0
Commentary |

Transforming Research Strategies for Understanding and Preventing Obesity

Terry T.-K. Huang, PhD, MPH; Thomas A. Glass, PhD
JAMA. 2008;300(15):1811-1813. doi:10.1001/jama.300.15.1811.
Text Size: A A A
Published online

Extract

Currently, one-third of children and two-thirds of adults in the United States are overweight or obese; this trend has persisted for the last decade and shows no sign of abatement.1,2 Obesity tracks from childhood into adulthood, with unfolding and serious medical and economic consequences throughout the life course. One recent estimate suggests that if the current trend continues, obesity will account for more than $860 billion, or more than 16%, of health care expenditures in the United States by 2030.3 The need to find effective population-level obesity prevention strategies is among the most profound challenges in public health. Altering fundamental behaviors that govern energy balance is impossible when behaviors related to eating and physical activity are treated in isolation from the broader social, physical, economic, and policy context. Although energy consumption and energy expenditure may be at the core of the energy balance equation, obesity is, in fact, a medical manifestation of the complex interplay of biology and social change. However, the majority of research on obesity prevention has ignored larger changes in the social, physical, economic, and policy environments that doubtless are involved. Instead, most prevention efforts to date have focused on individually targeted strategies such as health education and behavioral skills training that turn out to be largely ineffective and unsustainable. The time is now ripe, and more urgent than ever, to implement a new, multilevel approach to understanding the basis of the obesity epidemic and how to reverse it.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 53

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();