BAckground: Reversing decline in physical fitness and increase in excess body weight in school children are considered major public health challenges. We evaluated a proposed model to integrate a screening and healthy exercise, eating, and lifestyle program (HEELP) into primary schools in Canberra, Australia. Objectives were: (1) to establish body…

Background: Childhood obesity is a significant but largely "modifiable" health risk, disproportionately affecting socioeconomically disadvantaged, racial/ethnic minority, and rural children. Elementary school-aged children typically experience the greatest increases in excess weight gain and therefore are important targets for reducing…

Childhood obesity is a major public health problem associated with many adverse health outcomes in adulthood. During 2011-2012, nearly 17% of children and adolescents were obese. Weight status misperception occurs when the child's perception of their weight status differs from their actual weight status based on measured height and weight.…

Childhood obesity is one of the most serious challenges of the 21st century and it is vital that evidence-based treatment approaches can be translated into practice to meet public health needs. Yet policy-makers cannot afford to wait for the results of lengthy trials before "probably efficacious" interventions are made available to the public, and…

Obesity describes an abnormally high fat accumulation that impairs health. It is crudely measured by a body mass index (BMI) of greater than 30 kg/sq meters. Obesity now ranks among the highest of concerns by the World Health Organization (WHO) and not only in countries of affluence; the figures of obesity worldwide have doubled since 1980 and the…

Background: Children growing up in poor versus affluent neighborhoods are more likely to spend time in prison, develop health problems and die at an early age. The question of how neighborhood conditions influence our behavior and health has attracted the attention of public health officials and scholars for generations. Online tools are now…

The "problem" of overweight and obesity among children and youth has received a tremendous amount of attention by government agencies, public health officials and within popular presses. The issue has been dubbed everything from a national epidemic to a global health crisis. Social policy solutions to the problem of overweight and…

This case study addresses two major priorities of the Boston Foundation--health and education. Since the 2007 publication of the "Understanding Boston" report "The Boston Paradox: Lots of Health Care, Not Enough Health," the Boston Foundation has worked to draw attention to the epidemic of preventable chronic disease that not…

The fact that today's children are projected to be the first generation in centuries to live sicker and shorter lives than their parents, due to the obesity epidemic, makes it imperative to identify early warning signs in children who may need a more comprehensive health evaluation. The CDC has been tracking the progress of the nation with regard…

Overweight and obesity are major health concerns for young people. Schools are particularly promising environments for preventing and treating obesity. The Institutes of Medicine recommends 60 minutes per day of physical activity for children and youth, including at least 30 minutes at school. Yet the amount of moderate to vigorous physical…

The authors review the research literature on breastfeeding benefits and promotion. Although breastfeeding confers numerous benefits to infants, mothers and society, the authors conclude that breastfeeding promotion efforts sometimes overstate or misrepresent what the research actually supports about the benefits of breastfeeding. Psychological or…

Childhood obesity may be lessened by parent-focused interventions. A pilot parent-directed trial with 46 parents of overweight and obese elementary school students was conducted at two ethnically diverse public schools in Framingham, Massachusetts. Parents were randomly assigned to either the Materials Group, which received mailed educational…

One-third of the population of US children is considered obese and two-thirds of the adult population falls into the same category. These figures have tripled over the last 30 years. This demonstrates that the existing strategies to combat obesity do not work and it is time to look for alternatives. The recommendation is to turn the problem into a…

Studies in a variety of countries have shown increases in the prevalence of overweight among children in recent years. These increases have given rise to concern about children's health and well-being. The terminology used in these studies varies considerably. However, whatever the terminology used, such studies are generally based on weight…

For more than a decade, researchers, and increasingly the public, have focused on childhood overweight as a personal and public health problem. As the number of children who are overweight has continued to grow, consensus has emerged that schools, as the places where children spend much of their time, have a critical role to play in reversing this…