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Background: The prevalence of obesity in English adults and children has reached critical levels. Obesity is determined by a wide range of factors including the environment and actions to reduce obesity prevalence requires a whole systems approach. The spatial planning system empowers local authorities to manage land use and development decisions to tackle obesogenic environments.

Methods: This research aimed to better understand what and how planning powers are being utilised by local authorities to help tackle population obesity. It reviewed literature on the six planning healthy weight environments themes. It identified what powers exist within the planning system to address these themes. It collated professionals’ perspectives on the barriers and opportunities through focus groups within local authorities and semi-structured interviews with national stakeholders.

Results: The research complements current research on the association between the environment and obesity outcomes, though methods employed by researchers in the literature were inconsistent. It identified three categories of planning powers available to both require and encourage those with responsibilities for and involvement in planning healthy weight environments. Through direct engagement with practitioners, it highlighted challenges in promoting healthy weight environments, including wider systems barriers such as conflicting policy priorities, lack of policy prescription and alignment at local levels, and impact from reduced professional and institutional capacity in local government.

Conclusions: The conclusions support a small but increasing body of research which suggests that policy makers need to ensure barriers are removed before planning powers can be effectively used to promote healthy weight environments as part of a whole systems approach. The research is timely with continuing policy and guidance focus on tackling obesity prevalence from national government departments and their agencies. This research was conducted as part of a Master of Research at Leeds Beckett University associated with a national whole-systems to obesity programme.

The purpose of this paper is to characterize food consumption outside the home and verify the existence of relationships between income, expenditure and the prevalence of overweight and obesity in adult individuals in Brazil.

Food expenditure data were used as well as those on the prevalence of overweight and obesity available in the reports from Family Budgets Research carried out by the Brazilian Institute of Geography and Statistics (IBGE) in the years 2002-2003 and 2008-2009. In addition, the authors used the Kruskall-Wallis test to verify whether there were significant differences between the classes of income with respect to the average expenditure on food outside the home.

It was observed that the higher the income of the individual, the greater the expenditure on food outside the home. It was also found that the prevalence of overweight and obesity is higher in individuals who have higher income, particularly among men. Thus, it is suggested that the higher the income of the individual, the larger the expenditure on food outside the home and the greater the prevalence of overweight and obesity.

This study used spending on food away from home (FAFH), but the authors know that is need to use other variables like frequency of FAFH and quantities but this data were not available.

The study points to the importance of restaurants in the prevention of obesity, since they can offer in their menus foods with fewer calories, and they can also increase the variety and availability of fruits and vegetables.

The study discusses the public health problem, obesity, at the same time as it presents the importance of agribusiness in providing a balanced diet for individuals.

Recent research has demonstrated that people are more likely to engage with fatty food content online. One way health advocates might facilitate engagement with healthier, calorie-light foods is to alter how people process food media. This research paper aims to investigate the moderating role of viewer mindset on consumer responses to digital food media.

Two experiments were conducted by manipulating the caloric density of food media content and/or one’s mindset before viewing.

Results show that the relationship between nutrition and engagement is moderated by consumer mindset, where activating a more calculative mindset before exposure can elevate social media engagement for calorie-light food media content.

These findings contribute to the domain of obesogenic digital environments and the role of nutrition in consuming food media. By examining how mindsets interact with affective evaluations, this work demonstrates that a default mindset based on instinct can be shifted and thus alter subsequent behavioral intentions.

This work provides insight into what can boost the visibility and engagement of healthy food content on social media. Marketers can help promote healthier food media by cueing consumers to think more deliberately before exposure.

This research builds on recent work by demonstrating how to boost engagement with healthy foods on social media by cueing a more thoughtful mindset.

Very little is known about how weight gain during incarceration influences the health of people living in Canadian federal penitentiaries. To fill this knowledge gap, this study aims to determine how the observed weight gain influenced the development of obesity-related chronic diseases during incarceration.

This retrospective cohort study examined the association between weight gain and obesity-related chronic diseases for 1,420 participants incarcerated in federal penitentiaries in Ontario, New Brunswick and Nova Scotia. To participate, individuals had to be incarcerated for at least six months at the time of the study (2016–2017). Current anthropometric data were measured or taken from medical records, then compared to anthropometric data at the beginning of incarceration (mean follow-up of 5.0 years) to determine weight change (kg) and body mass index change (kg/m²) during incarceration. Then, information about obesity-related chronic diseases was drawn from the participants’ medical records.

Chi-square and nonparametric median comparison tests were performed to detect statistically significant changes in anthropometric data, to determine if a relationship was present. This study observed a significant association between weight gain and disease development for many types of obesity-related chronic diseases (e.g. cancer, type 2 diabetes, hypertension, dyslipidemia and sleep apnea). This confirmed an association between weight gain and chronic disease development in the prison population.

Participants who gained a significant amount of weight, during incarceration, were also more frequently diagnosed with obesity-related chronic diseases. These findings suggest that weight gain may contribute to the deterioration of peoples’ health during incarceration.

The school fringe environment (peripheral 400 m buffer) offers an important opportunity for young people to obtain food and drink. There is international evidence to suggest socio-economic influence on food outlet availability and healthfulness within these environments; however the situation in the UK is unclear. The purpose of this paper is to describe food outlet provision (frequency and type) within primary school fringes across the spectrum of deprivation.

Ten primary schools in Newcastle upon Tyne were purposefully selected from a comprehensive list of all schools within the region. Two schools were chosen at random from each quintile of deprivation. A total of 400-metre buffer zones around schools were audited. School fringe food environments were classified using a Food Outlet Classification System. Access (i.e. frequency), and type of food outlets were compared to area level deprivation, obesity prevalence rates and area type.

Food outlet frequency was highest in the most deprived school fringe area. Convenience stores and takeaways represented the greatest proportion of total food outlets across all school fringe environments. More total food outlets were observed in fringes with above national average obesity prevalence rates for children.

UK case study approach limits widespread and international applicability.

Informs school, health and urban planning disciplines regarding current picture of UK school fringes.

Provides evidence in UK context that area deprivation and Census 2001 Supergroup class show significant correlations with school fringe food environment.

This paper aims to present an ecological study that analyzed the impact of societal and behavioral factors on the obesogenic situation worldwide. The societal variables included urbanization, motorization and educational and economic developments, while the behavioral variables consisted of nutritional intake and insufficient physical activity (IPA).

This investigation was based on official data concerning 99 countries, in the first part of the reference model, and 92 countries, in the second part. The constructs were measured through urban population (per cent), energy/protein/fat supply, expected years of schooling, gross domestic product and gross national income per capita, vehicles per 1,000 inhabitants, average body mass index and IPA level of the populations. Data, obtained through the Food and Agriculture Organization of the United Nations, World Health Organization, World Bank and United Nations, were analyzed mainly through descriptive, factor and multiple regression analyses.

The results suggested that nutritional supply/intake, IPA and educational-level impact significantly and positively on the obesogenic situation (p < 0.01, p < 0.001 and p < 0.001, respectively). In addition, urbanization significantly affects the IPA (p < 0.01). Evidence also suggested that economic development impacts negatively on obesogenic severity (p < 0.01).

Developing economies might face severe obesogenic problems in the future, given their limited access to healthy food and their growing urbanization; thus, nutritional intake should not be seen as the main antecedent of the obesogenic environment. This paper provides comprehensive information to policymakers and researchers interested in the severity of the global obesogenic environment.

The purpose of this paper is to investigate the associations between obesogenic severity, the public health situation, environmental impacts, and health care expenditures in populations worldwide.

This ecological study is based on official data available for approximately 140 countries worldwide. This study defines four main variables: obesogenic severity, environmental impact, public health implications (PHI), and health expenditures, all measured through specific indicators. Data were obtained mainly from the WHO, World Bank, and IDF. The indicators were reduced to the main variables through factorial reduction and multiple regression analyses were used to test the main hypotheses.

Obesogenic severity strongly and positively affects environmental impacts (β=0.6578; p<0.001), PHI-1 (cardiovascular risk factor) (β=0.3137; p<0.001) and PHI-2 (blood glucose and diabetes diagnoses) (β=0.3170; p<0.001). Additionally, environmental impacts strongly and positively affect PHI-1 (β=0.4978; p<0.001) but not PHI-2. Thus, results suggest that environmental impact, PHI-1, and PHI-2 strongly affect health expenditures (β=0.3154; p<0.001, β=0.5745; p<0.001, and β=−0.4843; p<0.001, respectively), with PHI-2 negatively affecting the health expenditures.

This study presents evidence that can aid in decision making regarding public and private efforts to better align budgets and resources as well as predict the needs and expenditures of public health care systems.

This investigation finds that the main variables addressed are strongly associated at the worldwide level. Thus, these analytical procedures can be used to predict public health and health care cost scenarios at the global level.

In New Zealand, legislation was introduced to regulate the types of food sold and promoted in schools but 15 months later, part of the legislation was repealed. The purpose of this paper is to determine the extent to which a sample of schools implemented positive changes when the legislation was introduced and the extent to which they reversed the changes when the second clause was repealed.

An anonymous survey containing qualitative and quantitative aspects was mailed to a randomly selected sample of 1,000 New Zealand primary and secondary schools. A respondent from each school was asked questions about health issues, including whether their school had implemented changes when the new legislation was introduced and whether they reversed or modified those changes when part of it was repealed 15 months later. Simple preliminary analyses are presented in this paper.

Responses were received from 318 schools (32 percent): 66 percent of respondents made changes, 5 percent did not, and 11 percent reported that the changes had not been applicable to their school. A further 18 percent did not need to make changes, as they already complied with legislative requirements. Only three schools completely reversed their changes after repeal of part of the legislation and 29 other schools made minor changes.

The results of this small study suggest that even short‐lived regulations have the potential to make a significant and long‐term difference, especially when accompanied by substantial funding and comprehensive professional development.

The purpose of this paper is to investigate whether the severity of obesogenic societies is associated with more significant environmental impacts, and whether these impacts are associated with the production, supply, and consumption of animal foods more so than with plant foods.

This ecological study was based on analyses of available data regarding populations of countries throughout the world. The study analyzed indicators related to food production, food supply, the anthropometric traits of malnutrition, and ecological impacts. Data were analyzed via scatter plots and Pearson’s correlation.

Food supply, when compared with food production, is more significantly associated with environmental impacts. Also, the supply of meats, when compared with the supply of cereals, has a stronger association with environmental impacts and obesogenic severity. Meat supply is strongly associated with the ecological footprint (r=0.782, p < 0.001), with CO₂ emissions (r=0.602, p < 0.001), and with the water footprint (r=0.503, p < 0.001). Thus, the average body mass index (BMI) of populations worldwide is strongly associated with environmental impacts considering the ecological footprint (r=0.559, p < 0.001), and the CO₂ emissions (r=0.460, p < 0.001).

Actions that are better aligned with worldwide urgencies related to obesogenic problems, food supply/consumption, and environmental issues are needed. This study provides a better understanding about environmental and obesogenic impacts associated with food supply.

The originality is focussed on important evidence regarding environmental and obesogenic severity strongly associated with meat supply.

In 2018, we have surpassed the population landmark of 7.5 billion, and yesterday’s global crisis of under-nutrition in poorer nations is now accompanied by a journey into overweight and obesity. The purpose of our research is to focus on the health and resistance of those who avoid overweight and obesity rather than continuing to focus on the pathology and disease of this phenomenon.

Taking a consumer-centric perspective and using the lens of the social-economic framework, the authors report qualitative research conducted with 31 young people (ages 17-26) who have been resistant to weight gain in an increasingly obesogenic environment, followed by a survey of the general population, n = 921. The authors look at this type of consumer resistance to better understand how to develop government and community leadership and build more obesogenically resilient societies.

The findings support the contention that obesity is a social problem that requires a social solution.

The main contribution to the conversation addressing increasing levels of overweight and obesity is that this research demonstrates that these are complex social problems and require complex intervention at the societal level, not the individual level.