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The epidemic of childhood obesity in the Americas must be stopped: Governmental and PAHO leadership are crucial

Abstract

The Pan American Health Organization's approach to preventing child obesity is built on (1) documenting and monitoring the problem and its social and economic impacts; (2) advocating for prevention and control policies through the life-course, within and outside of the health sector; (3) leading initiatives on healthy diet and active living and educating policy makers and the public about obesogenic environments, including policies to reduce the marketing of food and beverages to children; (4) enabling healthy environments for daily life activities, especially for children in schools and community settings; (5) strengthening capacity for integrated management of obesity and noncommunicable diseases with emphasis on primary health care; and (6) mobilizing partners and resources to combat the problem.

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References

  1. Lozano R et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2095–2128.

    Article  Google Scholar 

  2. Caballero B . The global epidemic of obesity: an overview. Epidemiol Rev 2007; 29: 1–5.

    Article  Google Scholar 

  3. Kac G, Peréz-Escamilla R . Nutrition transition and obesity prevention through the life-course. Int J Obes Supp 2013; 3(supple): S6–S8.

    Article  CAS  Google Scholar 

  4. World Health Organization. Global Strategy on Diet, Physical Activity and Health. WHA55.23. World Health Organization: Geneva, 2004. (http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf).

  5. Kent MP, Dubois L, Wanless A . Self-regulation by industry of food marketing is having little impact during children's preferred television. IntJ Pediatr 2011; 6: 401–408.

    Google Scholar 

  6. Persson M, Soroko R, Musicus A, Lobstein T . A Junk-Free Childhood 2012. The 2012 report of the StanMark project on standards for marketing food and beverages to children in Europe. IASO 2012 (http://www.iaso.org).

  7. Hawkes C, Harris J . An analysis of the content of food industry pledges on marketing to children. Public Health Nutr 2011; 1–12.

  8. Pan American Health Organization. Strategic Plan 2008–2012. Official Document No. 328. Pan American Health Organization: Washington, DC, 2009.

  9. World Health Organization. Milestones in Health Promotion Statements from Global Conferences. WHO/NMH/CHP/09.01. World Health Organization: Geneva, 2009.

  10. Pan American Health Organization. Regional Strategy and Plan of Action on Nutrition in Health and Development, 2006–2015 (Document CD47/18) by Resolution CD47.R8. Pan American Health Organization: Washington, DC, 2006 (http://www.paho.org/english/gov/cd/CD47-18-e.pdf).

  11. Pan American Health Organization. Regional Strategy for the Prevention and Control of Noncommunicable Diseases, (CSP28/9 and CSP28.R2). PAHO: Washington, DC, 2012 (http://new.paho.org/hq/index.php?option=com_content&view=article&id=7022&Itemid=39541&lang=en).

  12. Pan American Health Organization. Population-based and Individual Approaches to the Prevention and Management of Diabetes and Obesity, 2008 (CD48/5). PAHO: Washington, DC, 2008 (http://www.paho.org/english/gov/cd/cd48-05-e.pdf).

  13. Jacoby E, Rivera J, Cordero S, Gomes F, Garnier L, Castillo C et al. Legislation, children, obesity, Standing up for children's rights in Latin America. World Nutr 2012; 3: 483–516.

    Google Scholar 

  14. World Health Organization. Set of Recommendations on the Marketing of Foods and Non-alcoholic Beverages to Children. World Health Organization: Geneva, 2010 (http://whqlibdoc.who.int/publications/2010/9789241500210_eng.pdf).

  15. World Health Organization. A Framework for Implementing the Set of Recommendations on the Marketing of Foods and Non-alcoholic Beverages to children. World Health Organization: Geneva, 2012 (http://www.who.int/dietphysicalactivity/MarketingFramework2012.pdf).

  16. Pan American Health Organization. Experts Recommendations on the Marketing of Food and non-Alcoholic Beverages to Children, 2011. Pan American Health Organization: Washington, DC, 2011 (http://new.paho.org/saludyescuelas/index.php?option=com_docman&task=doc_download&gid=84&Itemid=&lang=en).

  17. Pérez-Escamilla R, Curry L, Minhas D, Taylor L, Bradley E . Scaling up of breastfeeding promotion programs in low- and middle-income countries: the ‘breastfeeding gear’ model. Adv Nutr 2012; 3: 790–800.

    Article  Google Scholar 

Download references

Acknowledgements

We thank Dr Chessa Lutter for her careful review and editing of the manuscript and Dr Marcos Espinal for coordinating with partner institutions and convening authors from different technical areas within PAHO. We also acknowledge Dr Kira Fortune for her expert recommendations related to the determinants of health. Publication was supported in part by the Government of Aruba, the Obetech Obesity Research Center, the Pan American Health Organization and the Pan American Health and Education Foundation. JH has received grant support from the Canadian International Development Agency, Agencia Española de Cooperación Internacional, the Public Health Agency of Canada and the US Centers for Disease Control and Prevention. This paper is derived from the workshop ‘Education for childhood obesity prevention: A life-course approach’, co-organized by the Panamerican Health Organization (PAHO) and the Panamerican Health and Education Foundation (PAHEF), and held on 14 June 2012 in Aruba, as part of the II Pan-American Conference on Childhood Obesity (http://www.paco.aw/).

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Jacoby, E., Grajeda, R., Contreras, A. et al. The epidemic of childhood obesity in the Americas must be stopped: Governmental and PAHO leadership are crucial. Int J Obes Supp 3 (Suppl 1), S15–S17 (2013). https://doi.org/10.1038/ijosup.2013.6

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