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Obesity prevention: necessary and possible. A structured approach for effective planning

  • Timothy Gill (a1), Lesley King (a1) and Ian Caterson (a1)
Abstract

Obesity is a serious public health problem that has important social, economic and health consequences. The prevalence of obesity is rising rapidly throughout the world in both rich and poor countries, and it affects all sections of society. There are several important reasons for addressing the prevention of obesity, rather than its treatment or management. The prevention of weight gain (or the reversal of small gains) and the maintenance of a healthy weight are likely to be easier, less expensive and potentially more effective than the treatment of obesity after it has fully developed. A structured planning framework for the identification of potential interventions for the promotion of healthy weight and the prevention of weight gain is clearly required. However, detailed reviews of the scientific literature have revealed that the body of research is too small to provide firm guidance on consistently-effective interventions for adults or children. Ultimately, a broader approach to evidence of effectiveness needs to be adopted. The present paper proposes a structured planning approach that utilises the portfolio model and allows the selection of interventions to be based on the best available evidence, while not excluding untried but promising strategies.

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Copyright
Corresponding author
*Corresponding author: Dr Tim Gill, fax +61 2 90363184, t.gill@mmb.usyd.edu.au
References
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Campbell K, Waters E, O'Meara S, Kelly S & Summerbell C (2002) Interventions for Preventing Obesity in Children. Cochrane Database of Systematic Reviews Oxford Update Software
Catford J & Caterson I (2003) Snowballing obesity: Australians will get run over if they just sit there. Medical Journal of Australia 179, 577579.
Douketis J, Feightner J, Attia J & Fieldman WF (1999) Periodic health examination, 1999 update: 1. Detection, prevention and treatment of obesity. Canadian Medical Association Journal 160, 513525.
Egger G & Swinburn B (1997) An ‘ecological’ approach to the obesity pandemic. British Medical Journal 315, 477480.
Finkelstein EA, Fiebelkorn IC & Wang G (2003) National medical spending attributable to overweight and obesity: how much, and who's paying. Health Affairs W3, 219226.
Fogelholm M, Kukkonen-Harjula K (2000) Does physical activity prevent weight gain – A systematic review. Obesity Reviews 1, 95111.
Gill T, King L & Webb K for NSW Centre for Public Health Nutrition (2004) Best Options for Promoting Healthy Weight and Preventing Weight Gain in NSW Sydney, NSW: NSW Health
Glenny AM, O'Meara S, Melville A, Sheldon TA & Wilson C (1997) The treatment and prevention of obesity: a systematic review of the literature. International Journal of Obesity and Related Metabolic Disorders 21, 715737.
Green L (2001) From research to best practice in other settings and populations. American Journal of Health Behavior 25, 165178.
Hawe P & Shiell A (1995) Preserving innovation under increasing accountability pressures: The health promotion investment-portfolio approach. Health Promotion Journal of Australia 5, 49.
King L (1998) The settings approach to achieving better health for children. NSW Public Health Bulletin 9, 128129.
Lobstein T, Baur L, Uauy R, for the, International Obesity, Task Force, Childhood Obesity & Working Group (2004) Obesity in children and young people: A crisis in public health. Obesity Reviews 5, 485 Suppl. 1
McQueen D (2002) The evidence debate. Journal of Epidemiology and Community Health 56, 8384.
McQueen DV & Anderson L (2001) What counts as evidence: issues and debates. In Health Promotion Evaluation: Principles and Perspectives. WHO Regional Publications, European Series, no. 92, pp. 6381 [Rootman I, editor]. Copenhagen, Denmark: WHO Regional Office for Europe.
Mokdad AH, Marks JS, Stroup DF & Gerberding JL (2004) Actual causes of death in the United States, 2000. Journal of the American Medical Association 291, 12381245.
Must A, Jacques PF, Dallal GE, Bajema CY & Dietz WH (1992) Long-term morbidity and mortality of overweight adolescents. New England Journal of Medicine 327, 13501355.
National Health and Medical Research Council (1999) A Guide to the Development, Implementation and Evaluation of Clinical Practice Guidelines Canberra, ACT NHMRC
National Public Health Partnership (2000) Public Health Planning and Practice Improvement: A Planning Framework for Public Health Practice Canberra, ACT National Public Health Partnership
NHS Centre for Reviews and Dissemination (2002) The Prevention and Treatment of Childhood Obesity. Effective Health Care. Vol. 7 York University of York/Royal Society of Medicine Press Ltd
Reilly JJ, Wilson ML & Summerbell CD (2002) Obesity: diagnosis, prevention and treatment – evidence-based answers to common questions. Archives of Disease in Childhood 86, 392394.
Reychetnik L (2003) Evidence-based practice and health promotion. Health Promotion Journal of Australia 14, 133136.
Reychetnik L, Frommer M, Hawe P & Sheil A (2002) Criteria for evaluating evidence on public health interventions. Journal of Epidemiology and Community Health 56, 119127.
Sackett DL, Rosenberg WM, Gray JA, Haynes RB & Richardson WS (1996) Evidence based medicine: what it is and what it isn't. British Medical Journal 312, 7172.
Wolf AM & Colditz GA (1998) Current estimates of the economic cost of obesity in the United States. Obesity Research 6, 97106.
World Health Organization (2000a) Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation.Geneva:WHO.
World Health Organization (2000b) World Health Report 2000. Geneva: WHO.
World Health Organization (2002) Diet, Nutrition and the Prevention of Chronic Diseases.Geneva:FAO/WHO.
World Health Organization (2003) Information Sheet on Overweight and Obesity.Geneva:WHO.
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Proceedings of the Nutrition Society
  • ISSN: 0029-6651
  • EISSN: 1475-2719
  • URL: /core/journals/proceedings-of-the-nutrition-society
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