Obesity Interventions in the Community
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Obesity is a pervasive global public health concern of utmost priority. Effective and efficient interventions are urgently needed to reverse current trends, especially among children. The past decade has witnessed increasing adoption and implementation of community-engaged and -participatory interventions that employ a bottom-up approach to identifying and realizing sustainable solutions within communities. It is argued herein that community-based approaches are most effective when implemented via a systems perspective that integrates across societal sectors. This approach seizes upon the synergistic effects that result from simultaneously mobilizing community assets at multiple levels. This paper provides an overview of the evolution and theory behind community-engaged, community-participatory, and systems-level interventions, discusses recent findings in the field, offers reflections based on first-hand experience, outlines advances in relevant resources, and lays forth potential and promising directions for future research. It emphasizes the centrality and necessity of community-engaged systems-level interventions in halting and reversing the obesity epidemic.
KeywordsObesity prevention Interventions Community-engaged Community-based participatory research Systems perspective Community assets
Compliance with Ethics Guidelines
Conflict of Interest
Christina Economos reports personal fees from HBO Documentaries (Consultant on website for HBO Documentary "Weight of the Nation"), outside the submitted work.
Stacy Blondin declares that she has no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 5.Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9· 1 million participants. Lancet. 2011;377(9765):557–67.PubMedCrossRefGoogle Scholar
- 12.Russell-Mayhew S, McVey G, Bardick A, Ireland A. Mental health, wellness, and childhood overweight/obesity. J Obes. 2012;2012.Google Scholar
- 22.Minkler N, Wallerstin N, editors. Community-Based Participatory Research for Health. 2nd ed. San Fransisco: John Wiley and Sons; 2008. From Process to Outcomes.Google Scholar
- 27.World Health Organization. Population Approached to Childhood Obesity Prevention. Geneva2012. ISBN 978 92 4 150478 2.Google Scholar
- 29.Huang TT, Drewnosksi A, Kumanyika S, Glass TA. A systems-oriented multilevel framework for addressing obesity in the 21st century. Prev Chron Dis. 2009;6(3):A82.Google Scholar
- 30.World Health Organization. Interventions on diet and physical activity: what works: summary report. Geneva2009.Google Scholar
- 33.Centers for Disease Control and Prevention, CDC/ATSDR Committee on Community Engagement. Principles of Community Engagement. 2011.Google Scholar
- 34.Medicine Io. Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation. Washington, DC: Institute of Medicine, Food and Nutrition Board; May 8, 21012 2012.Google Scholar
- 50.••Economos CD, Hyatt RR, Must A, et al. Shape Up Somerville two-year results: a community-based environmental change intervention sustains weight reduction in children. Prev Med. 2013;57(4):322–7. This paper presents novel findings of the effect of a community-based intervention on measured obesity outcomes.PubMedCrossRefGoogle Scholar
- 53.••van Grieken A, Renders CM, Veldhuis L, Looman CW, Hirasing RA, Raat H. Promotion of a healthy lifestyle among 5-year-old overweight children: health behavior outcomes of the'Be active, eat right'study. BMC Public Health. 2014;14(1):59. This paper presents novel findings of the effect of a community-based intervention on measured obesity outcomes.PubMedCentralPubMedCrossRefGoogle Scholar
- 60.Garside R. The Effectiveness of Whole System Approaches to Prevent Obesity: Peninsula Technology Assessment Group, National Institute for Health Care Excellence. 2011.Google Scholar
- 62.Marrero DG, Hardwick EJ, Staten LK, et al. Promotion and tenure for community-engaged research: an examination of promotion and tenure support for community-engaged research at three universities collaborating through a Clinical and Translational Science Award. Clin Transl Sci. 2013;6(3):204–8.PubMedCrossRefGoogle Scholar
- 63.Rosas LG, Stafford RS. Practical Research Strategies for Reducing Social and Racial/Ethnic Disparities in Obesity. Int J Obes (Lond). 2012;2012(2):s16–22.Google Scholar