Preventing childhood obesity: A systems approach

Currently more than 10% of preschoolers in the U.S. are obese and effective strategies that target pregnancy, infancy, and toddlers are urgently needed to stop the progression of the childhood obesity epidemic, as proposed in an article in Childhood Obesity, a peer-reviewed journal from Mary Ann Liebert, Inc., publishers. The article is available free online ahead of print on the Childhood Obesity website.* Evidence increasingly suggests that the risk for childhood obesity begins before and during pregnancy via maternal obesity and excessive gestational weight gain. It is likely that obese preschoolers will continue to be obese later in childhood and they may begin to exhibit adverse effects of obesity as early as 3 years of age. Based on their review of the evidence from basic science, prevention, and systems research, the authors propose a systems approach to preventing childhood obesity that begins in pregnancy, continues through early life, and combines behavior change interventions with the implementation of environmental changes in communities. Philip Nader, MD, University of California, San Diego (La Jolla, CA), and colleagues from University of Nebraska Medical Center (Omaha, NE), University of Pennsylvania Perelman School of Medicine (Philadelphia, PA), The Brookings Institution (Washington, DC), and Northwestern University (Chicago, IL), discuss their early life systems-oriented obesity prevention strategy in the article "Next Steps in Obesity Prevention: Altering Early Life Systems To Support Healthy Parents, Infants, and Toddlers**." "A great many forces conspire to produce epidemic obesity, in children and adults alike. Indeed, almost everything that makes modern living 'modern' is obesigenic. It will take an equal, or greater, opposing force to turn this tide and Dr. Nader and colleagues characterize this force artfully and convincingly. They show how we can - and should - apply a systems approach to obesity prevention and control that spans the lifespan and begins even before birth (so-called 'primordial prevention'). This is not just a very important article that we are delighted to publish - it is a clarion call, and blueprint, for effective action," says David L. Katz, MD, MPH, Editor-in-Chief of Childhood Obesity, and Director of Yale University's Prevention Research Center.