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The Diabetes Educator, Vol. 28, No. 3, 415-423 (2002)
DOI: 10.1177/014572170202800311

Prevention of Overweight and Obesity in Children: Influences on the Food Environment

Debra Haire-Joshu, PhD, RN

Saint Louis University School of Public Health, Department of Community Health, 3545 Lafayette Avenue, St. Louis, MO 63104-1314 joshud{at}slu.edu

M. S. Nanney, MS, MPH, RD

Saint Louis University School of Public Health, Department of Community Health, St. Louis, Missouri

PURPOSE

There is an epidemic of pediatric overweight and obesity leading to type 2 diabetes in youth. The purpose of this review is to describe the multiple paths of influence on the food environment of youth and to identify diabetes education strategies focused on early prevention of overweight and obesity.

METHODS

A review of relevant professional literature was conducted.

RESULTS

Models of obesity prevention in youth need to address genetic factors that influence the development of food preferences in the young child, parenting influences on eating pattern development, and access and availability of foods in the physical environment of the child.

CONCLUSIONS

Early intervention with parents of young children is required to prevent the development of eating patterns that lead to pediatric obesity and type 2 diabetes in youth. Diabetes educators need to be able to inform parents of the multiple paths of influence on the food environment of the child and suggest strategies to encourage the development of positive food preferences and intake.


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