Education for Childhood Obesity Prevention: A Lifecourse Approach

Pan American Health and Education Foundation (PAHEF)Dr. Rafael Pérez-Escamilla

Dr. Gilberto KacPan American Health Organization

Dr. James HospedalesDr. Alfonso Contreras

PACO II Workshop PEPAruba, June 14th 2012

Overcoming Childhood Obesity: The Lifecourse FrameworkObjectives

PACO II Workshop PEPAruba, June 14th 2012

1. Present and discuss a life cycle conceptual framework

2. Analyze the current status of childhood obesity and obesity prevention strategies in the Americas considering the nutrition transition context and the identification of actionable targets

3. Disseminate the use of methodologies for the design, conduction, analysis and evaluation of nutritional and health education interventions

4. Identify feasible and successful ongoing strategies/interventions in the Americas having nutritional and health education as promoters of healthy environments for the population as whole

5. Propose an action plan emphasizing nutritional and health education for the prevention of childhood obesity in the Americas

Childhood Obesity Prevention: A Lifecourse Approach

Dr. Rafael Pérez-Escamilla Professor of Epidemiology

Yale School of Public HealthChairman, PAHEF Board of Directors

PACO II Workshop PEPAruba, June 14th 2012

Prevalence of High Weight for Recumbent Length Among US Children From Birth to 2 Years of Age, 2007-2008a,b

Ogden, C. L. et al. JAMA 2010;303:242-249

0%

2%

4%

6%

8%

10%

12%

14%

8.7%

10.3%

12.5%

WhiteBlackHispanic

Pre-pregnancy BMI

Gestational weight gain

Post-partum weight retention

Neonatal predisposition

Suboptimal Infant feeding

Infancy weight gain rate

Early childhood obesity risk

The childhood obesity epidemic: Lifecourse framework

A

B

Pérez-Escamilla & Bermudez (2012)

Social-ecological framework depicting the multiple influences on what people eat