THE RICHARD AND HINDA ROSENTHAL LECTURES 2004
Perspectives on the Prevention of Childhood Obesity in Children and Youth
INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
Washington, D.C. www.nap.edu
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.
Support for this project was provided by the Richard and Hinda Rosenthal Foundation.
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THE NATIONAL ACADEMIES
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The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V.Fineberg is president of the Institute of Medicine.
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Foreword
In 1988, an exciting and important new program was launched at the Institute of Medicine (IOM). Through the generosity of the Richard and Hinda Rosenthal Foundation, a lecture series was established to bring to greater attention some of the critical health policy issues facing our nation today. Each year a subject of particular relevance is addressed through three lectures presented by experts in the field. The lectures are published at a later date for national dissemination.
The Rosenthal lectures have attracted an enthusiastic following among health policy researchers and decision makers, both in Washington, D.C., and across the country. Our speakers are the leading experts on the subjects under discussion and our audience includes many of the major policymakers charged with making the U.S. health care system more effective and humane. The lectures and associated remarks have engendered lively and productive dialogue. The Rosenthal lecture included in this volume captures a panel discussion on the IOM report, Preventing Childhood Obesity: Health in the Balance. There is much to learn from the informed and real-world perspectives provided by the contributors to this book.
I would like to give special thanks to our Dr. Jeff Koplan and the committee. In addition, I would like to express my appreciation to Bronwyn Schrecker, Jennifer Bitticks, Jennifer Otten, Shira Fischer, Cathy Liverman, Vivica Kraak, Linda Meyers, and Shannon Wisham for ably handling the many details associated with the lecture programs and the publication. No introduction to this volume would be complete, however, without a special expression of gratitude to the late Richard Rosenthal and to Hinda Rosenthal for making this valuable and
Contents
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INTRODUCTION |
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OVERVIEW OF PREVENTING HEALTH IN THE CHILDHOOD OBESITY: BALANCE |
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FRAMEWORK FOR PREVENTION AND ON PERSPECTIVES ADDRESSING HEALTH DISPARITIES |
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INDUSTRY PERSPECTIVE |
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GOVERNMENT PERSPECTIVE |
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