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Accelerating Progress in Obesity Prevention

Harold W. (Bill) Kohl

Sponsored by

The Robert Wood Johnson Foundation

Investments that work
Investments that Work

  • Whole of school programs

  • Transport policies and systems that prioritize walking, cycling, and public transport.

  • Urban design regulations and infrastructure for equitable and safe access for recreationaly and transport-related walking and cycling across the life course.

  • Physical activity and NCD prevention integrated into primary health care systems

  • Public education, including mass media, to raise awareness and change social norms on physical activity.

  • Community-wide programs involving multiple settings and sectors and that mobilize and integrate community engagement and resources.

  • Sports systems and programs that promote sport for all and encourage participation across the life span.

Review of prior recommendations
Review of Prior Recommendations

  • ~ 800 obesity prevention-related recommendations!

  • Comprehensive review reflecting

  • Institute of Medicine and National Research Council

  • Childhood Obesity Action Network

  • Healthy Eating Activity Living Convergence Partnership

  • US Department of Health and Human Services

  • (CDC, Community Preventive Services Task Force)

  • Keystone Forum

  • National Governors Association

  • National Association of County and City Health Officials

  • National Physical Activity Plan

  • Robert Wood Johnson Foundation

  • Trust for America’s Health

  • USDA

  • White House

Guiding principles
Guiding Principles

  • Bold, widespread, and sustained action.

  • Actions must drive cultural and societal changes.

  • Cultural and societal changes are needed and a system approach must be taken.

  • Solutions must come from multiple sources, involve multiple levels and sectors.

  • Recommendations should be based on best available scientific evidence (IOM’s L.E.A.D. framework).

  • Cost, feasibility, and practicality of implementation must be considered.

  • Unintended consequences must be considered.

  • Incorporate ongoing evaluation of progress and need for any course corrections.

  • Must include assessment of potential for high impact; reach and scope of potential effects; timeliness of effects; ability to reduce disparities and promote equity; and have clearly measureable outcomes.


  • Integrate Physical Activity Every Day in Every Way

  • Make Healthy Foods Available Everywhere

  • Market What Matters for a Healthy Life

  • Activate Employers and Health Care Professionals

  • Strengthen Schools as the Heart of Health

Physical activity strategies
Physical Activity Strategies

  • Strategy 1-1: Enhance the physical and built environment.

  • Strategy 1-2: Provide and support community programs designed to increase physical activity.

  • Strategy 1-3: Adopt physical activity requirements for licensed child care providers.

  • Strategy 1-4: Provide support for the science and practice of physical activity.

Strategy 1 2 provide and support community programs designed to increase physical activity
Strategy 1-2: Provide and support community programs designed to increase physical activity

Mapping systems of change
Mapping of physical activitySystems of Change

  • Sector of Action

  • Business /Private

  • Public

  • Citizens/Civic Organizations

  • Health Care

  • Worksites/Employers

Five interacting areas
Five Interacting Areas of physical activity

Multi sector interactions
Multi-Sector Interactions of physical activity

Meeting the challenge of achieving equity
Meeting the Challenge of Achieving Equity of physical activity

  • Transform inequitable environments

    • Food and Beverage

    • Physical Activity

    • Message

  • Target Critical Settings

    • School

    • Worksites


  • Engagement of physical activity

  • Leadership and Responsibility

  • Assessment

Committee membership
Committee Membership of physical activity

Sandra Hassink, A.I. duPont

Hospital for Children

Anthony Iton, The California Endowment

Steven Kelder, University of


Harold (Bill) Kohl, University of


Shiriki Kumanyika, University of


Philip Marineau, LNK Partners

Vicky Rideout, VJR Consulting

Eduardo Sanchez, Blue Cross

and Blue Shield of Texas

Ellen Wartella, Northwestern


  • Daniel Glickman (chair), The

  • Aspen Institute and

  • Bipartisan Policy Center

  • M.R.C. Greenwood (vice chair),

  • University of Hawaii System

  • William Purcell (vice chair),

  • Jones Hawkins & Farmer

  • David Britt, retired Sesame

  • Workshop

  • Jamie Chriqui, University of

  • Illinois, Chicago

  • Patricia Crawford, University of

  • California

  • Christina Economos, Tufts

  • University


To read more about of physical activityAccelerating Progress in Obesity Prevention and to download the full report and report briefs (PDF) for free visit:

Hbo s the weight of the nation
HBO of physical activity’s The Weight of the Nation

  • HBO/IOM/CDC/NIH/Michael & Susan Dell Foundation/Kaiser Permanente

  • Documentaries (4) for adult audience

  • Short documentaries (12) on specific topics in obesity prevention

  • Documentaries (3) for children and families

  • Trade publication for general audiences (The Weight of the Nation)

  • Website (

  • Social media (Facebook, Twitter, Youtube, and GetGlue)

  • Screening kits with discussion guides

  • Marketing efforts, including reaching families with children

  • Written materials for school-age children and teachers (Scholastic, Inc.)