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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Childhood obesity: are we missing the big picture?
W Maziak1, K D Ward, M B Stockton
1Department of Health and Sport Sciences, and Center for Community Health, The University of Memphis, Memphis, TN 38152, USA. wmaziak@memphis.edu
Insights
Childhood obesity requires a broader approach beyond individual factors. Focusing on wider determinants like urban design and food policies can create healthier environments and make healthy choices easier for everyone.
Area of Science:
- Public Health
- Environmental Health
- Behavioral Science
Background:
- Childhood obesity is a growing global concern, linked to increased risks of chronic diseases.
- Current strategies focusing on individual behaviors and clinical interventions for childhood obesity have shown limited effectiveness.
- There's a need to explore broader determinants influencing obesity, including environmental, social, and economic factors.
Purpose of the Study:
- To analyze the limitations of current approaches to the childhood obesity epidemic.
- To advocate for a wider perspective in research and public health agendas for obesity prevention.
- To identify distal, modifiable factors that can be targeted for effective obesity interventions.
Main Methods:
- Review of existing evidence on childhood obesity determinants.
- Analysis of politico-economic trends impacting health choices.
- Exploration of multi-level influences on behavior related to obesity.
Main Results:
- Individual-level interventions for childhood obesity have yielded limited success.
- Wider determinants like the built environment, food marketing, and prices significantly influence obesity.
- Upstream approaches, making healthy choices feasible and affordable, are crucial for curbing the epidemic.
Conclusions:
- Effective strategies for childhood obesity require addressing wider societal and environmental factors.
- Future research and policy should focus on modifiable, distal determinants of obesity.
- Creating supportive environments that promote healthy choices is essential for public health.
Abstract:
Childhood obesity is increasing worldwide, raising alarm about future trends of cardiovascular disease, diabetes and cancer. This article discusses what may underlie our failure to respond effectively to the obesity epidemic, and presents a wider perspective for future research and public health agendas. So far targeting individual-level determinants and clinical aspects of childhood obesity has produced limited success. There is growing interest in understanding the wider determinants of obesity such as the built environment (e.g. walkability), social interactions, food marketing and prices, but much needs to be learned. Particularly, we need to identify distal modifiable factors with multiple potential that would make them attractive for people and policymakers alike. For example, walking-biking-friendly cities can reduce obesity as well as energy consumption, air pollution and traffic delays. Such agenda needs to be driven by strong evidence from research involving multi-level influences on behaviour, as well as the study of wider politico-economic trends affecting people's choices. This article highlights available evidence and arguments for research and policy needed to curb the obesity epidemic. The upstream approach underlying these arguments aims to make healthy choices not only the most rational, but also the most feasible and affordable.
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