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Challenges Ahead
Although the dietary practices of Americans have changed substantially in the past 20 years, none of these changes has yet been causally linked to the obesity epidemic. Thus the development of effective evidence-based strategies to prevent and treat obesity through dietary changes remains a high priority. In addition, although obesity has been negatively correlated with physical activity levels and breastfeeding history and positively correlated with time spent watching television, we have only limited information about the best way to translate these findings into effective public health strategies. Thus further research and continued monitoring of existing interventions are essential in these areas as well. Furthermore, as health departments attempt to coordinate the efforts of various categorical programs promoting physical activity and healthful diets, new, more effective strategies are likely to emerge.
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Web-Based Resources
Public Health Policy
www.healthypeople.gov:
Provides updated information on Healthy People 2010 objectives,
leading health indicators, and national and state programs.
www.cdc.gov/nccdphp/sgr/sgr.htm:
The Surgeon General's Report on Physical Activity and Health (1996).
www.surgeongeneral.gov/topics/obesity:
The Surgeon General's Call To Action To Prevent and Decrease Overweight
and Obesity. Provides updated information on strategies to reduce
the burden caused by obesity.
www.nns.nih.gov: National Nutrition
Summit. Provides highlights of accomplishments in the areas of food,
nutrition, and health since the landmark 1969 White House Conference
on Food, Nutrition, and Health and identifies continuing challenges
and emerging opportunities for the nation in these areas; focuses
on nutrition and lifestyle issues affecting people of all ages,
particularly those related to the nation's epidemic of overweight
and obesity.
www.cdc.gov/nccdphp/publicat.htm:
A source for various government publications relevant to physical
activity and health.
http://odphp.osophs.dhhs.gov:
Provides information on public health policies and reports and
on the Best Practices Initiative of HHS's Office of Disease Prevention
and Health Promotion.
Surveillance, Evaluation,
and Research
www.cdc.gov/nccdphp/brfss:
Provides Behavioral Risk Factor Surveillance System data, including
state and national summaries as well as copies of current and
past questionnaires.
www.cdc.gov/nccdphp/dash/yrbs/index.htm:
Provides Youth Risk Behavior Survey data as well as copies of
current and past questionnaires.
www.cdc.gov/nccdphp/dnpa/pnss.htm:
Provides information collected by the Pediatric Nutrition Surveillance
System, including data collected from health, nutrition, and food
assistance programs for infants and children.
www.cdc.gov/nccdphp/dnpa/physical/handbook/index.htm:
Physical Activity Evaluation Handbook. Provides tools for state
and local agencies and community-based organizations that are
evaluating physical activity programs.
For additional information on how to conduct evaluations of health
programs, see www.cdc.gov/eval.
Interventions and Program
Development
http://thecommunityguide.org/pa/:
Guide to Community Preventive Services. Provides recommendations
for effective, evidence-based strategies.
www.cdc.gov/nccdphp/dnpa/kidswalk/kidswalk_guide.htm:
Includes information on how communities can implement the Kids
Walk to School Program.
www.paceproject.org: Patient-centered
Assessment and Counseling for Exercise and Nutrition. Provides information
on physician counseling techniques for physical activity and nutrition
programs.
www.cdc.gov/nccdphp/dnpa/pahand.htm:
Provides access to For Promoting Physical Activity: A Guide for
Community Action.
www.cdc.gov/nccdphp/dnpa:
The Web site of CDC's Division of Nutrition and Physical Activity.
www.cdc.gov/nccdphp/dash/SHI/index.htm:
The Web site of CDC's School Health Index.
www.state.hi.us/doh/legrpts2002/tspact_259sec27.pdf:
The Web site of the Healthy Hawaii Initiative, which provides
examples of community health improvement strategies in the areas
of tobacco use prevention and control, physical activity, and
nutrition.
www.nhlbi.nih.gov/guidelines/obesity/ob_home.htm:
This Web site provides the Clinical Guidelines on the Identification,
Evaluation, and Treatment of Overweight and Obesity in Adults from
the National Heart, Lung, and Blood Institute.
www.ihs.gov/MedicalPrograms/Nutrition:
The Web site of the Indian Health Services' National Nutrition and
Dietetics Training program.
www.astphnd.org: Nutrition
and Physical Activity Work Group's Guidelines for Comprehensive
Programs to Promote Healthy Eating and Physical Activity.
http://thecommunityguide.org/pa:
A systematic review of the effectiveness of selected population-based
interventions designed to increase levels of physical activity from
the Task Force on Community Preventive Services.
www.cdc.gov/breastfeeding/00binaries/bluprntbk2.pdf:
HHS Blueprint for Action on Breastfeeding, 2000.
www.cdc.gov/nccdphp/dnpa/pep.htm:
Personal Energy Plan (PEP), a 12-week self-directed work site
program.
Communications and Social
Marketing
www.cdc.gov/cdcynergy/:
The Web site for CDCynergy, an interactive CD ROM that guides
the user through the communications planning process.
www.hsc.usf.edu/CFH/ntcsm/:
An online training course in social marketing from the University
of South Florida.
www.niddk.nih.gov/health/nutrit/win.htm:
The Web site of NIH's Weight Control Information Network.
Partnerships, Alliances,
and Coalitions
www.dhs.ca.gov/cpns/index.htm:
Describes nutrition-related partnering opportunities in California.
www.ncpreventionpartners.org:
Describes how North Carolina used various partnerships to pursue
public health goals.
www.cdc.gov/prc:
A CDC Web site that lists current Prevention Research Centers
and describes some of the projects they have engaged in.
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