Driving Action and Progress on Obesity Prevention and Treatment Proceedings of a Workshop (2017) / Chapter Skim
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1 Obesity Trends and Workshop Overview
1 Obesity Trends and Workshop Overview
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To examine these and other pressing questions, the Roundtable on Obesity Solutions, which is part of the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine, held a workshop in Washington, DC, on September 27, 2016, titled "Driving Action and Progress on Obesity Prevention and Treatment."1 The workshop brought together leaders from business, early care and education, government, health care, and philanthropy to discuss the most promising approaches for the future of obesity prevention and treatment. More than 100 people attended the workshop in person, with several hundred more watching a live webcast.2 Box 1-1 provides the workshop's complete statement of task; the workshop agenda appears in Appendix A; acronyms and abbreviations found throughout this proceedings are defined in Appendix B; and biographies of the speakers and facilitators are provided in Appendix C
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The workshop agenda will also include discussion on the gaps that can be filled through cross-sector collaborations of federal and local government, academia, health care institutions and profession als, the education and early child care communities, industry, and foundations and nonprofits. The Roundtable on Obesity Solutions was established in 2014 to engage leaders from multiple sectors, including health care, academia, business, health insurance, education, child care, government, media, philanthropy, and diverse nonprofits, to help solve the nation's obesity crisis. The roundtable provides for inspiration and the development of multisector collaborations and policy initiatives aimed at preventing and treating obesity and its adverse consequences throughout the life span.
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trends and prevalence in overweight and obesity to establish a framework for the ensuing discussion.4 Obesity is associated with poorer health from physical and mental health conditions, she explained. It increases the risk of heart disease; stroke; type 2 diabetes; lung disease, including asthma; liver disease, including fatty liver; certain types of cancer; infertility; and a host of other problems (CDC, 2015)
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. CHILDHOOD OBESITY TRENDS According to NHANES data, obesity rates have increased substantially among U.S.
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-for-age Centers for Disease Control and Prevention (CDC) growth charts; extreme obesity is defined as 120 percent of the sex-specific 95th percentile of BMI-for-age CDC growth charts.
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"As entities move forward in negotiating data sharing agreements with health care," she said, "public health jurisdictions across the country are going to be able to monitor body mass index
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Retrospective analyses of places where obesity among children has declined, she noted, have pointed to such factors as policies related to nutrition and physical activity -- for example, child care and school wellness policies. In particular, she emphasized the presence of strong community coalitions in places where obesity has declined, entailing "engagement with business leaders, engagement with child care and schools, engagement with parents." Researchers are also continuing to look at additional factors related to energy balance, including the microbiome, sleep, stress, and environmental chemicals.
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• Purcell encouraged foundations and other advocates to remain committed for the long haul, because ending the obesity epidemic will require a sustained commitment. Staying the course, he sug gested, includes developing a better understanding of what can work at the street level, the neighborhood level, the store level, the regional level, and the national level.
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