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| A Systems Approach to Preventing Obesity in Early LifeCurrently 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.
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') About the Journal Childhood Obesity is a bimonthly journal, published in print and online, and the journal of record for all aspects of communication on the broad spectrum of issues and strategies related to weight management and obesity prevention in children and adolescents. The Journal includes peer-reviewed articles documenting cutting-edge research and clinical studies, opinion pieces and roundtable discussions, profiles of successful programs and interventions, and updates on task force recommendations, global initiatives, and policy platforms. It reports on news and developments in science and medicine, features programs and initiatives developed in the public and private sector, and includes a Literature Watch. Tables of content and a sample issue may be viewed on the Childhood Obesity website at http://www.liebertpub.com/ About the Publisher Mary Ann Liebert, Inc., publishers is a privately held, fully integrated media company known for establishing authoritative medical and biomedical peer-reviewed journals, including Metabolic Syndrome and Related Disorders, Population Health Management, Diabetes Technology & Therapeutics, and Journal of Women’s Health. Its biotechnology trade magazine, Genetic Engineering & Biotechnology News (GEN), was the first in its field and is today the industry’s most widely read publication worldwide. A complete list of the firm’s 70 journals, newsmagazines, and books is available on the Mary Ann Liebert, Inc. website at http://www.liebertpub.com. End
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