Overweight and obesity prevention for and with adolescents: The "Confronting obesity: Co-creating policy with youth" (CO-CREATE) project.

Knut-Inge Klepp, Arnfinn Helleve, Hannah Brinsden, Christian Bröer, Isabelle Budin-Ljøsne, Janetta Harbron, Cecile Knai, Nanna Lien, Aleksandra Luszczynska, Samantha Nesrallah, Kate Oldridge-Turner, Ana Rito, Oddrun Samdal, Natalie Savona, Maja K Stensdal, Steven Allender, Deanna M Hoelscher, Harry Rutter

Journal: Obesity reviews : an official journal of the International Association for the Study of Obesity 2023;24 Suppl 1():e13540

PMID: 36623268

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Abstract

The CO-CREATE project focuses on the need for research on obesity prevention in adolescents to move away from studies of single interventions, toward the investigation of systems-based research incorporating youth involvement. This paper provides an overview of the project, presenting the objectives, design, and novel methodologies applied, as well as findings to date and anticipated outcomes. Adolescents (16-18 years old) in five European countries participated. Methods applied in the project include monitoring and benchmarking of policies, systematic literature reviews, epidemiological surveillance, linking observed overweight and obesity trends to observed policy landscapes, group model building to identify perceived drivers of obesity, alliance building with adolescents, dialog with stakeholders, and system dynamics modelling to explore the potential impact of policy options. Outcomes include tools for developing policy ideas and investigation of prevention strategies with adolescents, including policy databases, system maps of drivers of obesity, protocols for organizing youth alliances, an intergenerational policy dialog tool, and system dynamic models exploring the impacts of cocreated policy ideas. These outcomes make an important contribution to building a pan-European infrastructure for designing and evaluating policies and for providing youth with the opportunity to make their voices heard in the development and implementation of obesity prevention measures.

Address: Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.; Department of Nutrition, Faculty of Medicine, University of Oslo, Oslo, Norway.; Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.; World Obesity Federation, London, UK.; Department of Sociology, University of Amsterdam, Amsterdam, The Netherlands.; Department of Food Safety, Division of Climate and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.; Division of Physiological Sciences, Health through Physical Activity, Lifestyle & Sport (HPALS) Research Centre, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.; Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.; Department of Nutrition, Faculty of Medicine, University of Oslo, Oslo, Norway.; CARE-BEH Center for Applied Research on Health Behavior and Health, SWPS University of Social Sciences and Humanities, Wroclaw, Poland.; EAT, Oslo, Norway.; World Cancer Research Fund International, London, UK.; Centre for Studies and Research on Social Dynamics and Health-CEIDSS, Lisbon, Lisbon, Portugal.; Department of Health Promotion and Development, Faculty of Psychology, University of Bergen, Bergen, Norway.; PRESS, Oslo, Norway.; Global Obesity Centre, Institute for Health Transformation, Deakin University, Melbourne, Australia.; School of Public Health Austin Campus, University of Texas Health Science Center at Houston (UTHealth), Austin, Texas, USA.; Department of Social and Policy Sciences, University of Bath, Bath, UK.

DOI: 10.1111/obr.13540

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MeSH Terms: Adolescent, Humans, Obesity, Overweight, Policy