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  • EEN Key activities, September 2010
    findings from literature research and interviews with EPODE professionals EPODE is a community based health promotion program with the intention to decrease or stabilize the prevalence of overweight and obesity in children within that community The rationale for a community based health promotion program is the notion that individuals cannot be considered separately from their social environment and context Therefore community based health promotion programs such as EPODE incorporate multiple interventions extending beyond the individual level in doing so they seem to have more success in changing behaviors than those who do not Other important elements of community based health promotion programs such as EPODE are empowerment social network approach capacity building multi sectoral collaboration and the use of an intervention mix In order to compare communities in their efforts to prevent overweight and obesity it is important that evaluations are consistent Since the communities that use the EPODE methodology differ in population and geographic size economic status culture social and political and environment the evaluation needs and resources to perform an evaluation differ as well Therefore the creation of a generic evaluation framework is challenging By nature of community based health promotion programs a classic evaluation design as a randomized controlled trial is not advised many inhibiting and promoting factors and actors play a role and causal relations are hard to determine It is therefore suggested to use a pre test post test design to measure change in the behavior of the individual and the community The use of a control town not necessarily randomized is advised when allowed by time and resources Important in the monitoring and evaluation of EPODE and the alike is the use of a mixed method approach in data collection both qualitative and quantitative to make use of trained people to collect data to stimulate stakeholders to participate in evaluation set up and data collection to focus not only on outcome but also on impact and process evaluation and to disseminate intermediate successes not only the final outcome And last but not least to dedicate 10 15 of program budget to program evaluation Leading in the construction of an evaluation framework are the program goal s program objectives resources implementation strategy and stakeholders The EPODE program theory fig B was based on these program constructs and followed the logic model approach on four levels national organization local organization community and child level The so determined key elements of the program need to be part of the evaluation Fig B EPODE program theory Measurement of Obesity in Children For outcome measurement BMI adjusted for age and gender IOTF cut off values is internationally recommended as a practical estimate of overweight in children It is easy to obtain it has a strong correlation with body fat percentage a weak association with height and the ability to identify individuals with acceptable accuracy However the BMI should be interpreted with caution since it is not a direct measure of body fat therefore it is recommended for studies to

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  • EPODE in Europe and worldwide - NEWS September 2010
    theme about fish and seafood The 6th THAO Congress will take place on the 21 and 22 October 2010 in Ibiza Eivissa Thao city connect with the Mediterranean way of life For more information www thaoweb com News from EPODE in France The EPODE towns will implement a new theme on portion size Small medium large at mealtime portions per person During the local project managers training led on June 18th four main key messages of the theme defined after a multi stakeholder insight research were communicated It is important to pay attention to internal signs of hunger and satiety it was noticed that it can help reducing food intakes When cooking serving adapt portion size according to age a need to differentiate young children s intakes from older ones was identified for example in school catering services One snack a day ok after considering the multiplication of snack offers in some towns this item appeared like a major subject to work on Play with illusions for example serving drinks in a tall and thin glass gives the illusion of drinking a bigger amount than in a short and wide glass The framework for intervention includes the development of dedicated tools for the population poster leaflet recipe sheets action sheets for the local project managers to reach various local stakeholders and a press release Leaflet of the EPODE theme on Portions Local project managers will implement the Portion theme in their respective towns from September 2010 For more information www epode fr News from VIASANO in Belgium The Sleep is the theme that will be highlighted in the 16 VIASANO towns from September 2010 to January 2011 Scientific studies have demonstrated that a lack of sleep in adults and also in children could impact food behaviours and weight gain Learn how to know our needs observe a natural sleeping rate can thus be part of the prevention of childhood overweight and obesity The quality of sleep is also important for adults who are informed via this campaign about sleep apnoea which is a cardiovascular risk factor Various tools will be provided to VIASANO towns posters see picture and leaflets games to raise awareness of children on the theme Epworth tests to assess somnolence risk etc Some towns have also already planed conferences for the population Poster of the VIASANO theme on Sleep For more information www viasano be AND OUTSIDE EUROPE News from the EPODE 5Pasos Coordination Team in Mexico In 2008 the Five Steps Program started in Mexico which is based in the EPODE methodology that promotes 5 actions 1 Activate 2 Drink water 3 Eat fruits and vegetables 4 Measure up and 5 Share The current strategy includes 29 federal states with 230 projects that include four environments family school work and parks This program benefits more than 73 000 woman and men from different ages kids teens adults and elder people Our next goal is to implement this program in the municipalities of different states following the

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  • Falling Walls: Berlin Conference on future breakthroughs in Science and Society - Watch the video!
    NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS SELECT ARCHIVES LAST NEWSLETTER Contact Last Name First Name Organization Function Email Adress Do you want to receive EEN Newsletter Yes No Your message destinataires Choose Option

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  • From national policies to local coordinated action: the added value of the EPODE methodology
    In a recent interview for BBC radio Dr Jebb reiterated that Europe is suffering from an epidemic of obesity An indication of just how much of an issue this is is that over the last thirty years the levels of obesity in the United Kingdom have roughly trebled and that even the average weight is already overweight In the United Kingdom a cross government strategy the Healthy Weight Healthy Lives was adopted in January 2007 it reflects the diverse determinants of obesity in society includes explicit links to different stakeholders recognising that many of the levers of change lie outside government Futhermore recent data from national surveys provides some grounds for optimism that the rate of increase in adults and especially in children has slowed Arresting and ultimately reversing the growing prevalence of obesity is a major health challenge and one that is being dealt with all around the world Dr Susan Jebb continues by saying that it is clear that a great number of factors that favour inactive lifestyles and over consumption are working against the best interests of individuals The conclusion therefore is that a wide range of external groups share the responsibility for the nation s health including the food industry leisure sector and the media The Healthy Weight Healthy Lives strategy alone though is not the solution to obesity but it does provide a framework for action and a point of reference against which progress can be assessed The emphasis must now shift to concrete action and implementation especially at a local level Emerging evidence from research studies around the world suggests that locally led community based interventions are an important element in tacking the problem of overweight and obesity The crucial question is what does it take to make the system work Dr Jebb remarks there are a number of key success factors we can identify that provoke action and make a real difference on the ground These are clear leadership including political and workforce leadership a willingness to work for a common cause enough resources an aligned workforce receptivity of the community and the co operation of private enterprises It has become clear that there are synergistic benefits to getting different stakeholders working together as the EPODE programme has demonstrated Dr Jebb added we need to energise local people to go beyond their silos and think work with their colleagues down the road and down the hall Tackling obesity will and does require unprecedented change in attitudes and behaviour Everyone must recognise the issue and buy into the common goal and everyone can contribute providing healthier school meals making sure that physical activity is an integral part of the school day by re enforcing sports time for example encouraging leisure centres to be health centres in the community families too have an important role to play they aspiring to better health and progress In my opinion we are nearing a tipping point In conclusion she says it is vital and urgent to reverse the

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  • EPODE and political leadership - An interview of Dr Gérard Bapt, Member of the French Parliament and Mayor of St Jean, EPODE pilot town
    on the situation of children which has become very worrying According to a survey in 1999 conducted over a three year by a network of doctors and nurses together with the Ministry of Employment and Solidarity and the Ministry of Education 14 of children six years and old were overweight with 4 of them obese These various data showed that obesity particularly childhood obesity was a major challenge for health authorities and at Saint Jean we decided to do something about it EEN Newsletter Can you tell us more about the EPODE project in Saint Jean Dr Bapt Saint Jean is one of the pilot towns in the EPODE project We have been active since 2004 alongside nine other cities in France in combating childhood obesity using the EPODE programme Together Let s Prevent Childhood Obesity The dieticians are closely involved in the implementation of EPODE in the town of St Jean and are among others associated in the creation of the new school meals offered in the schools In addition of the new school meals we have also taken the some initiative to encourage families to participate for example at a Family Sports day held 4 times year and by convening Culinary workshops in schools and day care centers On top of these efforts town s shops and business are getting involved organising ad hoc activities at the market place in order to increase awareness on the need to consume seasonal products etc We have also implemented organised conferences debates targeting medical doctors pharmacists to promote balanced diets and health prevention in general The EPODE programme is a multifaceted tool for municipalities to intervene on a major public health issue by reaching out and communicating with each stakeholder in the chain parents children teachers businessmen medical professionals and enabling the implementation of innovative initiatives that facilitate people engagement for the common good At Saint Jean the prevalence of obesity among children has decreased from 19 15 to 6 42 in five years This reduction of almost 67 illustrates the effectiveness of initiatives taken under the auspices of EPODE EEN Newsletter How important is your role in making EPODE a reality Dr Bapt Elected representatives in general and the mayor in particular are responsible for directing and championing such Programme as EPODE in order also to create synergy between exiting initiatives Note however that the involvement of stakeholders is not limited just to municipal services but extends through to the private sector and of course the general public themselves The politician represents the key link between the different actors involved and to monitor the ongoing implementation He is at the very heart of the programme his role being to lead encourage and maintain momentum for the initiative throughout EEN Newsletter Can you be more precise about the added value of the EPODE programme Dr Bapt One clear advantage of the EPODE programme lies in its ability to address the problem of childhood obesity in its entirety that is to say

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  • Research in progress from Ghent University: "The role of local governments in childhood obesity prevention"
    have a more balanced diet and to take more physical exercise In this respect we also have learned 1 that the local government should play four different major parts to show real leadership 2 that furthermore various other institutional factors determine to what degree childhood obesity prevention is translated into reality The local government can take the lead by assuming four major parts notably 1 by assuming the leadership of prevention programmes by being visible as puller and by showing sufficient readiness to take action 2 by assuming the steering role of a multi actor multi level and multi sector prevention network by advocating the preventive approach of the partners actions 3 the role of fund raiser 4 and the role of policy pursuer in terms of stimulator of the policy process We could deduce from the study of literature that the degree to which the local government can effectively assume the four different parts might determine the degree of success to which childhood obesity can be prevented en or counteracted Furthermore the screening of literature provides an insight into an extra number of institutional factors which might determine the success of prevention programmes for dealing with childhood obesity In this respect we can distinguish four major issues namely internal governmental factors the societal and managerial support the direct context and external factors at the background of the local governments Possible important internal governmental factors are the relation between political administrators and leading civil servants the internal capacities of the departments involved the expertise of the change managers the competences of the frontline workers The societal and managerial support might to a large degree be determined by the attitude and behaviour of the stakeholders in the public health network for promoting a healthy diet and physical activities the attitude can be characterised by values such as openness willingness to cooperate involvement trust etc their behaviour is an important element certainly in consultation mutual and external communication willingness to build a consensus about the priority in public health matters follow up of engagements division of tasks competence in conflict resolution etc the relation of the most powerful or strongest actors in the prevention network with the rest of the actors within the network In the immediate context of the local governments the most important institutional factors which can determine the promotion of a healthy diet and physical activities might be the input of the supra local authority e g via regional health consultation organisations of sports promotion etc a mix of policy instruments in which hard policy measures constitute the backbone for more soft measures the mobilisation of like minded movements e g on climate mobility healthy nutrition fitness alternative medicine sports etc overall corporate culture in local governments existing form of collaboration research resources evidence base Also external factors in the background of the local governments could possibly have an effect on the implementation of prevention programmes for handling childhood obesity the nature and quality of laws and regulations of

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  • News from EPODE in Europe and worldwide
    level and the NAOS Strategy National Level Additionally THAO will encourage the celebration of the Physical Activity World Day promoted by the World Health Organisation and to be held on 6th April in Spain The THAO theme of the semester dedicated to the promotion of physical activity will be consistent with this special day For more information please click here News from Epode in France The 4th Epode Congress entitled EPODE already 5 years Together we look forward to the future will take place in Vitré on 27 28 May 2010 The purpose of the congress is to present the results and the evolution of the programme since 2004 Gathering national partners as well as local stakeholders this event will be also an opportunity to highlight the most remarkable EPODE local projects and activities that were implemented over the last years Besides a round table with local elected representatives and health professionals is foreseen to address the key role of the local communities in the childhood obesity prevention The strategic transition from primary prevention to obesity care will be also discussed through a workshop dedicated to general practitioners Additionally this year the congress will welcome a European delegation of participants interested in the development of similar initiatives in other countries It will constitute a valuable opportunity for European experience sharing particularly as regards the implementation of the programme within communities For more information please click here EPODE outside Europe News from OPAL in Australia The OPAL programme Obesity Prevention and Active Lifestyle coordinated by the Department of Health of South Australia has been launched in 2009 and is currently implemented in 6 councils Marion Mount Gambier Onkaparinga Playford Port Augusta and Salisbury This number is expected to progressively grow up to 20 councils by 2012 The first theme Water The Original Cool Drink has been launched in February The aim of this theme is to inform and mobilize the involved communities in order to enhance tap water consumption An insight of the theme is provided on the OPAL website through a refresher course in water presenting the importance of water in the diet and providing suggestions to help parents to foster water consumption in children For more information please click here News from 5 pasos in Mexico 5 steps for your health is a behaviour changing programme headed for mexicans which enables to conquer our health through 5 actions with the participation of our family and our friends It s an evidence based intervention easy to understand and to implement These 5 actions can be developed within families at work at school and inside the community These 5 steps are 1 Move 2 Drink water 3 Eat vegetables and fruits 4 Take personal responsibility for health 5 Share and communicate with family and friends The National Agreement on Health Nutrition for the obesity and overweight prevention was developed on January 2010 and signed the 25th January 2010 at the residence of the President of the Republic It is a national

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  • A view on the Partnership with Ferrero
    DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS DATE ARCHIV NEWS SELECT ARCHIVES LAST NEWSLETTER Contact Last Name First Name Organization Function Email Adress Do you want to receive EEN Newsletter Yes No Your message destinataires Choose Option EEN Coordinating Team Press

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