Get Adobe Flash player
Obesity and Weight Management gap in obesity prevalence in France. The EPODE framework has created political willingness to engage more in obesity prevention. physical inactivity behaviors of families with children aged six to nine, living in seven European communities. Despite these advances, there are still significant gaps to bridge between awareness and realities at the grassroots level. Many lessons remain to be learned from the implementation of interventions based on the EPODE methodology in terms of scientific research, evaluation, and long- term funding. There remains a requirement for concrete ways to ensure sustainability of interventions in real-life settings. 39 Future interventions should develop more adapted actions and messages targeting less- advantaged populations. In relation to this specific concern, from 2012 to 2015, the European Commission together with a pan-European consortium will work together to evaluate the added value of the implementation of an adapted EPODE methodology within community-based programs for the reduction of socioeconomic inequalities in health-related diet and To ensure a wider implementation of EPODE-like programs, a deeper evaluation is required. As a consequence, the Epode European Network (EEN) and the EPODE International Network (EIN) have been created to support the worldwide implementation of community-based interventions. The major partners in the EEN program include four committees, each one headed by one of four major European Universities (Amsterdam, Gent, Lille, Saragoza), and four private partners. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 36 Lissau I, Overpeck MD, Ruan WJ, et al., Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States, Arch Pediatr Adolesc Med, 2004;158:27–33. Spurgeon D, Childhood obesity in Canada has tripled in past 20 years, BMJ, 2002;324:1416. Kalies H, Lenz J, von Kries R, Prevalence of overweight and obesity and trends in body mass index in German pre- school children, 1982-1997, Int J Obes Relat Metab Disord, 2002;26:1211–7. Wang Y, Lobstein T, Worldwide trends in childhood overweight and obesity, Int J Pediatr Obes, 2006;1:11–25. Lobstein T, Frelut ML, Prevalence of overweight among children in Europe, Obes Rev, 2003;4:195–200. Kelly T, Yang W, Chen CS, et al., Global burden of obesity in 2005 and projections to 2030, Int J Obes (Lond), 2008;32:1431–7. Ogden C, Carroll MD, Kit BK, et al., Prevalence of obesity in the United States, 2009–2010, NCHS Data Brief, 2012;1–8. Wang Y, Beydoun MA, Liang L, et al., Will all Americans become overweight or obese? estimating the progression and cost of the US obesity epidemic, Obesity (Silver Spring), 2008;16:2323–30. Finkelstein EA, Trogdon JG, Cohen JW, et al., Annual medical spending attributable to obesity: payer-and service-specific estimates, Health Aff (Millwood), 2009;28:w822–31. Kumanyika S (editor), Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making, Institute of Medicine, 2010. Reis JP, Loria CM, Sorlie PD, et al., Lifestyle factors and risk for new-onset diabetes: a population-based cohort study, Ann Intern Med, 2011;155:292–9. Robertson A, Lobstein T, Knai C, et al., Obesity and socioeconomic groups in Europe: Evidence review and implications for action (available at: health/ph_determinants/life_style/nutrition/documents/ ev20081028_rep_en.pdf) 2007. Romon M, Lommez A, Tafflet M, et al., Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes, Public Health Nutr, 2009;12:1735–42. Kahn SE, Hull RL, Utzschneider KM, Mechanisms linking obesity to insulin resistance and type 2 diabetes, Nature, 2006;444:840–46. Danaei G, Finucane MM, Lu Y, et al., National, regional, and global trends in fasting plasma glucose and diabetes 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. These international networks allow the sharing of experience and best practices for the continuous improvement of the programs. The EIN network reflects the worldwide movement to prevent obesity and provides a solution to the advance of weight-related diseases. n prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants, Lancet, 2011;378:31–40. Poirier P, Giles TD, Bray GA, et al., Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss: an update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism, Circulation, 2006;113:898–918. Daniels SR, Arnett DK, Eckel RH, et al., Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment, Circulation, 2005;111:1999–2012. Mossberg HO, 40-year follow-up of overweight children, Lancet, 1989;2:491–3. Must A, Jacques PF, Dallal GE, et al., Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935, N Engl J Med, 1992;327:1350-5. Borys J-M, Le Bodo Y, De Henauw, S, et al., Preventing childhood obesity. EPODE European Network Reccomendations. (Available at: http://www.epode- pdf) 2011. Borys JM, Le Bodo Y, Jebb SA, et al., EPODE approach for childhood obesity prevention: methods, progress and international development, Obes Rev, 2012;13:299–315. Romero-Corral A, Somers VK, Sierra-Johnson J, et al., Accuracy of body mass index in diagnosing obesity in the adult general population, Int J Obes (Lond), 2008;32:959–66. WHO, The Challenge of obesity in the WHO European Regions and the strategies for responses. (Available at: http://www. pdf) 2007. Huang TT, Yaroch AL, A public-private partnership model for obesity prevention, Prev Chronic Dis, 2009;6:A110. Kraak VI, Story M, A public health perspective on healthy lifestyles and public-private partnerships for global childhood obesity prevention, J Am Diet Assoc, 2010;110:192–200. Buse K, Walt G, Global public-private partnerships: Part I—A new development in health?, Bull World Health Organ, 2000;78:549–61. OECD, Shaping the 21st Century: The Contribution of Development Cooperation. (Available at: http://www.oecd. org/dac/2508761.pdf) 1996. Kickbusch I, Quick J, Partnerships for health in the 21st 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. century, World Health Stat Q, 1998;51:68–74. EIN, EIN Press Release: Epode International Network applauds Ontario’s Healthy Kids Panel Report, 2013. Borys J-M, Encouraging results in French EPODE Pilot towns, EEN Newsletter N°5 – September 2010. Preventing childhood obesity involving local stakeholders in a sustainable way: the VIASANO programme, ECOG Congress abstract, 2010. EEN, EEN press release: 22% fewer overweight children in nursery schools in Belgium thanks to the VIASANO programme. (Available at: http://www.epode-international- pdf) 2012. Kumanyika SK, Obarzanek E, Stettler N, et al., Population- based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science), Circulation, 2008;118:428–64. Katan MB, Weight-loss diets for the prevention and treatment of obesity, N Engl J Med, 2009;360:923–5. Dubois L, Girard M, Early determinants of overweight at 4.5 years in a population-based longitudinal study, Int J Obes (Lond), 2006;30:610–17. Kopczynsk IM, Pritchard K, The Use of Evaluation by Nonprofit Organizations, In: Wholey J (ed.) Handbook of Practical Programme Evaluation, San Francisco, CA: Jossey-Bass, 2004;649–69. WHO EWGoHPE, Health Promotion Evaluation: Recommendations to Policy-Makers: Report of the WHO European Working Group on Health Promotion Evaluation. Copenhagen, Denmark: World Health Organization, Regional Office for Europe. (Available at: data/assets/pdf_file/0004/159871/E60706.pdf) 1998. Al-Maskari F, Lifestyle Diseases: an economic burden on the health services, UN Chronicle. (Available at: http:// home/archive/issues2010/achieving_global_health/ economicburdenonhealthservices) 2010. WHO, Population-based prevention strategies for childhood obesity – Report and technical meeting. Report of the WHO forum and technical meeting. (Available at: http://www. pdf) 2009. US E ndocrinolo g y