The Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity.pdf

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The Surgeon General’s
Call To Action
To Prevent and Decrease
Overweight and Obesity
2001
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
Office of the Surgeon General
Rockville, MD
National Library of Medicine Cataloging in Publication
The Surgeon General's call to action to prevent and decrease overweight and
obesity / Office of Disease Prevention and Health Promotion; Centers for
Disease Control and Prevention, National Institutes of Health. - - Rockville,
MD: U.S. Dept. of Health and Human Services, Public Health Service, Office of
the Surgeon General; Washington, D.C. : For sale by the Supt. of Docs., U.S.
G.P.O., 2001.
Includes bibliographical references.
Also available on the internet.
1. Obesity--prevention & control. 2. Weight Gain. I. United States.
Public Health Service. Office of the Surgeon General. II. United States.
Office of Disease Prevention and Health Promotion. III. Centers for Disease
Control and Prevention (U.S.) IV. National Institutes of Health (U.S.)
02NLM: WD 210 S9593 2001
D.C., 20402-0001
In Memory of
P
AUL
A
MBROSE
,
M
.
D
.,
M
.
P
.
H
.
(December 26, 1968–September 11, 2001)
Office of Disease Prevention and Health Promotion,
U.S. Department of Health and Human Services
As senior editor of this
Call To Action,
Dr. Ambrose’s
commitment to promoting public health and preventing
disease was a critical force in the development of
this document.
Office of Disease Prevention and Health Promotion
Centers for Disease Control and Prevention
National Institutes of Health
This publication is available on the World Wide Web at
http://www.surgeongeneral.gov/library
Suggested citation:
U.S. Department of Health and Human Services. The Surgeon General’s call
to action to prevent and decrease overweight and obesity. [Rockville, MD]: U.S.
Department of Health and Human Services, Public Health Service, Office of the
Surgeon General; [2001]. Available from: U.S. GPO, Washington.
For sale by the Superintendent of Documents, U.S. Government Printing Office,
Internet: http://bookstore.GPO.gov
Phone: Toll Free 1 (866) 512-1800; DC area (202) 512-1800
Fax: 1 (202) 512-2250
Mail: Stop SSOP, Washington, D.C., 20402-0001
A Call To Action To Prevent and
Decrease Overweight and Obesity
P
RINCIPLES
:
Overweight and obesity have reached nationwide epidemic proportions. Both
the prevention and treatment of overweight and obesity and their associated health
problems are important public health goals. To achieve these goals,
The Surgeon
General’s Call To Action To Prevent and Decrease Overweight and Obesity
is
committed to five overarching principles:
• Promote the recognition of overweight and obesity as major public health
problems.
• Assist Americans in balancing healthful eating with regular physical activ-
ity to achieve and maintain a healthy or healthier body weight.
• Identify effective and culturally appropriate interventions to prevent and
treat overweight and obesity.
• Encourage environmental changes that help prevent overweight and
obesity.
• Develop and enhance public-private partnerships to help implement this
vision.
IV
V
These two figures demonstrate the increasing
prevalence of obesity* among U.S. adults
*Approximately 30 pounds overweight
Source: Behavioral Risk Factor Surveillance System (BRFSS)
Note: BFRSS uses self-reported height and weight to calculate obesity;
self-reported data may underestimate obesity prevalence.
VI
VII
T
HE
S
URGEON
G
ENERAL
’
S
C
ALL
T
O
A
CTION
T
O
P
REVENT
AND
D
ECREASE
O
VERWEIGHT
AND
O
BESITY
Table of Contents
Message From the Secretary, U.S. Department of Health
and Human Services..................................................................................... XI
Foreword From the Surgeon General, U.S. Department of Health
and Human Services .................................................................................... XIII
Section 1: Overweight and Obesity as Public Health Problems in America ....... 1
Measuring Overweight and Obesity .............................................................. 4
Health Risks ................................................................................................. 8
Economic Consequences .............................................................................. 9
Epidemiology ............................................................................................. 10
Disparities in Prevalence ............................................................................. 11
Health Benefits of Weight Loss ................................................................... 14
Section 2: Posing Questions and Developing Strategies .................................. 15
Developing a Public Health Response ......................................................... 15
CARE to Address Overweight and Obesity ................................................. 16
Setting 1: Families and Communities ...................................................... 16
Setting 2: Schools .................................................................................... 19
Setting 3: Health Care ............................................................................. 21
Setting 4: Media and Communications .................................................... 23
Setting 5: Worksites ................................................................................. 24
Section 3: The Power of People and Ideas ...................................................... 27
Creating National Action ............................................................................ 29
Sustaining National Action ......................................................................... 30
Section 4: Vision for the Future ...................................................................... 33
Surgeon General’s Priorities for Action ....................................................... 33
Conclusion ................................................................................................. 35
References ..................................................................................................... 37
Acknowledgments ......................................................................................... 41
Steering Committee Roster ............................................................................ 43
Appendix A: Examples of Federal Programs and Initiatives .......................... 45
Appendix B: Federal Program Resource List ................................................ 53
VIII
IX

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