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Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity

Version 2 2024-06-06, 11:11
Version 1 2017-07-26, 11:36
journal contribution
posted on 2024-06-06, 11:11 authored by B Swinburn, G Egger, F Raza
BACKGROUND: The "obesogenicity" of modern environments is fueling the obesity pandemic. We describe a framework, known as ANGELO (analysis grid for environments linked to obesity), which is a conceptual model for understanding the obesogenicity of environments and a practical tool for prioritizing environmental elements for research and intervention. METHODS: Development of the ANGELO framework. The basic framework is a 2 x 4 grid which dissects the environment into environmental size (micro and macro) by type: physical (what is available), economic (what are the costs), political (what are the "rules"), and sociocultural (what are the attitudes and beliefs). Within this grid, the elements which influence food intake and physical activity are characterized as obesogenic or "leptogenic" (promoting leanness). RESULTS: Application of the ANGELO framework. The ANGELO framework has been piloted at the population level (island communities) to prioritize the settings/sectors for intervention and at the setting level (fast food outlets) to prioritize research needs and interventions. Environmental elements were prioritized by rating their validity (evidence of impact), relevance (to the local context), and potential changeability. CONCLUSIONS: The ANGELO framework appears to be a flexible and robust instrument for the needs analysis and problem identification stages of reducing the obesogenicity of modern environments.

History

Journal

Preventive medicine

Volume

29

Pagination

563-570

Location

Amsterdam, The Netherlands

ISSN

0091-7435

eISSN

1096-0260

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

1999, American Health Foundation and Academic Press

Issue

6

Publisher

Academic Press