D
Examples of Recent Federal Agency Programs, Initiatives, and Sur veillance Systems for Supporting and Monitoring the Prevention of Obesity in U.S. Children and Youth



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Progress in Preventing Childhood Obesity: How Do We Measure Up? D Examples of Recent Federal Agency Programs, Initiatives, and Sur veillance Systems for Supporting and Monitoring the Prevention of Obesity in U.S. Children and Youth

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Progress in Preventing Childhood Obesity: How Do We Measure Up? TABLE D-1 Examples of Recent Federal Agency Programs, Initiatives, and Surveillance Systems for Supporting and Monitoring the Prevention of Obesity in U.S. Children and Youth Federal Department and Agency Type of Activity Program, Initiative, Surveillance System, or Description (Reference) Evaluation Availabilitya (Reference) U.S. Department of Health and Human Services (DHHS) Administration for Children and Families Program Head Start Program (ACF, 2006a) Available (ACF, 2006b) Agency for Healthcare Research and Quality Program Obesity prevention toolkit for parents (AHRQ, 2004) Not available Assistant Secretary for Planning and Evaluation Capacity and research The Office of the Assistant Secretary for Planning and Evaluation advises the government on health policy research and program Evaluation evaluation (ASPE, 2006) Available (ASPE, 2006) Centers for Disease Control and Prevention (CDC) Capacity Nutrition and Physical Activity Program to Prevent Obesity Other Chronic Diseases (CDC, 2006g) Available (Yee et al., 2006)   Capacity School Health Index (CDC, 2006l) Available (Staten et al., 2005)   Capacity Steps to a HealthierUS (Steps Program) (DHHS, 2004a) Available (MacDonald et al., 2006)

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Progress in Preventing Childhood Obesity: How Do We Measure Up?   Leadership Supports a congressionally directed Institute of Medicine (IOM) study to develop nutritional standards for competitive foods and beverages sold in schools (IOM, 2006b) In progress   Leadership Supported a congressionally directed IOM study on the influence of food marketing on the diets and health of children and youth (IOM, 2006a) Available (IOM, 2006a)   Program Preventive Health and Health Services Block Grants (CDC, 2006k) Available (CDC, 2006k)   Program Coordinated School Health program (CDC, 2005c) Available (CDC, 2006c)   Program 5 a Day for Better Health campaign (CDC, 2005a) Available (CDC, 2005b)   Program VERB™ campaign (funding ended in FY 2005) (CDC, 2005e) Available (CDC, 2006n)   Research Prevention Research Center programs (CDC, 2006i) Available (CDC, 2006j)   Surveillance Behavioral Risk Factor Surveillance System (BRFSS) (CDC, 2006a) Available (CDC, 2006b)   Surveillance National Health Interview Survey (CDC, 2006d) Available (NCHS, 2006)   Surveillance National Health and Nutrition Examination Survey (CDC, 2005d) Available (ARS, 2006)

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Progress in Preventing Childhood Obesity: How Do We Measure Up? Federal Department and Agency Type of Activity Program, Initiative, Surveillance System, or Description (Reference) Evaluation Availabilitya (Reference)   Surveillance Pediatric Nutrition Surveillance System (CDC, 2006h) Available (CDC, 2005f)   Surveillance School Health Profiles (CDC, 2006m) Available (Grunbaum et al., 2005)   Surveillance School Health Policy and Programs Study (CDC, 2006m) Available (CDC, 2001)   Surveillance Youth Media Campaign Longitudinal Survey (CDC, 2006n) Available (CDC, 2006n)   Surveillance Youth Risk Behavior Surveillance System (YRBSS) (CDC, 2006m) Available (Brener et al., 1995) Food and Drug Administration Leadership Obesity Working Group’s Calories Count report (FDA, 2004) Available (FDA, 2004)   Leadership Notice of Proposed Rulemaking to redesign the Nutrition Facts label (FDA, 2005a) Available (FDA, 2005a)   Leadership Final rule on the nutrient content claims, definition of sodium levels for the termhealthy (FDA, 2005b) Available (FDA, 2005b)

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Progress in Preventing Childhood Obesity: How Do We Measure Up?   Program Supported The Keystone Center Forum on Youth Nutrition and the Forum on Obesity and Foods Consumed Away From Home (Keystone Center, 2005, 2006) Available (Keystone Center, 2005, 2006) Health Resources and Services Administration (HRSA) Program Obesity prevention is a required element of the Maternal and Child Health block grants (Title V) (HRSA, 2006) Available (HRSA, 2006)   Surveillance The Maternal and Child Health Bureau releases the annual Chartbook on the Health and Well-Being of Children DHHS, HRSA, 2005a) Available (DHHS, HRSA, 2005a)   Surveillance The Maternal and Child Health Bureau has released a report on obesity and physical activity among children in the nation based on the National Survey of Children’s Health (DHHS, HRSA, 2005b) Available (DHHS, HRSA, 2005b)   Surveillance The National Survey of Early Childhood Health is conducted in collaboration with the American Academy of Pediatrics (CDC, 2006f) Available (Blumberg et al., 2004) Indian Health Service Leadership and program As part of the DHHS Strategic Plan for FY 2004–2009, the Indian Health Service has the objective to decrease childhood obesity rates for American Indian and Alaska Native children (DHHS, 2004b) Available (DHHS, 2004b) National Institutes of Health Program We Can! (Ways to Enhance Children’s Activity & Nutrition), a collaboration between the National Heart, Lung, and Blood Institute; the National Cancer Institute; the National Institute of Child Health and Human Development; and the National Institute of Diabetes and Digestive and Kidney Diseases (NIH, 2005) In progress

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Progress in Preventing Childhood Obesity: How Do We Measure Up? Federal Department and Agency Type of Activity Program, Initiative, Surveillance System, or Description (Reference) Evaluation Availabilitya (Reference) Leadership An annual conference on obesity and the built environment is sponsored by the National Institute of Environmental Health Sciences (NIEHS, 2004, 2005) Available (NIEHS, 2004, 2005)   Research The National Institutes of Health (NIH) Obesity Research Task Force was established to develop and implement the Strategic Plan for NIH Obesity Research across all NIH institutes and centers (NIH, 2004) In progress Office of Disease Prevention and Health Promotion Leadership and program SmallStep for Adults and Teens (DHHS, 2006a) and SmallStep Kids! (DHHS, 2006b) Available (Ad Council, 2006)   Leadership and surveillance Publication of Healthy People 2010 and provision of preventive health and health services block grants to state health departments to meet the Healthy People 2010 health promotion and disease prevention objectives that include obesity prevention (DHHS, 2000a) Available (DHHS, 2000b) Office of Minority Health Program Offers discretionary and project grants to support health promotion and disease prevention interventions for low-income racial/ ethnic minority populations (OMH, 2005b) Not available   Program Obesity Abatement in the African-American Community Initiative (OMH, 2005c) Not available

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Progress in Preventing Childhood Obesity: How Do We Measure Up? Leadership and program Closing the Health Gap (OMH, 2005a) Not available Office of the Surgeon General Leadership Children and Health Choices: 50 Schools in 50 States Initiative (DHHS, 2005) Not available President’s Council on Physical Fitness and Sports Leadership and program President’s Challenge (DHHS, 2006c) Not available Department of Education Program Carol M. White Physical Education Program Grants (DoEd, 2006a) Available (DoEd, 2006b) Department of the Interior/National Park Service Program Urban Park and Recreation Recovery Program (NPS,2004) Not available Department of Labor Surveillance National Longitudinal Survey of Youth (DoL, 2006) Available (DoL, 2006) Department of Transportation Program Safe Routes to School Program (FHWA/DoT, 2006a) In progress (FHWA, DOT, 2006b)   Surveillance National Household Travel Survey (BTS, 2004) Available (BTS, 2006) Federal Communications Commission Policy and regulation Enforces the Children’s Television Act of 1990 (FCC, 2001, 2004) Available (FCC, 2001, 2004)

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Progress in Preventing Childhood Obesity: How Do We Measure Up? Federal Department and Agency Type of Activity Program, Initiative, Surveillance System, or Description (Reference) Evaluation Availabilitya (Reference) Federal Trade Commission Leadership Report to Congress on industry expenditures and marketing activities directed at children and youth (FTC, 2006) In progress (Richard Kelly, Federal Trade Commission, personal communication, June 20, 2006)   Policy and regulation On going monitoring and regulation of deceptive and misleading advertising to children and youth (FTC, 2001) Available (FTC, 2001) U.S.Department of Agriculture (USDA) Capacity Cooperative Extension System (CSREES, 2006a) Available (NASULGC, 2001)   Capacity Child Nutrition Labeling Program (USDA, 2006a) In progress   Leadership and coordination Support for State Nutrition Action Plans (USDA, 2006d) Not available   Leadership Supported a congressionally directed IOM study on an evaluation of the contents of the WIC food packages (IOM,2005) Available (IOM, 2005)   Program Federal food and nutrition assistance programs relevant to obesity prevention in children and youth include: Food Stamp Program (FSP), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), National School Lunch Available (USDA, 2006f)

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Progress in Preventing Childhood Obesity: How Do We Measure Up?     Program (NSLP), School Breakfast Program (SBP), Child and Adult Care Food Program (CACFP), Summer Food Service Program (SFSP), Food Distribution Program on Indian Reservations, and the Farmers’ Market Nutrition Program (FMNP) (USDA, 2006b)     Program Eat Smart. Play Hard.™ Campaign (USDA, 2005a) Available (Prospect Associates, 2003)   Program Expanded Food and Nutrition Education Program (EFNEP) (CSREES, 2006b) Available (CSREES, 2006b)   Program Fit WIC (USDA, 2005b) Available (USDA, 2005e)   Program Food Stamp Nutrition Education Program (FSNE) (USDA, 2004a) In progress   Program Fresh Fruit and Vegetable Program (FFVP) (CFSC, 2006) Available (Buzby et al., 2003; Schneider et al., 2006)   Program MyPyramid.gov, MyPyramid for Kids, and MiPiramide (in Spanish) (USDA, 2005d, 2006c) In progress (Jackie Haven, USDA, personal communication, May 11, 2006)   Program Team Nutrition (USDA, 2006e) Available (Murimi et al., 2006)   Research Agricultural Research Service research programs on obesity (USDA, 2006g) In progress

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Progress in Preventing Childhood Obesity: How Do We Measure Up? Federal Department and Agency Type of Activity Program, Initiative, Surveillance System or Description (Reference) Evaluation Availabilitya (Reference)   Research Food Assistance and Nutrition Research Program (UCD, 2006) Available (USDA, 2005c)   Research School Nutrition Dietary Assessment Study (USDA, 2001) Available (Dwyer, 1995) Interagency Collaborations CDC and USDA Program HealthierUS School Challenge (USDA, 2004b) Not available DHHS, Department of Education, and USDA Leadership and program Healthier Child and Youth Memorandum of Understanding (DoEd, DHHS, and USDA, 2005) Not available DHHS, Office of Science, Technology, and Policy (OSTP), and USDA Research Federal Interagency Working Group on Overweight and Obesity Research (Yanovski, 2006) Not available DHHS and USDA Leadership and program Dietary Guidelines for Americans 2005 (DHHS and USDA, 2005) Not available

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Progress in Preventing Childhood Obesity: How Do We Measure Up? Department of Defense and USDA Program DoD Fresh Program (CFSC, 2006; USDA, 2006d) Available (Buzby et al., 2003) Federal Trade Commission and DHHS Leadership Joint workshop in 2005 to develop guidelines on marketing food, beverages, and sedentary entertainment to children (FTC and DHHS, 2006) Available (FTC and DHHS, 2006) HRSA and CDC Surveillance National Survey of Children’s Health (CDC, 2006e) Available (CDC, 2006e) NIH and Office of Public Health and Science Leadership National Obesity Action Forum (PSU, 2006) Not available USDA, Department of Education, and CDC Capacity Technical assistance regarding school wellness policies and implementation of the Child Nutrition and WIC Reauthorization Act of 2004 (CNWICRA, 2004). In progress aAvailable means that an evaluation has been conducted but may differ in scope, breadth, and outcomes examined. Not available signifies that an evaluation was either not conducted or that information was not publicly available to the committee to make an assessment of a program or initiative. In progress means that the committee was made aware of a proposed evaluation or an evaluation underway during the IOM study; however, it was not completed or information was not available about the evaluation at the time of publication of this IOM report.

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