Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin Summary (2007) / Chapter Skim
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children, those of Hispanic origin, especially MexicanAmerican children, have the highest rates of obesity. Moreover, the obesity epidemic has been recognized in Mexico as well, where the public health community is paying increased attention to survey data indicating the growing obesity rates among children, youth, and adults.
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Although, as already mentioned, solutions to prevent obesity should be feasible within the specific context of each country, the substantial and ongoing interchange of people and culture between the United States and Mexico necessitates an obesity prevention approach that recognizes the common social, cultural, and economic factors that contribute to childhood obesity in both countries. With this in mind, the IOM, with the Instituto Nacional de la Salud Pública (INSP)
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social rules and habits might be a contributor to the increasing obesity prevalence. Differences in the nature and occurrence of these nutritional transitions may explain one notable difference between the United States and Mexico -- the relationship between socioeconomic status (SES)
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Concerted efforts need to be directed towards solution-oriented research -- research designs that lead directly to policy or practice changes that also include an evaluation component -- in various areas; industry participation was seen as a necessity in translating research findings into effective interventions and programs. Identifying Risk Factors and Developing Interventions and Implementation Strategies What interventions and strategies will be effective in obesity prevention among MexicanAmerican and Mexican children?
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Much of the workshop participants' discussion focused on the importance of conducting studies for evaluating macro level interventions (e.g., evaluation of governmental policies and actions such as food and nutrition regulations, taxations, trade policies, urban planning policies, dietary and physical activity guidelines, or other current public health initiatives)
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Next Steps Suggested by Working Groups and Individual Participants Participants identified several barriers that are unique to the social and political context of each country. Ideas were discussed to overcome those barriers, and one major suggestion by Working Group III was the establishment of a government-led Mexican National Obesity Prevention Task Force paralleled to a joint U.S.Mexico collaboration.
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· The national physical education program should be viewed as an opportunity for implementing programs as advised by authoritative public health institutions. · Some preventive actions are being implemented by improving nutrition and daily physical activity.
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· As a U.S. public health institution, the CDC has a role in research and disease surveillance, information dissemination, and public policy.
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New public health chal lenges call for a careful assessment of human resources needs in areas such as research evaluation, intervention efficacy, and program management and implementation. The United States needs to con tinue developing those capabilities and can also play an important role in providing assistance.
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As the United States and Mexico increase their cultural and commercial exchanges, actions in both countries need to occur in parallel and in a coordinated fashion to avoid inconsistent and counterproductive policies, guidances, and educational programs.
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