Program Assistant

ANN L. YAKTINE, Food and Nutrition Board Director

Consultant

WILLIAM (BILL) H. DIETZ, The George Washington University, Washington, DC

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

LTC. RENEE COLE, U.S. Military-Baylor University

CAPT. KIMBERLY ELENBERG, U.S. Department of Defense

JEFF HILD, The George Washington University

HANNAH MARTIN, Bipartisan Policy Center

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings, nor did they see the final draft before its release. The review of this proceedings was overseen by NICOLAAS PRONK, HealthPartners, Inc. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
Page R7
Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
Page R8
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
Page R9
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
Page R11
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
Page R12
Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
Page R13
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25128.
×
Page R14
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Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop Get This Book
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Obesity and overweight pose significant challenges to the armed forces in the United States, affecting service members (including active duty, guard, and reserve components), veterans, retirees, and their families and communities. The consequences of obesity and overweight in the armed forces influence various aspects of its operations that are critical to national security.

On May 7, 2018, the National Academies of Sciences, Engineering, and Medicine, held a workshop titled “Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces.” Speakers examined how obesity and overweight are measured in the armed forces and how they affect recruitment, retention, resilience, and readiness; discussed service-specific issues related to these problems and highlighted innovative strategies to address them through improved nutrition, physical activity, and stress management; and offered perspectives from outside of the armed forces on approaches to prevent and treat obesity. They also discussed the challenges and opportunities related to overcoming the concerns posed by obesity and overweight in the armed forces, military families, and their communities, including potential cross-sector opportunities. This publication summarizes the presentations and discussions from the workshop.

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