Progress in Preventing Childhood Obesity Focus on Schools: Brief Summary: Institute of Medicine Regional Symposium (2005) / Chapter Skim
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Summary: Institute of Medicine Regional Symposium Progress in Preventing Childhood Obesity: Focus on Schools
Summary: Institute of Medicine Regional Symposium Progress in Preventing Childhood Obesity: Focus on Schools
Pages 1-14
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The resulting IOM report, Preventing Childhood Obesity: Health in the Balance, was released in September 2004 and identified promising approaches for obesity prevention efforts and a set of recommendations for a variety of stakeholders and sectors. This year, with support from The Robert Wood Johnson Foundation (RWJF)
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This brief summary highlights the recurring themes for accelerating change and moving forward with obesity prevention efforts that emerged from the symposium: forge strategic partnerships; empower local schools and communities; educate stakeholders; evaluate obesity prevention efforts; document the benefits of obesity prevention; innovate to address barriers; use a systems approach; and develop a long-term strategic plan. In collaboration with RWJF and KHF, approximately 90 individuals active in childhood obesity prevention efforts in the Midwest and who represented a range of stakeholder perspectives and innovative practices in the school setting -- including teachers, students, principals, health educators, dietitians, food service providers, industry representatives, state government, and community leaders -- were invited to participate in the symposium, and the discussion focused on exploring the barriers and opportunities for sustaining and evaluating these efforts.
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In particular, empowerment involves encouraging stakeholder participation, enhancing problem assessment capacities, developing local leadership, strengthening institutional structures, mobilizing resources, and enhancing stakeholder control and ownership for programs. Presentations at the Wichita symposium provided an indication that local school boards, principals, teachers, parents, and other community leaders are becoming empowered by recognizing the nuances and cultural circumstances of their particular communities and beginning to design and support activities to fit their community's needs.
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From school boards to food and beverage vendors, a lack of awareness about the health-related risks of, and potential solutions for, obesity may hinder prevention efforts. Education of parents and other relevant stakeholders remains a central need to establish healthy eating and regular physical activity as a normal expectation in schools.
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However, a remaining challenge is to build on this media coverage and accelerate the pace and breadth of change. Evaluate Obesity Prevention Efforts As with other behavioral changes, it is difficult to assess the effectiveness of obesity prevention programs.
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Some schools now incorporate structured physical activity into the daily academic (non-physical education) curriculum and others request that parents bring healthy food and beverage treats for classroom celebrations, replace food rewards with play dates and field trips, and encourage fundraising without using food.
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Previous public health triumphs, from a drop in smoking rates to a measurable increase in the use of seat belts, demonstrate that prolonged concentrated efforts can eventually change social norms that promote healthy lifestyles in schools. Childhood obesity prevention will require a long-term response but changes are beginning as evidenced by the range of innovative programs and policy changes being implemented across the Midwest and other regions throughout the United States.
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8 PROGRESS IN PREVENTING CHILDHOOD OBESITY: FOCUS ON SCHOOLS Agenda Institute of Medicine Regional Symposium Progress in Preventing Childhood Obesity: Focus on Schools In collaboration with the Kansas Health Foundation Supported by The Robert Wood Johnson Foundation June 27-28, 2005 Wichita Hyatt Regency Hotel Wichita, Kansas June 27, 2005 Opening Session Welcome Steve Coen, Kansas Health Foundation, Wichita Kathryn Thomas, The Robert Wood Johnson Foundation, Princeton, New Jersey Overview of the Meeting Goals and the Report, Preventing Childhood Obesity: Health in the Balance Jeffrey Koplan, Emory University and Institute of Medicine (IOM) Committee on Progress in Preventing Childhood Obesity, Atlanta, Georgia Perspectives on Childhood Obesity Policy Perspectives James Barnett, Kansas Senate, Emporia Health Perspectives James Early, University of Kansas, Wichita Kansas Teen Leadership for Physically Active Lifestyles Ann Sparke, Morris County Extension Service, Kansas Chynna Walters and Mary Byram, Council Grove High School, Kansas
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BRIEF SUMMARY 9 Plenary Panel - Presentations and Discussion Obesity Prevention and School Policies: Challenges and Innovations Developing and evaluating state-, district- and school-based changes in school policy related to childhood obesity prevention Moderator: Eduardo Sanchez, Texas Department of State Health Ser vices, Austin Kansas Coordinated School Health Program Jodi Mackey, Kansas State Department of Education, Topeka Paula Marmet, Kansas State Department of Health and Environment, Topeka School District Comprehensive School Wellness Policies Joan Pritchard, Goddard School District, Kansas Elementary School Policies Janine Kempker, Anthony Elementary School, Leavenworth, Kansas Ohio Physical Education and Food Service Policies Dianne Radigan, Children's Hunger Alliance, Columbus, Ohio School District Food Service Policies Rosemary Dederichs, Minneapolis Public Schools Food Service, Minnesota School District Vending Machine Policies Carole Farthing, Independence, Kansas School Board Plenary Panel - Presentations and Discussion Obesity Prevention and School Programs: Challenges and Innovations Implementing and evaluating state-, district- and school-based programs aimed at childhood obesity prevention Moderator: Tom Robinson, Stanford University Prevention Research Center, Stanford, California Kansas Physical Dimensions and Physical Focus Merri Copeland, Friends University, Wichita Kansas
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What is needed to implement and sustain these changes? Breakout Session #1 Links Between Schools and Home, Community and Healthcare Facilitators: Marshall Kreuter, Georgia State University, Atlanta; Susan Foerster, California Department of Health Services, Sacramento Presentations followed by group discussion: Heather Duvall, Oklahoma Fit Kids Coalition, Oklahoma City Mary Ca Ralstin, Kansas PTA, Shawnee Mim Wilkey, Wichita YMCA, Health & Wellness Coalition, Kansas Jill Poole, Broken Arrow National Farm to School Program, Oklahoma LaVonta Williams, Wichita After School Program, Kansas Deborah Loman, National Association of Pediatric Nurse Practitioners, St.
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BRIEF SUMMARY 11 Breakout Session #2 Links Between Schools and Industry Facilitators: John Peters, Procter & Gamble Company, Cincinnati, Ohio; Jeffrey Koplan, Emory University, Atlanta, Georgia Presentations followed by group discussion: Ann Hartley, Advance Food Company, Mooresville, North Carolina Barbara Jirka, Tyson Foods, Springdale, Arkansas Ellen Taaffe, PepsiCo, Chicago, Illinois Nancy Daigler, Kraft Foods, Northfield, Illinois Jane Byrnes-Bennett, Midwest Dairy Council, Wichita, Kansas Breakout Session #3 Links Between Schools and the Built Environment Facilitators: Russ Pate, University of South Carolina, Columbia; Ann Bullock, Health and Medical Division, Eastern Band of Cherokee Indians, North Carolina; Toni Yancey, UCLA School of Public Health Presentations followed by group discussion: Ian Thomas, PedNet, Columbia, Missouri Dan Grunig, Bicycle Colorado, Colorado Safe Routes to School, Denver Judy Johnston, Walkin' Wichita, Kansas Dave Barber, Wichita-Sedgwick County Metropolitan Area Planning Department, Kansas Wess Galyon, Wichita Home Builders Association, Kansas Reception and Dinner Wichita Art Museum Dinner Speaker: Matt Longjohn, Consortium to Lower Obesity in Chicago Children, Illinois
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What more can be done at the federal, state, community and private sector levels? Moderator: Doug Kamerow, RTI International, Washington, DC Federal Perspective Mary McKenna, Centers for Disease Control and Prevention, Atlanta, Georgia State Perspective Rod Bremby, Kansas Department of Health and Environment, Topeka Community Perspective Brenda Kumm, Mid-America Coalition on HealthCare/ KCHealthyKids.org, Kansas City, Missouri Foundation Perspective Billie Hall, Sunflower Foundation, Topeka, Kansas Kathryn DeForest, Missouri Foundation for Health, St.
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BRIEF SUMMARY 13 Group Discussion Closing Session Summary and Next Steps Jeffrey Koplan, IOM Committee on Progress in Preventing Childhood Obesity
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State and local education authorities and schools should: · Ensure that all children and youth participate in a minimum of 30 minutes of moderate to vigorous physical activity during the school day · Expand opportunities for physical activity through: physical education classes; intramural and interscholastic sports programs and other physical activity clubs, programs, and lessons; after-school use of school facilities; use of schools as community centers; and walking and biking-to-school programs · Enhance health curricula to devote adequate attention to nutrition, physical activity, reducing sedentary behaviors, and energy balance, and to include a behavioral skills focus · Develop, implement, and enforce school policies to create schools that are advertising-free to the greatest possible extent · Involve school health services in obesity prevention efforts · Conduct annual assessments of each student's weight, height, and gender- and age-specific BMI percentile and make this information available to parents · Perform periodic assessments of each school's policies and practices related to nutrition, physical activity, and obesity prevention. Federal and state departments of education and health and professional organizations should: · Develop, implement, and evaluate pilot programs to explore innovative approaches to both staffing and teaching about wellness, healthful choices, nutrition, physical activity, and reducing sedentary behaviors.
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