TITLE

Analysis of the UK recommendations on obesity based on a proposed implementation framework

AUTHOR(S)
Poobalan, Amudha S.; Aucott, Lorna S.; Ahmed, Sheraz; Smith, W. Cairns S.
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: There is considerable expertise in the obesity field in identifying, appraising, and synthesising evidence to develop guidelines and recommendations for policy and practice. The recommendations, while based on evidence, are not formulated in a way that readily leads to implementation. This paper analyses the recent UK recommendations on obesity using a proposed implementation framework. Methods: Two bibliographic databases (Medline and Embase) and various health related and government websites were systematically searched for obesity recommendations published between 1996 and 2007. All the documents published on recommendations for either prevention or treatment of obesity in the UK were assessed. A proposed implementation framework was developed for the purpose of this review. All the UK recommendations were critically appraised and results summarised according to the criteria used within the framework. Cross-country applicability of the proposed framework was assessed using the Swedish policy recommendations on obesity. Results: Most recommendations on obesity while demonstrating their basis in evidence, fail to meet the implementation standards. They tend to be non-specific in identifying who is responsible for implementation and monitoring, and often no timescale is indicated. The costs of implementation are rarely estimated and those responsible for such funding are not specified. There are some notable exemptions to the general pattern emanating from more operational and locally based groups. The Swedish policy details 79 proposals with responsibility clearly identified and costs are presented for 20 of them. This policy satisfied most of the framework criteria but failed to give details on evaluation, monitoring and the timeframe for implementation. Conclusions: Public health has developed skills in appraising evidence and formulating recommendations based on appropriate evidence but these are often not implemented. Different skills are required to translate these recommendations into actions. Public health clearly needs to develop the implementation skills to a level comparable to the ability to synthesise evidence.
ACCESSION #
48497322

 

Related Articles

  • Why are we fat? Discussions on the socioeconomic dimensions and responses to obesity. Rayner, Geof; Gracia, Mabel; Young, Elizabeth; Mauleon, Jose R.; Luque, Emilio; Rivera-Ferre, Marta G. // Globalization & Health;2010, Vol. 6, p7 

    This paper draws together contributions to a scientific table discussion on obesity at the European Science Open Forum 2008 which took place in Barcelona, Spain. Socioeconomic dimensions of global obesity, including those factors promoting it, those surrounding the social perceptions of obesity...

  • THE OBESITY CULTURE: STRATEGIES FOR CHANGE Public health and university-community partnerships. Johnston, Francis E.; Harkavy, Ira // International Journal of Body Composition Research;2009, Vol. 7 Issue 1, preceding p1 

    The article presents information related to the obesity culture explained in the "International Journal of Body Composition Research." It is noted that the articles are upon practical experience based on projects in Philadelphia, conditions in Central American countries, and public health...

  • More Than Seat Belt Extenders. Field, Karen Auguston // Design News;6/7/2004, Vol. 60 Issue 8, p9 

    Focuses on obesity as the major public health in the U.S. Treatment of obesity; Association of treatment with public health; Challenges faced by obese people.

  • Do planners have a role in solving the obesity crisis? Smith, Rynd // Building Design;10/26/2007, Issue 1793, p11 

    The article presents a debate on whether planners play a role in solving the obesity crisis in Great Britain. Rynd Smith argued that planners, engineers and architects are relevant in tackling public health issues. He noticed that planners and other professionals are significant in solving the...

  • News Feature: One step at a time. Powell, Kendall // Nature Medicine;Apr2005, Vol. 11 Issue 4, p363 

    Focuses on community efforts to control the increase in obesity cases in the United States. Strolling and biking for residents of Stapleton in Colorado; Factors linked to obesity; U.S. government's increase in the recommended daily fruit and vegetable servings.

  • Examination Questions.  // PT: Magazine of Physical Therapy;Jun2004, Vol. 12 Issue 6, p99 

    Presents a list of questions on obesity and health. Limitation in using the body mass index; Prevalence of overweight and obesity in the U.S.; Factors influencing the development of obesity.

  • Obesity: The Public Health Challenge of Our Time. Bassett, Mary T.; Perl, Sarah // American Journal of Public Health;Sep2004, Vol. 94 Issue 9, p1477 

    The article discusses the prevalence of obesity cases in the U.S. as of 2004. Obesity has become the public health issue of the day--and for good reason. The data outline a dismal picture and a more foreboding future. The prevalence of obesity has doubled in adults and children and tripled in...

  • "Healthy Eating--Healthy Action": evaluating New Zealand's obesity prevention strategy. McLean, Rachael M.; Hoek, Janet A.; Buckley, Sue; Croxson, Bronwyn; Cumming, Jacqueline; Ehau, Terry H.; Tanuvasa, Ausaga Fa'asalele; Johnston, Margaret; Mann, Jim I.; Schofield, Grant // BMC Public Health;2009, Vol. 9, p452 

    Background: New Zealand rates of obesity and overweight have increased since the 1980s, particularly among indigenous Māori people, Pacific people and those living in areas of high deprivation. New Zealand's response to the obesity epidemic has been The Healthy Eating-Healthy Action: Oranga...

  • Trends of obesity and abdominal obesity in Tehranian adults: a cohort study. Hosseinpanah, Farhad; Barzin, Maryam; Eskandary, Parvin Sarbakhsh; Mirmiran, Parvin; Azizi, Fereidoun // BMC Public Health;2009, Vol. 9, p426 

    Background: Considering the increasing trend of obesity reported in current data, this study was conducted to examine trends of obesity and abdominal obesity among Tehranian adults during a median follow-up of 6.6 years. Methods: Height and weight of 4402 adults, aged 20 years and over,...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics