1. Education for Childhood Obesity Prevention: A Lifecourse Approach Pan American Health and Education Foundation (PAHEF) Dr. Rafael Pérez-Escamilla Dr. Gilberto Kac Pan American Health Organization Dr. James Hospedales Dr. Alfonso Contreras PACO II Workshop PEP Aruba, June 14 th 2012

2. Overcoming Childhood Obesity: The Lifecourse Framework Objectives PACO II Workshop PEP Aruba, June 14 th 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

3. Childhood Obesity Prevention: A Lifecourse Approach Dr. Rafael Pérez-Escamilla Professor of Epidemiology Yale School of Public Health Chairman, PAHEF Board of Directors PACO II Workshop PEP Aruba, June 14 th 2012

4. Prevalence of High Weight for Recumbent Length Among US Children From Birth to 2 Years of Age, 2007-2008 a,b Ogden, C. L. et al. JAMA 2010;303:242-249

6. 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)

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