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Date:  Aug. 2, 2013




New IOM Report Lays Out Plan to Determine Effectiveness of National, State, and Community Obesity Prevention Efforts and Policies


WASHINGTON -- The United States lags behind other international plans to evaluate obesity prevention efforts, and the country needs to know whether these efforts are having their intended impact, says a new report from the Institute of Medicine.  The committee that wrote the report concluded that more systematic and routine evaluations could help determine how well obesity prevention programs and policies are being implemented and which interventions work best.  The committee also recommended specific national and community plans for evaluation of obesity prevention efforts.


Investment in obesity program and policy evaluation is too sporadic, presenting serious barriers to understanding the impact of interventions and the need for future investments, the committee said.  Moreover, current data monitoring systems inadequately track progress of some programs, and such monitoring is needed at both the national and community levels.  Although many monitoring systems exist, the national systems lack adequate leadership, coordination, infrastructure, guidance, accountability, and capacity.  Furthermore, local communities do not have the necessary guidance, capacity, data, and resources for assessing the status of obesity, identifying prevention needs, monitoring obesity prevention actions, evaluating their short-term outcomes, and tracking their long-term effects on obesity reduction. 


To guide future efforts to inform and improve obesity prevention at the national, state, and community levels, the committee designed separate but interdependent national and community obesity evaluation plans that prioritize activities and leverage existing resources.  The plans provide frameworks for obtaining end-user input, choosing indicators and measures for data collection and analysis, and improving the evaluation structure -- specifically the success of policy and environmental strategies recommended in the 2012 IOM report Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation.


Evaluation efforts lack an agreed-upon set of core indicators that could be used at the national and community levels for measuring and comparing progress in obesity prevention.  As a starting point for developing the core set, the committee identified 83 indicators about which data are currently collected that could be incorporated into the national and community evaluation plans and provide guidance to improve the infrastructure and capacities of longer-term evaluations. 


The evaluation plans outlined in the report will not be fully realized, however, without coordinated changes across multiple federal, state, and local government agencies and departments in collaboration with other nongovernmental partners responsible for obesity prevention-related activities, the committee said.  It recommended the creation of an obesity task force or other entity to oversee and lead the implementation of the national plan and provide support to the community plan.  In addition, relevant federal agencies, state and local health departments, and other pertinent organizations should enhance evaluation efforts through improved data collection, common guidance, access to and dissemination of data, work-force ability, capacity to address disparities and health equity, and integration of a systems approach in evaluation efforts.    


The study was sponsored by the Michael & Susan Dell Foundation.  Established in 1970 under the charter of the National Academy of Sciences, the Institute of Medicine provides independent, objective, evidence-based advice to policymakers, health professionals, the private sector, and the public.  The National Academy of Sciences, National Academy of Engineering, Institute of Medicine, and National Research Council make up the National Academies.  A committee roster follows.



Jennifer Walsh, Senior Media Relations Officer

Rachel Brody, Media Relations Assistant

Office of News and Public Information

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Additional Resources:

Project Page

Report brief

Indicators for Measuring Progress in Obesity Prevention

Interactive Indicator Widget

Full Report


Pre-publication copies of Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress are available from the National Academies Press on the Internet at or by calling 202-334-3313 or 1-800-624-6242. Reporters may obtain a copy from the Office of News and Public Information (contacts listed above).

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Food and Nutrition Board


Committee on Evaluating Progress of Obesity Prevention Efforts

Lawrence W. Green, Dr.P.H., M.P.H. (chair)


Department of Epidemiology and Biostatistics

School of Medicine

University of California

San Francisco


Christina Bethell, Ph.D.

Professor of Pediatrics

School of Medicine, and


Child and Adolescent Health Measurement Initiative

National Data Resource Center for Child and Adolescent Health

Oregon Health & Science University



Ronette R. Briefel, Dr.P.H.

Senior Fellow

Mathematica Policy Research Inc.

Washington, D.C.


Ross C. Brownson, Ph.D.

Professor of Epidemiology

Brown School of Social Work and School of Medicine

Washington University

St. Louis


Jamie F. Chriqui, Ph.D.

Senior Research Scientist

Health Policy Center

Institute for Health Research and Policy

University of Illinois



Stephen Fawcett, Ph.D.

Kansas Health Foundation Distinguished Professor

Department of Applied Behavioral Science, and


Work Group for Community Health and Development

University of Kansas



Brian R. Flay, Ph.D.


Department of Public Health, and


Promise Neighborhoods Research Consortium

Oregon State University



Deanna M. Hoelscher, Ph.D.

Professor and Director

Michael & Susan Dell Center for Healthy Living

School of Public Health

University of Texas



James W. Krieger, M.P.H., M.D.


Chronic Disease and Injury Prevention

Public Health – Seattle & King County



Laura C. Leviton, Ph.D.

Senior Adviser for Evaluation

Robert Wood Johnson Foundation

Princeton, N.J.


K.M. Venkat Narayan, M.D.

Hubert Professor of Global Health and Epidemiology, and

   Professor of Medicine

Division of Biological and Biomedical Sciences

Rollins School of Public Health

Emory University



Nico P. Pronk, Ph.D.

Vice President, and

Health Science Officer

Health Management

HealthPartners Inc.

Bloomington, Minn.


Lorrene Ritchie, Ph.D.

Director of Research

Atkins Center for Weight and Health

University of California



Elsie Taveras, M.P.H.


Division of General Pediatrics, and


Pediatric Population Health Management

Massachusetts General Hospital, and

Associate Professor

Department of Pediatrics and Population Medicine

Harvard Medical School





Leslie J. Sim

Study Director