Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic...
-
Upload
ashley-swearingen -
Category
Documents
-
view
218 -
download
0
Transcript of Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic...
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
1/20
Cub` 4;54
@_@GPZI\@ WPNNETY
O`emto [rfhrenButritifb ebj [oysigem Egtivity Ibitietiv`
Mfts tf Mfs`3Ofw En`riges O`emto ebjFd`sity Grisis Zor`et`bsfur @gfbfnig Lutur`
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
2/20
O`emto [rfhrenButritifb ebj [oysigem Egtivity Ibitietiv`
D[G wfumj mia` tf toeba to` Tfd`rt Xffj Cfobsfb Lfubjetifb, to` X.A. A`mmfhh
Lfubjetifb, ebj to` Wtuert Lenimy Lfubjetifb lfr to`ir h`b`rfus suppfrt fl to`
Butritifb ebj [oysigem Egtivity Ibitietiv`.
J I W G M E I N @ T
Zois r`pfrt is to` prfjugt fl to` Dipertiseb [fmigy G`bt`rs Butritifb ebj [oysigem
Egtivity Ibitietiv` (B[EI). Zo` stbjibhs ebj r`gfnn`bjetifbs xpr`ss`j o`r`ib er`
sfm`my tofs` fl B[EI ebj jf bft b`g`sserimy r`pr`s`bt to` vi`ws fr fpibifbs fl to`
Dipertiseb [fmigy G`bt`r, its lfubj`rs fr its dferj fl jir`gtfrs.
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
3/20
Mfts tf Mfs`3 Ofw En`riges O`emto ebj Fd`sity Grisis Zor`et`bs fur @gfbfnig Lutur`
Butritifb ebj [oysigem Egtivity Ibitietiv`
Drug` Abihot
W`bifr Ejvisfr
Lfrn`r Pbj`rs`gr`tery lfr Nera`tibh
ebj T`humetfry [rfhrens, PWJE
Tfdib Wgo`pp`r
W`bifr Ejvisfr
Lfrn`r @x`gutiv` Jir`gtfr, M`ts Nfv`!
Nett M`vy, NJ, N[O
Ejvisfr
Jivisifb Goi`l, Gfnnubity [`jietrigs,
H`frh`tfwb Pbiv`rsity Ofspitem
O`emto [fmigy L`mmfw 4;5;-4;55, TXCL
Neriae Zetsutebi
M`ej Xrit`r ebj @jitfr
WZELL N@ND@TW
Mis`m Mfy
Jir`gtfr, Butritifb ebj [oysigem
Egtivity Ibitietiv`
M`eo Tempo
[fmigy Ebemyst
En`mie Woist`r
Ejnibistretiv` Essistebt
GF-GOEITW
Jeb Hmiganeb
W`bifr L`mmfw, Dipertiseb [fmigy G`bt`r1
Lfrn`r W`gr`tery fl Ehrigumtur`1
Lfrn`r T`pr`s`btetiv` lrfn Aebses
Nia` M`evitt
Goeirneb, M`evitt [ertb`rs1
Lfrn`r Hfv`rbfr fl Pteo1
Lfrn`r W`gr`tery fl O`emto ebj
Ouneb W`rvig`s
Jfbbe @. Woememe
[r`sij`bt fl to` Pbiv`rsity fl Nieni1
Lfrn`r W`gr`tery fl O`emto ebj
Ouneb W`rvig`s
Ebb N. \`b`neb
Lfrn`r @x`gutiv` Jir`gtfr fl PBIG@L1
Lfrn`r W`gr`tery fl Ehrigumtur`
Zo` lumm r`pfrt is eveimedm` et www.dipertisebpfmigy.frh/midrery/mftstfmfs`
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
4/20
O`emto [rfhrenButritifb ebj [oysigem Egtivity Ibitietiv`
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
5/20
Mfts tf Mfs`3 Ofw En`riges O`emto ebj Fd`sity Grisis Zor`et`bs fur @gfbfnig Lutur`
Fur betifb is ib to` nijst fl e pudmig o`emto grisis sf prflfubj
toet is it ubj`rnibibh fur betifbem w`mm-d`ibh, fur gfbfnig
gfnp`titiv`b`ss ebj `v`b fur mfbh-t rn betifbem s`gurity. Lummy
twf-toirjs fl En`rigebs er` fv`rw ihot fr fd`s`. Fb`-toirj fl
En`rigeb goimjr`b er` fv`rw ihot fr fd`s`. Ebj enfbh goimjr`b
ubj`r to` eh` fl six, b`ermy fb` ib stv` is fv`rw ihot fr fd`s`.I
Fd`s` p`fpm er` ler nfr` mia my tf j`v mfp gorfbig jis`es`smia` jied`t s, oyp`rt bsifb, estone, o`ert jis`es` ebj gebg`r.
Fd`s` goimjr`b er` nfr` mia my tf oev` fb` fr nfr` risa legtfrs
lfr gerjifvesgumer jis`es`, tf d` pr`jied`tig (i. ., et oiho risa lfr
j`v mfpibh jied`t s), ebj tf sull r lrfn dfb` ebj cfibt prfdm ns,
sm `p epb`e, ebj sfgiem ebj psygofmfhigem prfdm ns sugo es
stihnetizetifb ebj pffr s ml-`st `n. Zo`y er` emsf v`ry mia my tf
d`gfn` fd`s` ejumts.
Ib sofrt, fd`sity is to` nfst urh`bt pudmig o`emto prfdm`n ib
En`rige tfjey. It is e prinery r`esfb woy mil `xp`gtebgy ib
merh` perts fl to` Pbit j Wtet s is emr`ejy s`v`rem y`ers mfw`r
toeb ib fto`r ejvebg`j gfubtri s erfubj to` wfrmj. Lfr nimmifbs
fl En`rigebs, it n`ebs neby nfr` y`ers `v`b j`gej`s
fl soerpmy r`jug`j quemity fl mil . Nfr` drfejmy, to` gfsts fl
fd`sity ebj gorfbig jis`es` oev` d`gfn` e necfr jreh fb fur
`gfbfny. @sgemetibh o`emto ger` gfsts er` to neib jriv`r fl fur
spiremibh betifbem j`dt, ebj fd`sity-r met j immb`ss gfnpris`s eb
ibgr`esibhmy merh` soer` fl fur nessiv` o`emto gfsts. Zo` fd`sity
grisis is to`r`lfr` bft cust e o`emto grisis, dut e necfr gfbtridutfr
tf fur stsgem grisis. Et ofn`, ibjivijuems ebj lenimi`s struhhm` wito
to` gfbs`qu`bg`s ebj gfsts fl fd`sity ebj jis`es` fb e jeimy
desis. Dut lfr fur betifb es e wofm , to` inpegts fl En`riges
fd`sity `pij`nig c fperjiz` fur hmfdem gfnp`titiv`b`ss ebj
betifbem s`gurity, jir`gtmy ubj`rnibibh fur edimity tf gut to`
l j`rem j`dt, pr`per` ebj susteib e oihomy prfjugtiv` wfralfrg`,
neibteib fur nimitery str`bhto, ebj gfnp`t` ll`gtiv`my ib to`
hmfdem `gfbfny.
Zurbibh to` tij` fl tois `pij`nig is goemm bhibh lfr s`v`rem
r`esfbs. Lirst, goebhibh d`oevifr is b`v`r `esy, pertigumermy wo`b
toet d`oevifr is rfft j ib nugo j``p`r goebh`s ib to` wey neby
En`rigebs miv`, wfra, pmey ebj `et. W`gfbj, pudmig r`sfurg`s
tf inpm n`bt b`w pfmigi s ebj prfhrens er` gfbstreib`j es
b`v`r d`lfr`. Hiv`b to`s` twib goemm bh`s, to` inpfrtebg` fl
r`spfbsidimity ebj m ej`rsoip ib gfndetibh fd`sity ebj gorfbig
jis`es` gebbft d` fv`r`npoesiz`j. Dfto er` gm ermy b``j`j
et to` m`v`m fl ibjivijuems ebj per`bts, wof umtinet`my nea` to`
j`gisifbs ebj s`t to` `xenpm s toet ibfflu`bg` bft fbmy to ir
fwb o`emto dut toet fl lutur` h`b`retifbs. Dut r`spfbsidimity ebjm ej`rsoip er` emsf b``j`j et to` m v m fl gfnnubiti s ebj a`y
ibstitutifbs, ibgmujibh hfv`rbn bt. Zo`s` ibstitutifbs soep` to`
`bvirfbn bt ib woigo ibjivijuem ebj lenimy j`gisifbs h`t nej`
ebj to`y geb o mp dribh edfut to` drfej`r goebh`s b``j`j
tf `bsur` toet emm En`rigebsibgmujibh `sp`giemmy vumb`redm
gitiz`bsoev` egg`ss tf iblfrnetifb ebj fptifbs toet suppfrt
ebj `bgfureh` o`emtoy gofig`s.
Zo` Dipertiseb [fmigy G`bt r (D[G) meubgo`j its Butritifb ebj
[oysigem Egtivity Ibitietiv` des`j ib merh` pert fb fur gfbg`rb
edfut to` betifbem j`dt ebj to` gm er rfm toet `sgemetibh o`emto
ger` gfsts pmey ib fur betifbs mffnibh stsgem `n`rh`bgy. Fd`sity
ebj gorfbig jis`es` er` e gritigemmy inpfrtebt pi g` fl tois puzzm .
Ib s`ergoibh lfr sfmutifbs, w` oev` lfgus`j fb tofs` er`es toet
w` d mi v` ofmj to` nfst prfnis` tf dribh edfut goebh` fb
to` sgem ebj witoib to` tin`lren` b``j`j tf r`spfbj tf to`
`bfrnfus stsgem, sfgiem, `gfbfnig, ebj pudmig o`emto tor`et to`y
pr`s`bt. X` r`gfhbiz` toet `ll gtiv` r`spfbs`s tf to` gurr`bt
`pij`nig wimm r`quir` egtifb ebj goebh` fb to` pert fl ibjivijuems
ebj lenimi s, es w mm es egtifb ebj goebh` fb to` pert fl e wij`
veri ty fl ibt r`sts ebj frhebizetifbs3 merh` gfnpebi s, ejvfgegy
hrfups, gfnnubity m ej`rs, o`emto prfl ssifbems, dusib`ss
hrfups, ebj lfubjetifbs, bft tf n`btifb mfgem, stet ebj l j`rem
hfv`rbn`bt. Wugg`ss is fbmy pfssidm il emm to`s` `btiti s wfra
tfh`to`r ebj dribh gr`etivity, ibbfvetifb ebj lfgus`j gfnnitn`bt
tf to` `llfrt.
Zo` hffj b`ws is toet w` er` emr`ejy s` ibh eb `bfrnfus
gfbv`rh bg` fl ett`btifb ebj ibitietiv` ib tois er`e. Neby
inpfrtebt ij`es er` d`ibh tri`j sfn` fl to`n fut fl gfbfnig
fr fto`r b`g`ssity ebj flt b wito minit j r`sfurg`s lrfn
o`emtoi`r n`bus ib Erny n`ss oemms tf inprfv`j sgoffm mubgo
@x`gutiv` Wunnery
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
6/20
@x`gutiv` Wunnery@x`gutiv` Wunnery
Wfurg`3 J`riv`j lrfn iblfrnetifb lrfn to` Dfstfb Lfubjetifb (Cub` 4;;8).
EGG@WW ZF GET@ 5;%
H@B@ZIGW 4;%
W@T\IG@WN@JIGEM
FZO@T ?%
O@EMZOY D@OE\IFTW
O@EMZOY D@OE\IFTW :%
@B\ITFBN@BZ 4;%
Xoet Nea`s
Ps O`emtoy
Xoet X` Wp`bj
Fb D`ibh O`emtoy+
??%
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
7/20
Mfts tf Mfs`3 Ofw En`riges O`emto ebj Fd`sity Grisis Zor`et`bs fur @gfbfnig Lutur`
prfhrens ebj gfnnubity-des`j pr`v`btiv` ger` s`rvig`s. Zois
r`pfrt nea`s sp`gistg r`gfnn`bjetifbs ein`j et duimjibh fb to`
nfst prfnisibh llfrts, wito to` d`b`stt fl ibsihots heib`j lrfn e
y`er fl ibt bsiv` r`s`ergo ebj futr`ego tf hrfups ebj ibjivijuems
wof er` emr`ejy wfraibh ib emm aibjs fl s`ttibhs ebj ib neby
jill r`bt weys tf prfnft o`emtoy butritifb ebj poysigem egtivity.
Zois @x`gutiv` Wunnery, mia` to` neib r`pfrt, is frhebiz`jtf r`ffl`gt lfur drfej get hfri s fr terh`ts lfr egtifb3 lenimi s,
sgoffms, wfrapmeg`s, ebj gfnnubiti s. E stlto get hfry fl grfss-
guttibh r`gfnn`bjetifbs ejjr`ss`s pudmig ewer`b`ss, lffj ebj
lern pfmigy, ebj iblfrnetifb soeribh.
O`emtoy Lenimi`s
Lfr nfst p`fpm`, o`emtoy pett`rbs fl ji`t ebj poysigem egtivity
d`hib et ofn`. [er`bts ebj ger`hiv`rs, ib pertigumer, oev` e
strfbh ibfflu`bg` fb woet goimjr`b `et ebj ofw egtiv` to`y er`. Ib
legt, r`g`bt stuji s ibjiget toet to` h`b`rem o`emto ebj fd`sityfl per`bts is e pfw`rlum ibjigetfr lfr to` o`emto futgfn`s fl
goimjr`b. Nfr`fv`r, to`s` ibfflu`bg`s stert v`ry `ermy3 e hrfwibh
dfjy fl r`s`ergo ibjiget s toet butritifb juribh to` strst tofusebj
jeys stertibh juribh pr`hbebgy ebj gfbtibuibh tf eh` twf
pmeys e sihbistgebt rfm ib j`t rnibibh eb ibjivijuems o`emto,
bft fbmy met`r ib goimjoffj dut fv`r ois fr o`r btir` mil`tin`.
D[Gs r`gfnn`bjetifbs lfr o`emtoy lenimi s lfgus fb ibgr`esibh
ewer`b`ss fl l j`rem ji t ebj poysigem egtivity huij mib`s, emihbibh
l j`rem butritifb essistebg` prfhrens wito ji tery huij mib`s, ebj
prfnftibh dr`estl `jibh lfr to` strst six nfbtos fl eb iblebts mil .
O`emtoy Lenimi`s T`gfnn`bjetifb #53 OOW ebj
PWJE sofumj `xt`bj l`j`rem huij`mib`s lfr ji`t
ebj poysigem egtivity tf emm goimjr`b ubj`r six ebj
`boebg` pudmig ewer`b`ss ebj ubj`rstebjibh fl
to`s` huij`mib`s.
@xistibh ji`tery huij`mib`s, woigo er` j`v`mfp`j dy to` P.W.
J`pertn`bts fl O`emto ebj Ouneb W`rvig`s (OOW) ebj
Ehrigumtur` (PWJE), eppmy tf goimjr`b ebj ejumts eh`s twf ebj
up1 gurr`bt poysigem egtivity huij`mib`s stert et eh` six. Hiv`b to`
inpfrtebg` fl stedmisoibh o`emtoy pett`rbs lfr ji`t ebj egtivity
ib v`ry yfubh goimjr`b w` r`gfnn`bj toet OOW ebj PWJE tea`
to` lfmmfwibh sp`gistg egtifbs3
J`v`mfp, inpm`n`bt ebj prfnft` betifbem ji`tery huij`mib`s
lfr to` strst tofusebj jeys, gfv`ribh pr`hbebt wfn`b ebj
goimjr`b up tf twf y`ers fmj1
Winimermy, j`v mfp betifbem poysigem egtivity huij mib`s lfr
goimjr`b ubj`r six y`ers fmj1 ebj
Wuppfrt to`s` huij mib`s dy j`v mfpibh eb `ll gtiv` betifbem
stret hy lfr jiss`nibetibh tois iblfrnetifb ebj `jugetibh
per`bts edfut to` d`b`stts fl strst lffjs ebj poysigem egtivity,
pertigumermy lfr pfpumetifbs toet er` nfst et risa lfr pffr
butritifb ebj o`emto.
O`emtoy Lenimi`s T`gfnn`bjetifb #43 PWJE sofumj
`bsur` toet emm its butritifb essistebg` prfhrensr``gt ebj suppfrt l`j`rem ji`tery huij`mib`s.
Zo` PWJEs Lffj ebj Butritifb W`rvig` (LBW) fp`ret s 50
l j`rem butritifb essistebg` prfhrens toet tfh`to`r s`rv` nimmifbs
fl to` betifbs nfst vumb`redm` gitiz`bs, ibgmujibh neby fl to`
pfpumetifbs nfst et risa lfr pffr butritifb, fd`sity ebj r met j
gorfbig jis`es`s. D`geus` to`s` prfhrens tfugo b`ermy fb` ib
lfur En`rigebs ebbuemmy, to`y prfvij` e gritigem fppfrtubity lfr
`jugetibh p`fpm` edfut to` gfbb`gtifbs d`tw``b ji`t, poysigem
egtivity ebj o`emto. Zo` necfr l j`rem lffj prfhrens ibgmuj`
to` Betifbem Wgoffm Mubgo ebj Wgoffm Dr`ealest [rfhrens, to`
Wp`giem Wuppm`n`btem Butritifb [rfhren lfr Xfn`b, Iblebts ebj
Goimjr`b (XIG) prfhren, to` Wuppm n`btem Butritifb Essistebg`
[rfhren (WBE[), ebj to` Goimj ebj Ejumt Ger` Lffj [rfhren
(GEGL[). Zf prfnft d`tt r goimjoffj butritifb ebj o`emto
torfuho to`s` prfhrens, w` r`gfnn`bj toet OOW ebj PWJE
tea` s`v`rem st ps tf3 (e) emihb n`ssehibh ebj `jugetifb edfut
butritifb torfuho to`s` prfhrens, pertigumermy es to`y ell`gt
pr`hbebt wfn`b, b`w nfto`rs, iblebts ebj yfubh goimjr`b1
(d) prfvij` t gobigem treibibh tf stet s ebj mfgem PWJE stell tf
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
8/20
@x`gutiv` Wunnery
toet e betifbem prfhren d` `stedmiso`j tf pudmigmy r`gfhbiz`
dusib`ss`s toet j`nfbstret d`st pregtig`s ib prfvijibh megtetifb
eggfnnfjetifbs.
O`emtoy Wgoffms
D`geus` nfst goimjr`b sp`bj sihbistgebt enfubts fl tin` ib
sgoffm fr ib goimjger` legimiti s futsij` to` ofn`, to`s` s`ttibhs
ellfrj eb inpfrtebt fppfrtubity tf ibfflu`bg` to` o`emto ebj
mil stym gofig`s fl to` b`xt h`b`retifb. Wtuji s emsf stbj e
jir`gt miba d`tw``b butritifb ebj poysigem egtivity ebj inprfv`j
p`rlfrnebg` ib sgoffm. Lfr to`s` r`esfbs, fppfrtubiti s tf
prfnft` d`tt`r o`emto torfuho butritifb ebj poysigem egtivity ib
sgoffm oev` r`g iv`j gfbsij`redm ett btifb lrfn pfmigynea`rs,
o`emto `xp`rts, ebj fto`r stea`ofmj`rs. Zo` O`emtoy Oubh`r-Lr``
Aijs Egt pess`j dy Gfbhr`ss ib 4;5; r`quir`j PWJE tf upjet
butritifb stebjerjs lfr lffjs ebj d`v`reh`s s`rv`j ib sgoffms,
ibgmujibh lffjs ebj d`v`reh`s sfmj torfuho v`bjibh negoib`sebj sgoffm stfr`s. Zois wes to` strst upjet ib 50 y`ers. Zo`
m hismetifb emsf gemms fb sgoffms tf str`bhto`b to ir w mmb`ss
pfmigi`s tf mffa et to` fv`remm o`emto fl stuj`bts.
Oistfrigemmy, m ss ett btifb oes d``b hiv`b tf butritifb ebj o`emto
ib goimjger` s`ttibhs lfr pr`sgoffm-eh`j (es fppfs`j tf sgoffm-
eh`j) goimjr`b, dut o`r` tff e hrfwibh bund`r fl ibitietiv`s ebj
prfhrens oev` d``b meubgo`j ib r`g`bt y`ers. Lfr `xenpm ,
PWJE is nfvibh tf upjet Goimj ebj Ejumt Ger` Lffj [rfhren
(GEGL[) n`em huij mib`s, woigo eppmy tf lffj s`rv`j ib goimjger`
s`ttibhs (enfbh fto`r v`bu`s). Lfr sgoffms ebj pr`sgoffms, to`
prinery goemm bh` et pr`s`bt is tf sgem up sugg`sslum prfhrens
ebj lummy inpm n`bt pfmigy goebh`s toet oev` emr`ejy d``b
ibtrfjug`j, ibgmujibh to` O`emtoy Oubh`r-Lr`` Aijs Egt.
O`emtoy Wgoffms T`gfnn`bjetifb #53 Goimjger`
prfvij`rs sofumj inprfv` butritifb ebj poysigem
egtivity fppfrtubiti`s lfr pr`sgoffm-eh`j goimjr`b.
Betifbwij`, 54 nimmifb P.W. goimjr`b ubj`r to` eh` fl six er` ib
goimjger` ebj, fl to`s`, 5.9 nimmifb er` ger`j lfr ib e lenimy jey
inprfv` prfhren inpm n`btetifb ebj `ll gtiv`b`ss1 (g) gfbjugt
r`s`ergo tf heib e d`tt r ubj`rstebjibh fl prfhren pertigipetifb,
utimizetifb ebj inpegts1 ebj (j) ibgr`es` ewer`b`ss fl prfhren
d`b`stts.
O`emtoy Lenimi`s T`gfnn`bjetifb #73 Emm a`y
ibstitutifbs ibgmujibh ofspitems, wfrapmeg`s,gfnnubiti`s, hfv`rbn`bt ebj ibsurebg` prfvij`rs
sofumj suppfrt ebj prfnft` dr`estl``jibh wito to`
hfem fl sudstebtiemmy ibgr`esibh P.W. dr`estl``jibh
ret`s lfr to` rst six nfbtos fl eb iblebts mil`.
Dr`estl `jibh is `bfrnfusmy d`b`stgiem lfr dfto nfto`r ebj goimj.
Ebj lfr to` goimj, to`s` d`b`stts er` mfbh mestibh3 r`s`ergo stbjs
toet dr`estl j iblebts oev` inprfv`j o`emto futgfn`s met r ib
mil , ibgmujibh mfw`r ret s fl fd`sity ebj gorfbig jis`es`.IIE 4;5;
stujy pudmiso`j dy to` En`rigeb Egej`ny fl [`jietrigs lfubj
toet il 9; p`rg`bt fl b`w nfto`rs ib to` Pbit`j Wtet`s dr`estl`j
`xgmusiv my lfr six nfbtos, tois goebh` emfb` gfumj j miv`r o`emto
ger` gfst sevibhs fb to` frj`r fl $57 dimmifb ebbuemmy.III
Zfjey, rfuhomy tor``-quert rs fl b`w nfto`rs ib to` Pbit j
Wtet`s stert fut dr`estl `jibh, dut toet ret jrfps fll soerpmy fbg`
nfto`rs ebj iblebts m`ev` to` ofspitem3 dy tor`` nfbtos, fbmy 70
p`rg`bt fl iblebts er` `xgmusiv my dr`estl j ebj et six nfbtos,
to` sthur` is m ss toeb 50 p`rg`bt.I\Ebj woim` bft emm nfto`rs
dr`estl``j, lfr tofs` wof jf, ibstitutifbem, lenimy ebj gfnnubity
suppfrt geb nea` to` jill r`bg` d`tw``b susteibibh tois pregtig`
v`rsus bft. Zf suppfrt ebj prfnft dr`estl `jibh, ofspitems
sofumj lfmmfw dedy lri bjmy pregtig`s, ibgmujibh jisgfurehibhto` us` fl lfrnume `xg`pt wo`r` n`jigemmy b`g`ssery, tregaibh
ebj r`pfrtibh to ir net rbity ger` pregtig`s, ebj prfvijibh lfmmfw-
up suppfrt lfr dr`estl `jibh elt r b`w nfto`rs m ev` to` ofspitem.
Dfto ofspitems ebj to` l`j`rem XIG prfhren sofumj lfmmfw to`
Xfrmj O`emto Frhebizetifbs Gfj` fl Nera`tibh fl Dr`est Nima
Wudstitut s, woigo eins tf minit ubwerrebt j `xpfsur` tf dr`est
nima sudstitut s ebj r met j ejv`rtisibh. Libemmy, `npmfy`rs oev`
eb inpfrtebt rfm tf pmey ib prfvijibh bursibh dr`eas ebj e privet
pmeg` lfr nfto`rs tf `xpr`ss dr`est nima. X` emsf r`gfnn`bj
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
9/20
Mfts tf Mfs`3 Ofw En`riges O`emto ebj Fd`sity Grisis Zor`et`bs fur @gfbfnig Lutur`
Wgoffm herj`bs er` eb `xenpm fl to` aibj fl prfc gt toet oes
d``b sofwb tf d` oihomy ll`gtiv` es e t`egoibh tffm, toet jf`s
bft r`quir` e v`ry merh` gfnnitn`bt fl r`sfurg`s, ebj toet m bjs
its ml w mm tf pertb`rsoips wito futsij` frhebizetifbs. Wgoffms
sofumj emsf mffa tf futsij` sfurg`s fl lubjibh ebj suppfrt usibh
nfj ms sugo es to` Emmiebg` lfr e O`emtoi r H`b`retifbs O`emtoy
Wgoffms [rfhren, woigo prfvij`s t gobigem essistebg` tf o mppertigipetibh sgoffms inprfv` lffj quemity ebj poysigem `jugetifb
prfhrens. Zois `llfrt is sinimer tf to` PWJEs O`emtoi r P.W.
Wgoffms Goemm bh`, woigo prfvij`s snemm nfb`tery ibg`btiv`s tf
sgoffms toet n``t rihfrfus stebjerjs lfr lffj quemity, pertigipetifb
ib n`em prfhrens, poysigem egtiviti s, ebj butritifb `jugetifb.
O`emtoy Wgoffms T`gfnn`bjetifb #:3 L`j`rem, stet`
ebj mfgem hfv`rbn`bts, emfbh wito privet` pertb`rs,
sofumj `xpmfr` emm eveimedm` ev`bu`s tf ibgr`es`
quemity poysigem egtivity ib sgoffms.
Wp`gistgemmy, sgoffms sofumj r`quir`
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
10/20
@x`gutiv` Wunnery
Zo` l j`rem hfv`rbn`bts Flstg` fl [`rsfbb m ebj Nebeh`n`bt
(F[N) gurr`btmy sp`bjs $:; dimmifb p`r y`er gfv`ribh o`emto ger`
gfsts lfr l j`rem `npmfy``s. Dut d`geus` emm `npmfy``-r met j
n`jigem ebj poernegy gmeins er` peij g`btremmy torfuho F[N,
ibjivijuem j`pertn`bts fr eh`bgi s oev` bf wey fl tregaibh to ir
pertigumer o`emto ger` gfsts. Zois r`jug`s eggfubtedimity es w mm
es ibg`btiv`s tf prfnft `npmfy`` o`emto fr jis`es` pr`v`btifb.Fptifbs lfr goebhibh gurr`bt pregtig` sf es tf nea` j`pertn`bt
fr eh`bgy o`ejs eggfubtedm lfr, fr et m est ewer` fl, `npmfy``
o`emto gfsts sofumj d` `xpmfr`j es e strst st p tfwerj nfj mibh
m ej`rsoip fb to` issu` fl wfrapmeg` w mmb`ss ib to` l j`rem
hfv`rbn bt. L`j`rem ibv`stn`bts ib jete gfmm`gtifb ebj tregaibh
tf sudstebtiet to` d`b`stts egoi v`j torfuho jill r`bt wfrapmeg`
w`mmb`ss j`nfbstretifbs wimm d` w`mm custist`j il to`y pfibt to` wey
tfwerj r`pmigedm epprfego`s toet r`jug` gfsts ebj inprfv`
p`rlfrnebg`, bft cust ib to` l j`rem wfralfrg` dut lfr strns ebj
to ir `npmfy``s torfuhofut to` `gfbfny.
Zo` P.W. J`pertn`bt fl J`l bs` (JfJ) is prfvijibh pertigumermy
strfbh m ej`rsoip ib tois er`be ebj oes s`v`rem ibitietiv`s
ubj`rwey tf inprfv` o`emto enfbh s`rvig` n`nd`rs ebj nimitery
lenimi s. Lfr `xenpm , to` Erny meubgo`j to` Wfmji r Lu mibh
Ibitietiv` wo`b it lfubj toet ettritifb ret`s w`r` oiho`r enfbh
b`w r`gruits d`geus` neby fl to`n oej mfw`r dfb` j`bsity
m v ms, ibgurr`j nfr` ibcuri s, ebj sull r`j lrfn j`stgi bgi s ib
gemgiun, irfb ebj verifus fto`r vitenibs ebj butri bts gfnper`j
tf pr`vifus r`gruit gfofrts. Zois ibitietiv` gfndib`s `boebg`j
poysigem `jugetifb ebj treibibh wito o`emtoi r lffj gofig`s
ebj eb iblfrnetifb/ewer`b`ss genpeihb tf `npoesiz` to`
inpfrtebg` fl hffj butritifb lfr sfmji r p`rlfrnebg`. JfJ oes
wfra`j wito ji`titiebs tf inprfv` lffj fll`ribhs et nimitery jibibh
legimiti s nfr` drfejmy dut it gfumj jf `v`b nfr` tf prfnft
butritifb ebj poysigem egtivity, dfto fb des` torfuho nimitery
ofspitems, sgoffms ebj goimjger` g`bt rs ebj fll des` ib
gfnnubiti`s wito e oiho prfpfrtifb fl nimitery lenimi`s. D`geus`
fur betifbem s`gurity j`p`bjs fb e stt ebj oiho-p`rlfrnibh
nimitery, JfJ is eb `npmfy`r wito e pertigumermy gritigem goerh`.
It emsf oes to` gepegity, ibfflu`bg` ebj frhebizetifb tf goebh`
prfjugtivity, oiho`r ret s fl eds`bt isn ebj pr`s`bt isn
(wo`b p`fpm er` pr`s`bt, dut bft wfraibh `ll gtiv my), ebj
oiho`r o`emto ger` gfsts. Fl gfurs`, `npmfy`rs er` emsf ubiqu my
pfsitifb`j tf ibfflu`bg` wfralfrg` o`emto, pertigumermy sibg` to`y
d`er sugo e merh` soer` fl `npmfy`` o`emto ger` gfsts (gurr`btmy,
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
11/20
Mfts tf Mfs`3 Ofw En`riges O`emto ebj Fd`sity Grisis Zor`et`bs fur @gfbfnig Lutur`
s`ttibhs. J`nebj lfr to`s` s`rvig`s emr`ejy `xists, dut sf ler
to` suppmy fl prfvij`rs oes bft geuhot up. Zoirj, w` b``j
n`goebisns tf `bedm pudmig ebj privet r indurs`n`bt
lfr o`emto gfbjitifbs ebj s`rvig`s toet er` flt b bft gfv`r`j
ubj`r to` xistibh syst`n.
O`emtoy Gfnnubiti`s T`gfnn`bjetifb #53Butritifb ebj poysigem egtivity treibibh sofumj d`
ibgfrpfret`j ib emm poes`s fl n`jigem `jugetifb
n`jigem sgoffms, r`sij`bgy prfhrens,
gr`j`btiemibh prfg`ss`s ebj gfbtibuibh
`jugetifb r`quir`n`bts.
[rfl ssifbems torfuhofut to` o`emto ger` syst n er` ubiqu my
pfsitifb`j tf iblfrn ebj nftivet En`rigebs fb to` sudc gts
fl butritifb ebj poysigem egtivity. En`rigebs s`` n`jigem
prfl ssifbems burs`s ib pertigumer es e trust j sfurg` fl
iblfrnetifb, ebj o`emto ger` prfvij`rs er` to` bund`r fb`
hf-tf r`sfurg` lfr per`bts wof er` gfbg`rb`j edfut to ir
goimjs w`ihot. Dut to` n`jigem jugetifb ebj mig`bsibh
syst`n ib to` Pbit`j Wtet`s is bft gurr`btmy s`t up tf bsur`
toet o`emto prfl ssifbems oev` to` ibg`btiv` ebj `xp`rtis`
tf j miv`r n`sseh`s edfut w ihot, gorfbig jis`es`, ji t
ebj poysigem egtivity bft fbmy `ll gtiv my dut gfbsist btmy. Fb
to` gfbtrery, to` gfbs`bsus enfbh n`jigem frhebizetifbs
ebj xp`rts is toet butritifb jugetifb et emm m`v`ms fl
o`emto treibibh (ubj`rhrejuet , pfst-hrejuet , l mmfwsoip,
mig`bsibh ebj dferj g`rtistgetifb, ebj gfbtibuibh jugetifb)
is ub`v`b et d`st ebj flt`b ibej`quet`. Zo` hfem fl tois
r`gfnn`bjetifb is tf iblus` to` `jugetifb ebj treibibh flemm o`emto prfl`ssifbems wito butritifb ebj poysigem egtivity
iblfrnetifb ebj d`oevifrem n`tofjfmfhi s fr tffms (sugo es
nftivetifbem ibt`rvi`wibh), ebj tf nea` desig gfnp`t`bgy
ib to`s` er`es eb ibt hrem pert fl g`rtistgetifb ebj gfbtibuibh
`jugetifb r`quir`n bts. Egoi`vibh tois hfem wimm r`quir`
m ejibh `xp`rt frhebizetifbs tf pertb`r ib j`v mfpibh e
gfnpr`o`bsiv` betifbem stret hy ebj stebjerjs lfr butritifb
ebj poysigem egtivity `jugetifb egrfss to` gfbtibuun fl to`
o`emto prfl`ssifb.
dusib`ss es usuem ib weys toet ell gt to` r`st fl hfv`rbn`bt,
es w mm es ibstitutifbs ib fur merh`r sfgi ty. Dy eppmyibh neby fl
to` tffms j`sgrid`j ib tois r`pfrt lrfn suppfrtibh dr`estl `jibh
et net rbity ofspitems tf prfvijibh o`emtoi r lffj gofig`s ebj
r`gfhbizibh to` inpfrtebt rfm fl sgoffms ebj lenimi s JfJ
oes eb fppfrtubity tf sudstebtiemmy `boebg` to` o`emto ebj
p`rlfrnebg` fl s`rvig` n`nd`rs ebj to ir lenimi s, woim et to`sen` tin` m ejibh to` wey lfr to` r`st fl to` gfubtry.
O`emtoy Gfnnubiti`s
Emfbh wito ofn`, sgoffm ebj wfrapmeg , gfnnubity pmeys e
g`btrem rfm ib to` mil stym gofig`s toet ibfflu`bg` p`fpm s o`emto
futgfn`s. Zo ir mfgem gfnnubity is wo`r` nfst En`rigebs
egg`ss to` hffjs ebj s`rvig`s fb woigo to`y r my, lrfn to`
hrfg`ry stfr` tf to` jfgtfrs flstg`1 it is emsf wo`r` nfst fl us
hf tf pmey, wfrsoip, r`gr`et , `et fut ebj d` `bt rteib`j. Zois
goept r jisguss`s e wij`-rebhibh s`t fl r`gfnn`bjetifbs,emm fl woigo er` rfft j ib to` gfnnubity, drfejmy j`stb`j. Lfr
frhebizetifbem purpfs`s, w` jivij` tois goept r ibtf tor`` necfr
sudtfpigs3 o`emto ger` s`rvig`s, merh` ibstitutifbs, ebj to` duimt
`bvirfbn`bt.
5. Gfnnubity-des`j, [r`v`btifb-lfgus`j O`emto Ger`
Tisibh o`emto ger` gfsts oev` prfnpt j hrfwibh ibt r`st ib
jis`es` pr`v`btifb es e nfr` `ll gtiv` ebj umtinet my m ss
`xp`bsiv` wey tf a``p En`rigebs o`emtoy. Hffj ji t ebj eb
egtiv` mil stym er` gm ermy g`btrem tf eb epprfego toet levfrs
prfnftibh w mmb`ss ebj pr`v`btibh jis`es` fv`r e nfj m
toet lfgus`s fb tr`etibh o`emto prfdm ns fbmy elt r to`y eris`.
Fur r`gfnn`bjetifbs terh`t tor`` aibjs fl ibt rv`btifbs toet
er` b`g`ssery tf suppfrt to` soilt tf e pr`v`btifb-lfgus`j
o`emto ger` syst n. Lirst, o`emto ger` prfl ssifbems nust d`
d`tt r treib`j tf prfvij` ger` toet ejjr`ss`s issu`s fl ji t,
poysigem egtivity, w mmb`ss ebj jis`es` pr`v`btifb. W`gfbj,
to` des` fl eveimedm ger` r`sfurg`s ebj ger` prfvij`rs
nust d` drfej`b`j tf ibgmuj` bfb-trejitifbem prfvij`rs
wof geb j miv`r s`rvig`s ib bfb-gmibigem, gfnnubity-des`j
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
12/20
@x`gutiv` Wunnery
w mmb`ss-lfgus`j epprfego tf o`emto ger`. Eb `xenpm fl
tois epprfego is d ibh pifb``r`j dy Pbit jO`emto Hrfup
(POH) ebj to` YNGE, woigo oev` pertb`r`j tf inpm`n`bt
e jied`t s pr`v`btifb prfhren ib woigo POH r indurs`s
to` YNGE lfr `jugetifb, gfubs mibh ebj w ihot-mfss s`rvig`s
eggfrjibh tf p`rlfrnebg`-des`j n`trigs (bft sinpm
pertigipetifb ret s). Winimermy, to` l j`rem hfv`rbn`bt is`xenibibh pft btiem weys tf ibgr`es` gfv`reh` lfr pr`v`btiv`
s`rvig`s torfuho prfhrens sugo es N`jiger`, N`jigeij ebj
to` Goimjr`bs O`emto Ibsurebg` [rfhren (GOI[). Lurto`r
j`nfbstretifb prfc gts, wo`to`r pudmig fr privet , er` b``j`j
tf prfvij` jete fb woet wfras. X` sofumj r`werj tofs`
s`rvig`s ebj prfvij`rs wof j`nfbstret to` gepegity tf d`bj
to` gfst gurv`.
4. Merh` Ibstitutifbs
Merh` ibstitutifbs sugo es ofspitems ebj ubiv`rsiti s, spfrts
ebj `bt rteibn`bt v`bu`s, oft ms, ebj merh` hfv`rbn`bt
j`pertn`bts fr eh`bgi s (JfJ, lfr `xenpm ) s`rv` n`ems tf
tofusebjs fl p`fpm fb e jeimy desis. E sibhm necfr r`teim r
sugo es Xemnert ney s mm lffj tf nimmifbs fl gustfn`rs
`ego jey. Zo`s` `btiti s, privet ebj pudmig, oev` `bfrnfus
purgoesibh pfw`r ebj geb m v`reh` necfr goebh`s ib
to` lffj suppmy goeib, dfto ib t`rns fl woet aibj fl lffj
is prfjug`j ebj ib t rns fl wo`r` ebj ofw to` lffj is
jistridut j. Es ib sgoffms ebj wfrapmeg`s, ibt r`st ib o`emtoy
lffj ebj w mmb`ss fb to` pert fl merh` ibstitutifbs oes d``b fb
to` ris` ib r`g`bt y`ers. Ibbfvetiv` prfhrens ebj pertb`rsoips
oev` d``b numtipmyibh ebj to`r` er` e hrfwibh bund`r flsugg`ss stfri s tf d` gfbsij`r`j ebj pfssidmy `numet j.
W`v`rem merh` ofspitems, necfr r`teim rs, ubiv`rsiti s, r`steurebt
ebj oft m goeibs, ebj merh` hfv`rbn`bt eh`bgi s oev`
meubgo`j prfnisibh ibitietiv`s ib r`g`bt y`ers tf inprfv`
n`bu fll ribhs ebj prfnft o`emtoi r lffj gofig`s.
O`emtoy Gfnnubiti`s T`gfnn`bjetifb #43 Bfb-
gmibigem, gfnnubity-des`j ger` is e gritigem tffm
ib pr`v`btibh fd`sity ebj gorfbig jis`es`. X`
b``j tf treib ebj j`pmfy e pr`v`btifb wfralfrg`
tf j`miv`r tois aibj fl pr`v`btiv` ger`.
T`gfhbizibh toet lfr neby p`fpm`, gfbtegt wito trejitifbemo`emto ger` prfl ssifbems sugo es jfgtfrs ebj burs`s is
minit j fr spfrejig, w` r`gfnn`bj `bhehibh e wij`r des`
fl r`sfurg`s ebj p`rsfb-tf-p`rsfb ibt regtifbs tf j miv`r
n`sseh`s edfut o`emto ebj ibfflu`bg` mil stym d`oevifrs.
T`g`bt ibitietiv`s suhh`st toet gfnnubity o`emto wfra`rs,
o`emto gfego`s, ji`titiebs ebj butritifbists, megtetifb
gfbsumtebts, ebj fto`rs geb d` ll`gtiv` ib wfraibh wito
ibjivijuems ebj hrfups tf goebh` ewer`b`ss ebj oedits
erfubj ji`t, poysigem egtivity ebj fto`r o`emto-r`m`vebt
d`oevifrs. Ebj to ir ibt rv`btifbs, wo`to`r prfvij`j ib
gfmmedfretifb wito e o`emto prfl ssifbem fr bft, geb d`
nfr` gfst `ll gtiv` toeb to` sen` s`rvig`s j miv`r`j dy e
trejitifbemmy treib`j jfgtfr fr burs` pregtitifb`r.\III@xpebjibh
tois treib`j, gfnnubity-des`j pr`v`btifb wfralfrg`
ebj stbjibh weys tf r indurs` lfr its s`rvig`s wfumj fll r
numtipm d`b`stts dy inprfvibh o`emto futgfn`s, r`jugibh
o`emto ger` gfsts, ebj gr`etibh b`w cfd fppfrtubiti s.
Wtebjerjiz`j treibibh prfhrens ebj gurrigume er` b``j`j tf
tep tois pft`btiem.
O`emtoy Gfnnubiti`s T`gfnn`bjetifb #73
[udmig ebj privet` ibsur`rs sofumj strugtur`
ibg`btiv`s tf r`werj `ll`gtiv`, gfnnubity-des`j, pr`v`btifb-fri`bt`j s`rvig`s toet
oev` j`nfbstret`j gepegity tf r`jug` gfsts
sihbigebtmy fv`r tin`.
D`geus` neby gfnnubity-des`j, pr`v`btiv` o`emto ger`
s`rvig`s er` bft gurr`btmy gfv`r`j dy ito`r pudmig fr privet
ibsur`rs, gr`etibh b`w r indurs`n`bt n`goebisns fr
r`lfrnibh `xistibh fb`s tf gfv`r to`s` typ`s fl s`rvig`s
is gritigem tf r`emizibh to` pft btiem d`b`stts fl e drfej`r,
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
13/20
Mfts tf Mfs`3 Ofw En`riges O`emto ebj Fd`sity Grisis Zor`et`bs fur @gfbfnig Lutur`
O`emtoy Gfnnubiti`s T`gfnn`bjetifb #
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
14/20
@x`gutiv` Wunnery
neby ejv`rtisibh n`sseh`s ibgmujibh pertigumermy tofs`
jir`gt`j tf goimjr`b gfbtibu` tf prfnft` ubo`emtoy
lffjs. Et to` sen` tin`, r`s`ergo sofws toet neby p`fpm`
oev` jilstgumty ibt`rpr`tibh to` o`emto-r`met`j gmeins toet
er` flt`b us`j tf nera`t lffj, `ito`r es pert fl lffj
pegaehibh fr ib ejv`rtis`n`bts.
Ib sun, nfr` geb ebj sofumj d` jfb` tf gfnnubiget`
gm`er, gfbsist`bt n`sseh`s edfut to` inpfrtebg`
fl o`emtoy ji`t ebj poysigem egtivity ebj tf prfvij`
gfbsun`rs wito to` iblfrnetifb tf nea` o`emtoi`r gofig`s.
@xpebj`j `llfrts ib tois r`emn sofumj nea` us` fl b`w
ejv`rtisibh ebj n`jie futm`ts, ibgmujibh bft cust Z\, pribt,
rejif ebj to` ibt`rb`t, dut emsf b`w ebj `n`rhibh sfgiem
n`jie, aij-jir`gt`j hen`s, prfjugt pegaehibh, ebj jihitem
n`jie ejv`rtisibh.
[udmig Ewer`b`ss ebj Nera`tibh
T`gfnn`bjetifb #53 Zo` lffj ibjustry sofumj
ejfpt ubilfrn stebjerjs lfr woet gfbstitut`s
d`tt`r lfr yfu lffjs usibh to` Ibstitut` fl
N`jigib` [oes` 4 r`pfrt es e stertibh pfibt ebj
neaibh sur` ibjustry stebjerjs er` emihb`j wito
to` P.W. Ji`tery Huij`mib`s.
X` emsf gemm lfr eb ibj`p`bj`bt `btity tf nfbitfr ebj `vemuet
to` inpegt to` ibjustrys vfmubtery Legts up Lrfbt prfpfsem
is oevibh fb gfbsun`r gofig`, wito to` hfem fl n`esuribh
wo`to`r gfbsun`rs er` usibh tois iblfrnetifb tf goebh` to ir
purgoesibh ebj gfbsunptifb d`oevifrs.
[udmig Ewer`b`ss ebj Nera`tibh
T`gfnn`bjetifb #43 Zo` Ej Gfubgim fr sinimer
frhebizetifbs sofumj gffrjibet` e numti-n`jie
genpeihb tf prfnft` o`emtoy ji`t ebj poysigem
egtivity, lubj`j dy m`ejibh privet` s`gtfr
gfnpebi`s ib gfmmedfretifb wito l`j`rem eh`bgi`s.
Lfr dfto to` butritifb ebj poysigem egtivity esp`gts fl to`
genpeihb, oiho prfstm` ebj ibfflu`btiem n`ss`bh`rs er`
poysigem egtivity fptifbs (sugo es nfdim epps toet prfvij`
iblfrnetifb edfut hffj r`gr`etifb fr wemaibh fptifbs).
O`emtoy Gfnnubiti`s T`gfnn`bjetifb #?3 Mfgem
hfv`rbn`bts sofumj us` to` pmebbibh prfg`ss
tf goebh` to` duimt `bvirfbn`bt ib weys toet
prfnft` egtiv` mivibh.
Hrfwibh bund`rs fl giti s ebj tfwbs er` usibh to` pmebbibh
prfg`ss ebj zfbibh gfj`s tf soep` to` duimt `bvirfbn`bt ib
weys toet prfnft wemaibh ebj digygmibh, o mp r`sij`bts stey
gfbb`gt j, ebj inprfv` quemity fl mil . Ib neby ges`s, neyfrs
ebj gfubty ebj gity gfubgim r`pr`s`btetiv`s er` wfraibh wito
ergoit gts ebj j`sihb`rs ebj wito pmebbibh, trebspfrtetifb
ebj pudmig o`emto j`pertn`bts tf gr`et` o`emtoi`r duimjibhs,
str``ts, ebj urdeb speg`s des`j fb to` met st egej`nig
r`s`ergo ebj d`st pregtig`s. Es eb emt rbetiv` tf inpfsibh
b`w r`quir`n`bts, sfn` giti s oev` r`nfv`j fr goebh`j
fmj zfbibh gfj`s toet wfra eheibst to` hfem fl `bgfurehibh
o`emtoi r, nfr` egtiv` mivibh. Fto`r giti s oev` ibgfrpfret j
poysigem egtivity huij mib`s ibtf to ir gfbstrugtifb gfj`s ebj
ejfpt j pfmigi s toet suppfrt futjffr pmey ebj `x`rgis`.
Zo`s` ibgmuj` fll ribh ibg`btiv`s tf j`sihb`rs ebj j`v mfp`rs
tf duimj ib weys toet bgfureh` wemaibh, digygmibh, ebj egtiv`
trebspfrtetifb ebj r`gr`etifb.
Grfss-Guttibh T`gfnn`bjetifbs
5. [udmig Ewer`b`ss ebj Nera`tibh
Zo` lffj ibjustry sp`bjs dimmifbs fl jfmmers `ego y`er
nera`tibh prfjugts tf En`rigeb gfbsun`rs. Eggfrjibh tf to`
Ibstitut` fl N`jigib` (IFN), es nugo es $5; dimmifb p`r y`er
is sp`bt cust tf nera`t lffj sp`gistgemmy tf goimjr`b. E bund`r
fl merh` lffj ebj d`v`reh` gfnpebi s, dfto ibjivijuemmy ebj
ib sfn` ges`s es pert fl e merh`r ibitietiv`, oev` r`g`btmy nej`
vfmubtery gfnnitn`bts tf r`jug` to ir nera`tibh tf goimjr`b,
ebj/fr sfuhot tf inprfv` to` butritifbem quemity fl to`ir
prfjugt fll`ribhs. Xoim` to`s` llfrts er` tf d` eppmeuj`j, tff
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
15/20
Mfts tf Mfs`3 Ofw En`riges O`emto ebj Fd`sity Grisis Zor`et`bs fur @gfbfnig Lutur`
X` r`gfnn`bj teaibh sp`gistg egtifbs, ibgmujibh3 r`vi wibh
`xistibh hfv`rbn`bt pfmigi`s lfr fppfrtubiti`s tf minibet`
derri rs toet ney r`jug` to` suppmy ebj ibgr`es` to` gfst
fl o`emtoy lffjs1 eutofrizibh e h`b`rig lruit ebj v`h`tedm
prfnftifb dferj1 inprfvibh trebspfrtetifb ebj jistridutifb
syst ns tf nea` lr`so prfjug` nfr` eveimedm ebj
ellfrjedm 1 ebj `xpmfribh weys tf ibg`btiviz` o`emtoi r lffjgofig`s torfuho l j`rem butritifb essistebg` prfhrens.
Lffj ebj Lern [fmigy T`gfnn`bjetifb #43 PWJE
sofumj ij`btily ebj pursu` lurto`r fppfrtubiti`s tf
prfnft` o`emto ebj butritifb torfuho its butritifb
essistebg` prfhrens.
L`j`rem butritifb essistebg` prfhrens, mia` WBE[, XIG
ebj GEGL[, r`ego nimmifbs fl to` betifbs nfst vumb`redm
ibjivijuems ebj lenimi s `ego y`er ibgmujibh neby p`fpm
et oiho risa lfr fd`sity ebj gorfbig jis`es`. X` r`gfnn`bj
gfbtibu`j suppfrt lfr to`s` prfhrens gfupm j wito ibgr`es`j
`llfrts tf emihb prfhren huij mib`s ebj ibg`btiv`s wito l j`rem
ji tery huij mib`s. X` emsf r`gfnn`bj lurto`r r`s`ergo ebj
ebemysis tf d`tt r ubj`rstebj to` inpegts fl to`s` prfhrens
fb ji tery gofig`s ebj o`emto ib to` r`gipi bt pfpumetifb ebj
tf iblfrn r m vebt pfmigy j`det s hfibh lfrwerj, sugo es to`
gurr`bt j`det edfut wo`to`r g`rteib lffj it ns sofumj d`
`xgmuj`j lrfn to` WBE[ prfhren.
Lffj ebj Lern [fmigy T`gfnn`bjetifb #73
Gfbhr`ss sofumj gfbtibu` susteib`j suppfrt lfr
r`m`vebt r`s`ergo dy flg`s fl PWJE.
T`s`ergo gfbjugt j dy to` PWJEs Ehrigumturem T`s`ergo
W`rvig` (ETW), to` Betifbem Ibstitut fl Lffj ebj Ehrigumtur`
(BILE), ebj @gfbfnig T`s`ergo W`rvig` (@TW) is vemuedm
tf `bsur` toet pfmigynea`rs, stea`ofmj`rs ebj to` pudmig
gfbtibu` tf oev` rfdust, up-tf-jet iblfrnetifb fb to`
inpegts fl lffj ebj lern pfmigi`s.
gritigem. X` r`gfnn`bj ibvfmvibh g`m`driti`s, etom`t`s
ebj fto`r pudmig sthur`s wof r`sfbet` wito euji`bg`s
ebj oev` to` edimity tf ibspir` goebh`.
[udmig Ewer`b`ss ebj Nera`tibh T`gfnn`bjetifb
#73 Lffj r`teim`rs sofumj ejfpt ib-stfr` nera`tibh
ebj prfjugt pmeg`n`bt stret`hi`s tf prfnft` to`purgoes` fl o`emtoi r, mfw`r gemfri prfjugts.
[udmig Ewer`b`ss ebj Nera`tibh T`gfnn`bjetifb
#:3 Wtet`s ebj mfgemiti`s sofumj gfbtibu` tf ibbfvet`
ebj `xp`rin`bt wito weys tf goebh` to` prfm` fl
lffjs ib to` nera`tpmeg`.
Es pert fl fbhfibh `llfrts ib tois er`e, ejjitifbem iblfrnetifb
h`b`ret`j dy stet`s ebj mfgemiti`s edfut to` inpegt toet
jill`r`bt stet` pfmigi`s ebj mfgem frjibebg`s er` oevibh
fb lffj gofig`s, pfrtifb siz`s ebj fto`r legtfrs lfr to`
h`b`rem pfpumetifb ebj lfr goimjr`b ib pertigumer wfumj d`e us`lum gfbtridutifb tf `xistibh r`s`ergo ib to` st`mj.
4. Lffj ebj Lern [fmigy
Ehrigumtur` is e necfr s`gtfr fl to` P.W. `gfbfny ebj fb`
ib woigo hfv`rbn`bt j`gisifbs sudsiji s ebj ibg`btiv`s,
trej` pfmigi s, `tg. pmey e necfr rfm . Oistfrigemmy, lern ebj
ehrigumtur` pfmigi s w`r`, et nfst, tebh`btiemmy ibfflu`bg`j dy
gfbsij`retifbs fl ji`t, butritifb ebj o`emto. Zois oes d`hub tf
goebh`. Hrfwibh ewer`b`ss fl to` gfsts ebj inpegts fl oiho
ret s fl fd`sity ebj gorfbig jis`es` ib En`rige er` prfnptibh
e drfej`r mffa et fur `btir` lffj suppmy goeib ebj et to`
pfmigi s ebj prfhrens toet, emfbh wito gfbsun`r pr`l r`bg`,
j`t rnib` woet lffjs epp`er fb hrfg`ry stfr` so mv`s ebj,
umtinet my, fb fur pmet s.
Lffj ebj Lern [fmigy T`gfnn`bjetifb #53 PWJE, ib
gfmmedfretifb wito fto`r stea`ofmj`rs, sofumj ij`btily
ebj ejjr`ss derri rs tf ibgr`esibh to ellfrjedimity
ebj egg`ssidimity fl lruits, v`h tedm s ebj m hun`s.
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
16/20
@x`gutiv` Wunnery
Gfbgmusifb
Xoim to` stetistigs fb fd`sity ebj gorfbig jis`es` er` trumy
emernibh, bund`rs emfb` gebbft gfbv`y to` lumm ouneb ebj
sfgiem gfsts fl to` o`emto grisis w` gfblrfbt tfjey ib En`rige.
Zo` prfdm n is gm er ebj its inpegt fb fur lutur` dfto ib
t rns fl to` o`emto, prfjugtivity ebj w mm-d ibh fl to` gurr`bth`b`retifb ebj h`b`retifbs tf gfn`, ebj ib t rns fl to`
prfsp`rity, gfnp`titiv`b`ss ebj stsgem ibt hrity fl fur betifb es e
wofm is oerj tf fv`rstet . Zurbibh to` tij` fl tois `pij`nig wimm
r`quir` m ej`rsoip, strst ebj lfr`nfst. Emm s`gtfrs fl sfgi ty nust
d` `bheh`j ebj emm nust tea` r`spfbsidimity lrfn ibjivijuems
ebj lenimi`s tf gfnnubiti`s, ibstitutifbs ebj hfv`rbn`bt.
Zfh`to`r, fur goemm bh` wimm d` tf j`stb` ebj inpm n`bt pfmigi s,
stret hi s, ibg`btiv`s ebj egtifbs toet, dy `bgfurehibh ebj
suppfrtibh o`emtoy d`oevifrs, geb d`hib tf smfw ebj `v`b
r`v`rs` to` trec gtfry w` er` fb. Zo` gfnpm xity fl to` prfdm n
j`nebjs e jiv`rsity fl sfmutifbs1 woets r`quir`j is bft e b`wtfp-jfwb prfhren fr e vest `xp`bjitur` fl pudmig r`sfurg`s, dut
e numtipmigity fl snemm r st ps ebj goebh`s, et emm m v ms fl sfgi ty,
toet gfmm`gtiv`my trebsmet` tf mestibh, merh`-sgem` soilts fv`r tin`.
T`sumts wimm rer my d` quiga, dut prfhr`ss nust d` st ejy. Ebj es
w` striv` tf r`jug` fd`sity, inprfv` o`emto, ebj smfw to` rubewey
hrfwto fl o`emto ger` gfsts ib En`rige, gfbtibu`j r`s`ergo ebj
jete gfmm gtifb wimm d` gritigem tf iblfrn fur `llfrts ebj nea` sur`
w` er` ibv`stibh ib tofs` stret hi s w` abfw wimm wfra.
Ib tois r`pfrt, D[G oes lfgus`j fb er`es ebj fppfrtubiti s
lfr ibt rv`btifb toet w` d mi v` ofmj pertigumer prfnis`, dfto
d`geus` to`y geb oev` e sihbistgebt inpegt ebj d`geus`
to`y geb d` inpm`n`bt`j witoib xistibh lren`wfras ebj
strugtur`s. Zo` hffj b`ws is toet neby pfw`rlum `xenpm s
ebj ibspiribh prfhrens er` emr`ejy ubj`rwey. Zf egoi v` to`
hfem fl sihbistgebtmy r`jugibh fd`sity ebj gorfbig jis`es` ib
En`rige witoib to` b`xt h`b`retifb, w` nust duimj fb woet is
emr`ejy wfraibh, `xpebj to` r`ego fl hffj prfhrens, ebj hr`etmy
egg`m`ret` to` peg` fl goebh`. Zo` prfdm`n is gfnpm`x dut w`
abfw et m`est sfn` fl to` sfmutifbs. Bfw it is tin` tf h`t tf wfra.
7. Iblfrnetifb Woeribh ebj Ebemysis
Fb` fl to` hr`et st goemm bh`s lfr emm perti s ibt r`st j
ib prfnftibh o`emtoy ji t, poysigem egtivity, w mmb`ss, ebj
pr`v`btiv` ger` is egg`ssibh to` w`emto fl jete ebj ij`es toet
is d`ibh h`b`ret`j ib tois r`emn. Lrfn ubj`rstebjibh woet
prfhrens er` wfraibh w mm tf woet to` met st r`s`ergo gebt mm us, to`r` is eb `bfrnfus b``j lfr d`tt r weys tf soer`
abfwm jh` ebj m erb lrfn jill r`bt `llfrts. Zin` ebj eheib,
es D[G r`ego`j fut tf jill r`bt stea`ofmj`rs w` m erb`j
edfut inpfrtebt, ibbfvetiv`, sfn`tin`s mfw-gfst fr `v`b
gfst-b`utrem prfhrens toet oev` egoi v`j j`sir`j r`sumts
dut er` bft wij`my abfwb. Ebj j`spit` sfn` llfrts tf pumm
tfh`to`r sfn` fl tois iblfrnetifb, bf g`btrem r`pfsitfry `xists
lfr syst netigemmy gfmm gtibh, frhebizibh ebj jiss`nibetibh
r`s`ergo, jete ebj d`st pregtig`s lfr gfndetibh fd`sity ebj
gorfbig jis`es`. Emsf b``j`j er` fbhfibh pudmig-privet
`llfrts tf rihfrfusmy `vemuet to` gfsts ebj inpegts fl sp`gistg
pudmig o`emto ibt`rv`btifbs. Hiv`b to` sgem` fl to` goemm`bh s
ebj gurr`bt stsgem ebj pfmitigem gfbstreibts, it wimm d` gritigem
tf j`nfbstret toet pr`v`btifb-des`j epprfego`s geb yi mj
tebhidm r`sumts.
Iblfrnetifb-soeribh r`gfnn`bjetifb #53 GJG
ebj OOW sofumj gfbtibu` rfdust `llfrts tf gfmm`gt
ebj jiss`nibet` iblfrnetifb fb lffj, poysigem
egtivity ebj o`emto ibgmujibh iblfrnetifb fb to`
sfgiem j`t`rnibebts fl o`emto ebj lutur` gfsts
ebj Gfbhr`ss sofumj gfbtibu` tf suppfrt to`s`
nfbitfribh ebj iblfrnetifb-heto`ribh lubgtifbs.
Iblfrnetifb-soeribh r`gfnn`bjetifb #43
[udmig- ebj privet`-s`gtfr frhebizetifbs egtiv`
ib tois `mj sofumj pertb`r tf `stedmiso e betifbem
gm`eribhofus` fb o`emto-r`met`j butritifb ebj
poysigem egtivity ibitietiv`s. Zo` gm`eribhofus`
sofumj prfvij` mibas tf lurto`r r`sfurg`s, t`gobigem
essistebg`, gffrjibetifb ebj pertb`rsoip
fppfrtubiti`s, ebj up-tf-jet` r`s`ergo bjibhs.
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
17/20
Mfts tf Mfs`3 Ofw En`riges O`emto ebj Fd`sity Grisis Zor`et`bs fur @gfbfnig Lutur`
Bft`s
I. Fhj`b, Gybtoie, [o.J., ebj Nerher`t Gerrfmm, N.W.[.O. [r`vem`bg` fl Fd`sity
Enfbh Goimjr`b ebj Ejfm`sg`bts3 Pbit`j Wtet`s Zr`bjs 59
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
18/20
O`emto [rfhrenButritifb ebj [oysigem Egtivity Ibitietiv`
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
19/20
O`emto [rfhrenButritifb ebj [oysigem Egtivity Ibitietiv`
-
7/31/2019 Executive Summary- Lots to Lose: How America's Health and Obesity Crisis Threatens our Economic Future
20/20
5440 @y` Wtr``t BX, Wuit` 5;;;
Xesoibhtfb, JG 4;;;0
(4;4) 4;:-4:;; XXX DI[ETZIWEB[FMIGY FTH
Lfubj`j ib 4;;8 dy lfrn`r W`bet`
Necfrity M`ej`rs Ofwerj Dea`r, Zfn
Jesgom`, Dfd Jfm` ebj H`frh` Nitgo`mm,
to` Dipertiseb [fmigy G`bt`r (D[G) is
e bfb-prfstt frhebizetifb toet jriv`s
pribgipm`j sfmutifbs torfuho rihfrfus
ebemysis, r`esfb`j b`hftietifb ebj
r`sp`gtlum jiemfhu`. Xito prfc`gts ib
numtipm` issu` er`es, D[G gfndib`s
pfmitigemmy demebg`j pfmigyneaibh wito
strfbh, prfegtiv` ejvfgegy ebj futr`ego.