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Creating Equal Opportunities for a Healthy Weight

Creating Equal Opportunities for a Healthy Weight. Shiriki Kumanyika, Chair, IOM Committee on Childhood Obesity Prevention. Question 1. What does “accelerating progress” mean when It comes to creating equal opportunities for a healthy weight?. How can equity be achieved?.

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Creating Equal Opportunities for a Healthy Weight

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  1. Creating Equal Opportunities for a Healthy Weight • Shiriki Kumanyika, Chair, IOM Committee on Childhood Obesity Prevention

  2. Question 1 • What does “accelerating progress” mean when It comes to creating equal opportunities for a healthy weight?

  3. How can equity be achieved? Population oriented approaches Community engagement Changing environments Policies and policies Reaching people

  4. Engagement • Leadership and Responsibility • Assessment

  5. Meeting the Challenge of Achieving Equity • Transform inequitable environments • Physical Activity • Food and Beverage • Message • Target Critical Settings • Schools • Worksites • Health Care

  6. Figure 2. How health disparities are produced and reproduced across a life-time and generations, and possible points to intervene. Adapted from framework by Finn Diderichsen of the Karolinska Institute. From Paula Braveman, Preventing Chronic Diseases, July 2009

  7. Environment size Micro-environment Macro-environment (settings) (sectors) Food PA Food PA Physical What is/isn’t available? Economic What are the financial factors? Policy What are the rules? Socio-cultural What are the attitudes, beliefs, perceptions values and practices? Environment type ANGELO Framework(Analysis Grid for Environments Linked to Obesity) Swinburn et al Prev Med 1999

  8. What makes a community “high-risk” Based on ANGELO –Analysis Grid for Environments Linked to Obesity Swinburn et al, Preventive Medicine, 1999. From Yancey AK et al, Prev Chronic Dis. 2004 Jan;1(1):A09.

  9. Available at www.aacorn.orghttp://www.aacorn.org/AbouComm-2517.html

  10. Questions • Which of the APOP recommendations are the most important for making progress in creating equal opportunities, and why? • How can implementation be tailored for maximum effectiveness?

  11. Questions • What are possible gaps in the APOP recommendations? • What evidence, including qualitative data and stories, do we have to inform action? • Lumping or splitting? • What are some important next steps?

  12. For more information on obesity prevention, visit:http://www.iom.edu/obesity Thank you!

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