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Multidisciplinary Approach to Obesity Management: A Case Report
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Childhood Obesity Declines Project: A Different Methodology.

Laura Kettel Khan1, Phyllis Ottley2, Carole Harris3

  • 11 Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention , Atlanta, GA.

Childhood Obesity (Print)
|March 23, 2018
PubMed
Summary

Community strategies for healthy eating and active living are improving, but effective obesity prevention remains unclear. This study used the Systematic Screening and Assessment (SSA) methodology to examine declines in childhood obesity.

Keywords:
community interventionsevaluationmethodsnatural experimentsobesityobesity preventionpolicy

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Area of Science:

  • Public Health
  • Obesity Prevention
  • Community Interventions

Background:

  • Growing evidence supports community-level strategies for healthy eating and active living.
  • Uncertainty persists regarding effective recommendations for preventing or reversing obesity prevalence.

Purpose of the Study:

  • To describe the methodology used by the Childhood Obesity Declines (COBD) project.
  • To examine community-level strategies and contextual factors associated with obesity declines.
  • To present the limitations and strengths of the adapted Systematic Screening and Assessment (SSA) methodology.

Main Methods:

  • Adapted the Systematic Screening and Assessment (SSA) methodology for retrospective analysis.
  • Convened an expert panel to identify and select sites with reported obesity declines.
  • Reviewed strategies, contextual factors, and policies during periods of obesity decline.

Main Results:

  • The COBD project provides an in-depth examination of how obesity declines occurred in specific communities.
  • The study explored natural experiments in four diverse locations: Anchorage, Granville County, New York City, and Philadelphia.

Conclusions:

  • Understanding drivers and contextual factors of childhood obesity requires exploring natural experiments.
  • Retrospective examination facilitates the description of interventions, policies, and their implementation.
  • Assessing the reach and multisectoral layering of interventions is crucial for obesity prevention efforts.