Evidence map›Paper›PMID 30426872›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

Grappling With Complex Food Systems to Reduce Obesity: A US Public Health Challenge.

Anne Barnhill, Anne Palmer, Christine M Weston, Kelly D Brownell, Kate Clancy, Christina D Economos, Joel Gittelsohn, Ross A Hammond, Shiriki Kumanyika, Wendy L Bennett

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
  2. Seeing Beyond GLP-1: A Systems View of Sustainable Obesity Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. The Bloomberg American Health Initiative.Public health reports (Washington, D.C. : 1974)
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Anne Barnhill1 Global Food Ethics and Policy Program, Johns Hopkins Berman Institute of Bioethics, Baltimore, MD, USA.ORCID 0000-0003-1478-6609
Anne Palmer2 Johns Hopkins Center for a Livable Future, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, US.
Christine M Weston3 Center for Health Services and Outcomes Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Kelly D Brownell4 World Food Policy Center, Duke University Sanford School of Public Policy, Durham, NC, USA.
Kate Clancy2 Johns Hopkins Center for a Livable Future, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, US.
Christina D Economos5 Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
Joel Gittelsohn6 Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Ross A Hammond7 Center on Social Dynamics & Policy, The Brookings Institution, Washington, DC, USA.
Shiriki Kumanyika9 Department of Community Health & Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PA, USA.
Wendy L Bennett10 Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite 2 decades of effort by the public health community to combat obesity, obesity rates in the United States continue to rise. This lack of progress raises fundamental questions about the adequacy of our current approaches. Although the causes of population-wide obesity are multifactorial, attention to food systems as potential drivers of obesity has been prominent. However, the relationships between broader food systems and obesity are not always well understood. Our efforts to address obesity can be advanced and improved by the use of systems approaches that consider outcomes of the interconnected global food system, including undernutrition, climate change, the environmental sustainability of agriculture, and other social and economic concerns. By implementing innovative local and state programs, taking new approaches to overcome political obstacles to effect policy, and reconceptualizing research needs, we can improve obesity prevention efforts that target the food systems, maximize positive outcomes, and minimize adverse consequences. We recommend strengthening innovative local policies and programs, particularly those that involve community members in identifying problems and potential solutions and that embrace a broad set of goals beyond making eating patterns healthier. We also recommend undertaking interdisciplinary research projects that go beyond testing targeted interventions in specific populations and aim to build an understanding of the broader social, political, and economic context.

Indexed as

Diet, HealthyFood SupplyPublic HealthSystems AnalysisCommunity ParticipationFeeding BehaviorHumansObesityPoliticsUnited Statesfood systemshealthy eatingobesitysystems approachessystems science

Identifiers

PMID30426872
PMCPMC6243440

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.