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Turning the tables on obesity: young people, IT and social movements


Despite the rising incidence of childhood obesity, international data from Eurostat show that the prevalence of obesity among those aged 15–19 years remains under 5%, which offers an important opportunity for preventing subsequent adult obesity. Young people engage poorly, even obstructively, with conventional health initiatives and are often considered ‘hard to reach’. However, when approached in the language of youth, via IT, they express great concern, and unwanted weight gain in young people can be prevented by age-appropriate, independent, online guidance. Additionally, when shown online how ‘added value’ by industry can generate consumer harms as free market ‘externalities’, and how obesogenic ‘Big Food’ production and distribution incur environmental and ethical costs, young people make lasting behavioural changes that attenuate weight gain. This evidence offers a novel approach to obesity prevention, handing the initiative to young people themselves and supporting them with evidence-based methods to develop, propagate and ‘own’ social movements that can simultaneously address the geopolitical concerns of youth and obesity prevention.

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Fig. 1: Initiating and sustaining a social movement.


  1. United Nations General Assembly. Draft political declaration of the high-level meeting on the prevention and control of non-communicable diseases. UN (2011).

  2. World Health Assembly. Follow-up to the political declaration of the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases. WHO (2013).

  3. Horton, R. NCDs - why are we failing? Lancet 390, 346 (2017).

    PubMed  Google Scholar 

  4. Buse, K., Tanaka, S. & Hawkes, S. Healthy people and healthy profits? Elaborating a conceptual framework for governing the commercial determinants of non-communicable diseases and identifying options for reducing risk exposure. Global. Health 13, 34 (2017).

    PubMed  PubMed Central  Google Scholar 

  5. United Nations. Civil society & other stakeholders: leaving no one behind when implementing the agenda 2030. UN (2015).

  6. Allen, L. et al. Poverty and risk factors for non-communicable diseases in developing countries: a systematic review. Lancet 388, S17 (2016).

    Google Scholar 

  7. United Nations. General assembly high-level meeting on non-communicable diseases urges national targets, global commitments to prevent needless loss of life. UN (2014).

  8. Patton, G. C. et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet 387, 2423–2478 (2016).

    PubMed  PubMed Central  Google Scholar 

  9. Bennett, J. E. et al. NCD Countdown 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4. Lancet 392, 1072–1088 (2018).

    Google Scholar 

  10. Allen, L. N. Financing national non-communicable disease responses. Glob. Health Action 10, 1326687 (2017).

    PubMed  PubMed Central  Google Scholar 

  11. United Nations. About the sustainable development goals. UN (2015).

  12. World Health Organization. Third United Nations high-level meeting on NCDs. WHO (2018).

  13. World Health Organization. Obesity, high blood pressure, high cholesterol, alcohol and tobacco: the World Health Organization’s response. WHO (2013).

  14. Lanoye, A., Brown, K. L. & LaRose, J. G. The transition into young adulthood: a critical period for weight control. Curr. Diab. Rep. 17, 114 (2017).

    PubMed  PubMed Central  Google Scholar 

  15. Nikolaou, C. K., Hankey, C. R. & Lean, M. E. Weight changes in young adults: a mixed-methods study. Int. J. Obes. 39, 508–513 (2015).

    CAS  Google Scholar 

  16. Bergh, I. H., Skare, Ø., Aase, A., Klepp, K. I. & Lien, N. Weight development from age 13 to 30 years and adolescent socioeconomic status: the Norwegian Longitudinal Health Behaviour study. Int. J. Public Health 61, 465–473 (2016).

    PubMed  Google Scholar 

  17. Foster, B. A., Farragher, J., Parker, P. & Sosa, E. T. Treatment interventions for early childhood obesity: a systematic review. Acad. Pediatr. 15, 353–361 (2015).

    PubMed  PubMed Central  Google Scholar 

  18. Kokkvoll, A. S. et al. No additional long-term effect of group versus individual family intervention in the treatment of childhood obesity — a randomised trial. Acta Paediatr. (2019).

    PubMed  Google Scholar 

  19. O’Connor, E. A. et al. Screening for obesity and intervention for weight management in children and adolescents: evidence report and systematic review for the US Preventive Services Task Force. JAMA 317, 2427–2444 (2017).

    PubMed  Google Scholar 

  20. Colquitt, J. et al. Diet, physical activity, and behavioural interventions for the treatment of overweight or obesity in preschool children up to the age of 6 years. Cochrane Database Syst. Rev. 3, CD012105 (2016).

    PubMed  Google Scholar 

  21. Adab, P. et al. Effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6 and 7 year olds: cluster randomised controlled trial (WAVES study). BMJ 360, k211 (2018).

    PubMed  PubMed Central  Google Scholar 

  22. Kipping, R. R. et al. Effect of intervention aimed at increasing physical activity, reducing sedentary behaviour, and increasing fruit and vegetable consumption in children: Active for Life Year 5 (AFLY5) school based cluster randomised controlled trial. BMJ 348, g3256 (2014).

    PubMed  PubMed Central  Google Scholar 

  23. Lloyd, J. et al. Effectiveness of the Healthy Lifestyles Programme (HeLP) to prevent obesity in UK primary-school children: a cluster randomised controlled trial. Lancet Child Adolesc. Health 2, 35–45 (2018).

    PubMed  PubMed Central  Google Scholar 

  24. Waters, E. et al. Interventions for preventing obesity in children. Cochrane Database Syst. Rev. 12, CD001871 (2011).

    Google Scholar 

  25. Ng, M. et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 384, 766–778 (2014).

    PubMed  PubMed Central  Google Scholar 

  26. World Health Organization. WHO global report on trends in prevalence of tobacco smoking 2000–2025, second edition. WHO (2018).

  27. Vallone, D. et al. Evidence of the impact of the truth FinishIt campaign. Nicotine Tob. Res. 20, 543–551 (2018).

    PubMed  Google Scholar 

  28. World Health Organization. Adolescent alcohol-related behaviours: trends and inequalities in the WHO European region, 2002–2014. WHO (2018).

  29. Australian Bureau of Statistics. 4307.0.55.001 - Apparent Consumption of Alcohol, Australia, 2013-14. ABS (2015).

  30. The Economist. How to cut smoking in poor countries. The Economist (2017).

  31. Laska, M. N., Pelletier, J. E., Larson, N. I. & Story, M. Interventions for weight gain prevention during the transition to young adulthood: a review of the literature. J. Adolesc. Health 50, 324–333 (2012).

    PubMed  PubMed Central  Google Scholar 

  32. GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 years. N. Engl. J. Med. 377, 13–27 (2017).

    Google Scholar 

  33. Eurostat. Overweight and obesity — BMI statistics. eurostat (2014).

  34. Australian Institute of Health and Welfare. A picture of overweight and obesity in Australia. AIHW (2017).

  35. Li, L., Hardy, R., Kuh, D., Lo Conte, R. & Power, C. Child-to-adult body mass index and height trajectories: a comparison of 2 British birth cohorts. Am. J. Epidemiol. 168, 1008–1015 (2008).

    PubMed  PubMed Central  Google Scholar 

  36. Spencer, G. Empowerment, health promotion and young people: a critical approach (Routledge, 2013).

  37. Tilly, C. As sociology meets history (Academic, 1981).

  38. Howard, J. R. The flowering of the hippie movement. Ann. Am. Acad. Pol. Soc. Sci. 382, 43–55 (1969).

    Google Scholar 

  39. Fairclough, A. Historians and the civil rights movement. J. Am. Stud. 24, 387–398 (1990).

    Google Scholar 

  40. Jonathan Watts. Greta Thunberg, Schoolgirl Climate Change Warrior: ‘Some people Can Let Things Go. I Can’t’. The Guardian (2019).

  41. YOUNGO. International Youth Climate Movement. Youth Climate Movement (2019).

  42. Aidi, H. Africa’s new social movements: a continental approach. Africa Portal (2018).

  43. Carvalho, G. O. The politics of indigenous land rights Brazil. Bull. Lat. Am. Res. 19, 461–478 (2000).

    Google Scholar 

  44. Pearce, F. In Honduras, defending nature is a deadly business. Yale (2017)

  45. Robinson, T. N. in Eating disorders and obesity: a comprehensive handbook 3rd edn (eds Brownell, K. D. & Walsh, B. T.) 609–613 (Guilford, 2017).

  46. Nikolaou, C. K., Hankey, C. R. & Lean, M. E. Elearning approaches to prevent weight gain in young adults: a randomized controlled study. Obesity 3, 2377–2384 (2015).

    Google Scholar 

  47. Hekler, E. B., Gardner, C. D. & Robinson, T. N. Effects of a college course about food and society on students’ eating behaviors. Am. J. Prev. Med. 38, 543–547 (2010).

    PubMed  Google Scholar 

  48. Boudet, H. et al. Effects of a behaviour change intervention for Girl Scouts on child and parent energy-saving behaviours. Nat. Energy 1, 16091 (2016).

    Google Scholar 

  49. Bryan, C. J. et al. Harnessing adolescent values to motivate healthier eating. Proc. Natl Acad. Sci. USA 113, 10830–10835 (2016).

    CAS  PubMed  Google Scholar 

  50. Nikolaou, C. K. et al. Young people’s attitudes and motivations towards social media and mobile apps for weight control: mixed methods study. JMIR Mhealth Uhealth 7, e11205 (2019).

    PubMed  Google Scholar 

  51. Swinburn, B. A. et al. The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission report. Lancet 393, 791–846 (2019).

    PubMed  Google Scholar 

  52. Scarborough, P. et al. Dietary greenhouse gas emissions of meat-eaters, fish-eaters, vegetarians and vegans in the UK. Clim. Change 125, 179–192 (2014).

    CAS  PubMed  PubMed Central  Google Scholar 

  53. Polzin, S., Chu, X. & Godfrey, J. The impact of millennials’ travel behavior on future personal vehicle travel. Energy Strateg. Rev. 5, 59–65 (2014).

    Google Scholar 

  54. Stromberg, J. The forgotten history of how automakers invented the crime of “jaywalking”. Vox (2015).

  55. World Bank. Youth unemployment rate for Greece (SLUEM1524ZSGRC). St. Louis Fed. (2019).

  56. Namiti, M. Uganda walk-to-work protests kick up dust. Al Jazeera (2011).

  57. Rosenheck, R. Fast food consumption and increased caloric intake: a systematic review of a trajectory towards weight gain and obesity risk. Obes. Rev. 9, 535–547 (2008).

    CAS  PubMed  Google Scholar 

  58. Fraser, L. K. et al. Fast food and obesity: a spatial analysis in a large United Kingdom population of children aged 13–15. Am. J. Prev. Med. 42, e77–e85 (2012).

    PubMed  Google Scholar 

  59. Astrup, A. Super-sized and diabetic by frequent fast-food consumption? Lancet 365, 4–5 (2005).

    PubMed  Google Scholar 

  60. Pereira, M. A. et al. Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet 365, 36–42 (2005).

    PubMed  Google Scholar 

  61. Slow Food. About us. Slow food (2015).

  62. Debs, P. Analysis of the Slow Food movement impact on the farmers and rural areas’ sustainable development. Thesis, Univ. Bologna. (2013).

  63. Tilly, C. Social movements and national politics. University of Michigan (1979).

  64. Ganz, M. in Handbook of leadership theory and practice: a Harvard Business School Centennial Colloquium Ch. 19 (eds Nohria, N. & Khurana, R.) 527–568 (Harvard Business Press, 2010).

  65. Neumark-Sztainer, D. Can we simultaneously work toward the prevention of obesity and eating disorders in children and adolescents? Int. J. Eat. Disord. 38, 220–227 (2005).

    PubMed  Google Scholar 

  66. Koplan, J. P. & Brownell, K. D. Response of the food and beverage industry to the obesity threat. JAMA 304, 1487–1488 (2010).

    CAS  PubMed  Google Scholar 

  67. Bluher, M. Obesity: global epidemiology and pathogenesis. Nat. Rev. Endocrinol. 15, 288–298 (2019).

    PubMed  Google Scholar 

  68. World Health Organization. Global action plan on physical activity 2018–2030: more active people for a healthier world (WHO, 2018).

  69. United Nations. Summary by the president of the general assembly of the interactive hearing as part of the preparatory process for the third High-Level Meeting on the Prevention and Control of Non-Communicable Diseases. UN (2018).

  70. Robinson, T. N. Save the world, prevent obesity: piggybacking on existing social and ideological movements. Obesity 18, S17–S22 (2010).

    PubMed  Google Scholar 

  71. Barrie, J. M. Courage: the rectorial address delivered by James M. Barrie at St Andrew's University, May 3, 1922. St Andrew's University Rectorial Address (1922).

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We thank H. Rutter for his many insightful comments on earlier drafts. C.K.N acknowledges the support of a Marie Curie Move-in Louvain Fellowship from the European Union.

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C.K.N. and M.E.J.L. contributed equally to all aspects of the manuscript. T.N.R. contributed to discussion of the content, wrote the article and reviewed and edited the manuscript before submission. K.A.S. contributed to discussion of the content, wrote the article and reviewed and edited the manuscript before submission.

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Correspondence to Michael E. J. Lean.

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Nikolaou, C.K., Robinson, T.N., Sim, K.A. et al. Turning the tables on obesity: young people, IT and social movements. Nat Rev Endocrinol 16, 117–122 (2020).

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