Local Government Actions to Prevent Childhood Obesity

Local Government Actions to Prevent Childhood Obesity

Author: National Research Council

Publisher: National Academies Press

Published: 2010-01-10

Total Pages: 107

ISBN-13: 0309139279

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The prevalence of childhood obesity is so high in the United States that it may reduce the life expectancy of today's generation of children. While parents and other adult caregivers play a fundamental role in teaching children about healthy behaviors, even the most positive efforts can be undermined by local environments that are poorly suited to supporting healthy behaviors. For example, many communities lack ready sources of healthy food choices, such as supermarkets and grocery stores. Or they may not provide safe places for children to walk or play. In such communities, even the most motivated child or adolescent may find it difficult to act in healthy ways. Local governments-with jurisdiction over many aspects of land use, food marketing, community planning, transportation, health and nutrition programs, and other community issues-are ideally positioned to promote behaviors that will help children and adolescents reach and maintain healthy weights. Local Government Actions to Prevent Childhood Obesity presents a number of recommendations that touch on the vital role of government actions on all levels-federal, state, and local-in childhood obesity prevention. The book offers healthy eating and physical activity strategies for local governments to consider, making it an excellent resource for mayors, managers, commissioners, council members, county board members, and administrators.


All (Food) Politics is Local

All (Food) Politics is Local

Author: Emily Broad Leib

Publisher:

Published: 2013

Total Pages: 0

ISBN-13:

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Our national and international food system has implications for a wide range of issues that are important across the political spectrum and include improving health outcomes, reducing environmental impacts, increasing social justice, fostering economic development, and even improving homeland security. This article focuses on healthy-food access, one of the most urgent food policy issues because of its social and economic effects, as well as its public health impacts. In 2010, thirty-six percent of Americans were obese and another thirty-three percent were overweight, while eight percent of Americans were diabetic and thirty-five percent suffered from pre-diabetes. Though food access is not perfectly correlated with public health outcomes, those with limited access to healthy foods often suffer most acutely, as people living in areas with access to a supermarket exhibit a twenty-four percent lower prevalence of obesity than those living in areas without supermarkets. Increased food access has been linked to results as diverse as improved educational outcomes and crime reduction. Local governments have been particularly attentive to food policy concerns. Thirteen cities in North America now have a paid local food policy director or coordinator, and more than 130 cities and counties in the United States and Canada have local food policy councils, comprised of diverse stakeholders interested in improving the way food is produced and consumed. Municipalities have enacted a range of food policy reforms, such as increasing governmental procurement of local or healthy foods, improving access to food in schools,15 and incentivizing consumers to purchase healthy foods. Many recent local actions focus explicitly on increasing healthy-food access, including amending zoning codes to increase urban agriculture, creating new mobile vending outlets, and enhancing transportation routes to healthy-food retailers. In January 2012, the U.S. Conference of Mayors (USCM) convened its first ever Food Policy Taskforce, which immediately identified increasing access to healthy foods as one of its primary areas of concern. Local governments are also beginning to acknowledge that each locality faces its own food-system challenges with differing policy solutions, meaning that local responses to local issues can be more successful than federal or state approaches. This article aims to encourage those localities not yet active in food policy to join the field. The discussion focuses on methods of fostering access to healthy foods, such as fruits, vegetables, and other unprocessed, fresh products. Local governments are particularly well suited to increase food access because they have the unique ability to identify areas of need and then work with local constituents to craft targeted responses. Part II explains the concept of "food deserts," or areas that lack healthy-food access, and provides historical context about their development. As described in Part II.A, the federal government has attempted to respond to the problem, but its efforts have suffered as a result of its narrow food-desert definition and limited ability to work directly with affected communities. Instead, as explained in Part II.B, local government is better suited to address food access because food is such a cultural and community-based issue, and local input is vital to successfully expand food access. This section identifies steps that local governments should take to engage the community and identify appropriate solutions. Part III highlights policy responses taken by localities around the country and across the food system, illustrating that despite the similarities in the problem of limited food access, local governments have a variety of tools to address this issue and can and should tailor responses to their specific needs in order to achieve success.


Supplemental Nutrition Assistance Program

Supplemental Nutrition Assistance Program

Author: National Research Council

Publisher: National Academies Press

Published: 2013-04-23

Total Pages: 235

ISBN-13: 0309263476

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For many Americans who live at or below the poverty threshold, access to healthy foods at a reasonable price is a challenge that often places a strain on already limited resources and may compel them to make food choices that are contrary to current nutritional guidance. To help alleviate this problem, the U.S. Department of Agriculture (USDA) administers a number of nutrition assistance programs designed to improve access to healthy foods for low-income individuals and households. The largest of these programs is the Supplemental Nutrition Assistance Program (SNAP), formerly called the Food Stamp Program, which today serves more than 46 million Americans with a program cost in excess of $75 billion annually. The goals of SNAP include raising the level of nutrition among low-income households and maintaining adequate levels of nutrition by increasing the food purchasing power of low-income families. In response to questions about whether there are different ways to define the adequacy of SNAP allotments consistent with the program goals of improving food security and access to a healthy diet, USDA's Food and Nutrition Service (FNS) asked the Institute of Medicine (IOM) to conduct a study to examine the feasibility of defining the adequacy of SNAP allotments, specifically: the feasibility of establishing an objective, evidence-based, science-driven definition of the adequacy of SNAP allotments consistent with the program goals of improving food security and access to a healthy diet, as well as other relevant dimensions of adequacy; and data and analyses needed to support an evidence-based assessment of the adequacy of SNAP allotments. Supplemental Nutrition Assistance Program: Examining the Evidence to Define Benefit Adequacy reviews the current evidence, including the peer-reviewed published literature and peer-reviewed government reports. Although not given equal weight with peer-reviewed publications, some non-peer-reviewed publications from nongovernmental organizations and stakeholder groups also were considered because they provided additional insight into the behavioral aspects of participation in nutrition assistance programs. In addition to its evidence review, the committee held a data gathering workshop that tapped a range of expertise relevant to its task.


Access to Affordable and Nutritious Food: Measuring and Understanding Food Deserts and Their Consequences

Access to Affordable and Nutritious Food: Measuring and Understanding Food Deserts and Their Consequences

Author: Michele Ver Ploeg

Publisher: DIANE Publishing

Published: 2010-02

Total Pages: 160

ISBN-13: 1437921345

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The Food, Conservation, and Energy Act of 2008 directed the U.S. Dept. of Agr. to conduct a 1-year study to assess the extent of areas with limited access to affordable and nutritious food, identify characteristics and causes of such areas, consider how limited access affects local populations, and outline recommend. to address the problem. This report presents the findings of the study, which include results from two conferences of national and internat. authorities on food deserts and a set of research studies. It also includes reviews of existing literature, a national-level assessment of access to large grocery stores and supermarkets, analysis of the economic and public health effects of limited access, and a discussion of existing policy interventions. Illus.


The State of Food Security and Nutrition in the World 2020

The State of Food Security and Nutrition in the World 2020

Author: Food and Agriculture Organization of the United Nations

Publisher: Food & Agriculture Org.

Published: 2020-07-01

Total Pages: 320

ISBN-13: 925132901X

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Updates for many countries have made it possible to estimate hunger in the world with greater accuracy this year. In particular, newly accessible data enabled the revision of the entire series of undernourishment estimates for China back to 2000, resulting in a substantial downward shift of the series of the number of undernourished in the world. Nevertheless, the revision confirms the trend reported in past editions: the number of people affected by hunger globally has been slowly on the rise since 2014. The report also shows that the burden of malnutrition in all its forms continues to be a challenge. There has been some progress for child stunting, low birthweight and exclusive breastfeeding, but at a pace that is still too slow. Childhood overweight is not improving and adult obesity is on the rise in all regions. The report complements the usual assessment of food security and nutrition with projections of what the world may look like in 2030, if trends of the last decade continue. Projections show that the world is not on track to achieve Zero Hunger by 2030 and, despite some progress, most indicators are also not on track to meet global nutrition targets. The food security and nutritional status of the most vulnerable population groups is likely to deteriorate further due to the health and socio economic impacts of the COVID-19 pandemic. The report puts a spotlight on diet quality as a critical link between food security and nutrition. Meeting SDG 2 targets will only be possible if people have enough food to eat and if what they are eating is nutritious and affordable. The report also introduces new analysis of the cost and affordability of healthy diets around the world, by region and in different development contexts. It presents valuations of the health and climate-change costs associated with current food consumption patterns, as well as the potential cost savings if food consumption patterns were to shift towards healthy diets that include sustainability considerations. The report then concludes with a discussion of the policies and strategies to transform food systems to ensure affordable healthy diets, as part of the required efforts to end both hunger and all forms of malnutrition.


Improving Access to Healthy Foods

Improving Access to Healthy Foods

Author:

Publisher:

Published: 2007

Total Pages: 0

ISBN-13:

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Improving Access to Healthy Foods: A Guide for Policy-Makers, produced by Leadership for Healthy Communities, an RWJF national program, explores how state and local officials can facilitate healthy eating by adopting policies that help communities improve access to affordable, healthy foods for all residents. In particular, this guide highlights five strategies that have a significant impact on the availability of healthy foods, such as polices related to land use, transportation, comprehensive planning, and community and economic development. It also outlines steps that policy-makers are taking in schools and government institutions across the country to help increase access to nutritious food options. The benefits of a healthy diet are well documented. Eating a healthy diet helps control weight, reduces risk of obesity and heart disease, and is associated with a lower risk of mortality in all age groups. This guide focuses on healthy eating and highlights why a healthy diet remains out of reach for many Americans.


Food Policy in the United States

Food Policy in the United States

Author: Parke Wilde

Publisher: Routledge

Published: 2013

Total Pages: 250

ISBN-13: 1849714282

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This book offers a broad introduction to food policies in the United States. Real-world controversies and debates motivate the book's attention to economic principles, policy analysis, nutrition science and contemporary data sources. It assumes that the reader's concern is not just the economic interests of farmers, but also includes nutrition, sustainable agriculture, the environment and food security. The book's goal is to make US food policy more comprehensible to those inside and outside the agri-food sector whose interests and aspirations have been ignored. The chapters cover US agriculture, food production and the environment, international agricultural trade, food and beverage manufacturing, food retail and restaurants, food safety, dietary guidance, food labeling, advertising and federal food assistance programs for the poor. The author is an agricultural economist with many years of experience in the non-profit advocacy sector, the US Department of Agriculture and as a professor at Tufts University. The author's well-known blog on US food policy provides a forum for discussion and debate of the issues set out in the book.


Communities in Action

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.