Publications by authors named "Nicolaas Pronk"

The Roundtable on Obesity Solutions (ROOS), established in 2014, is a unique organization of multisectoral voices addressing the public health challenge of obesity. The ROOS brings together practitioners, researchers, funders, companies, health systems, government agencies, and the lived experience to dialogue and guide the national conversation about the multilevel challenges and opportunities related to obesity. This paper presents insights and key learnings from a symposium developed to celebrating the 10th Anniversary of the ROOS.

View Article and Find Full Text PDF

Obesity prevalence continues to rise globally at alarming rates, with adverse health and economic implications. In this state-of-the-art review, we provide an analysis of selected evidence about the current knowledge in the obesity literature, including a synthesis of current challenges in obesity and its determinants. In addition, we review past and current efforts to combat the obesity epidemic, highlighting both successful efforts and areas for further development.

View Article and Find Full Text PDF

The prevalence of obesity in the United States (U.S.), in conjunction with the myriad of detrimental health consequences associated with this disease, justifiably warrants deep concern and characterization as a national health crisis of epidemic proportions.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates the link between social vulnerability and levels of no leisure time physical activity (NO-LTPA) across different U.S. regions over time, highlighting NO-LTPA as a significant contributor to health issues.
  • - Results show higher NO-LTPA rates in certain culturally distinct regions and reveal that 37% of U.S. counties experienced a decrease in NO-LTPA from 2020 to 2022, while many others saw no change or an increase.
  • - The findings suggest a relationship where improvements in social vulnerability could potentially lead to reductions in NO-LTPA, indicating a need for targeted interventions in socially vulnerable areas.
View Article and Find Full Text PDF
Article Synopsis
  • Health indices in the U.S. show significant regional disparities, with certain areas experiencing high rates of unhealthy behaviors and chronic diseases, including arthritis.
  • A study analyzed data from 3,073 counties and found strong correlations between arthritis prevalence and factors like lifestyle health, depression, disability, and social vulnerability.
  • The research highlights the need for a more integrated and proactive approach to health care, moving away from condition-specific treatment to a more holistic model.
View Article and Find Full Text PDF

Background: Health systems support community health and well-being, and while many commit resources to convening in support of community-engaged communication interventions, they currently lack tools to evaluate this effort. This report describes one health system's mixed-methods stakeholder-engaged development of robust yet pragmatic convening assessment tools.

Methods: Semi-structured interviews and web surveys with key stakeholders informed a taxonomy of quality convening and accompanying survey tool.

View Article and Find Full Text PDF
Article Synopsis
  • * A philosophical inquiry was conducted, exploring key questions about the relationship between humans and AI, trust issues, ethical concerns, and control of AI in health contexts.
  • * The resulting 11 recommendations emphasize a human-centric approach, suggesting workforce planning that incorporates AI and the importance of reporting serious AI-related incidents to regulatory authorities.
View Article and Find Full Text PDF

Objectives: There are numerous population health challenges confronting the United States (U.S.), including the unhealthy lifestyle - chronic disease pandemics.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates how general health, social factors, and behaviors at the county level affect oral health indicators, examining differences across various regional cultures in the U.S. based on the American Nations model.
  • - Researchers created a Lifestyle Health Index (LHI) from new data sources and found strong correlations between LHI, social vulnerability, and dental health measures, revealing significant disparities in dental visits and tooth loss across different cultural regions.
  • - The findings suggest that oral health is influenced by lifestyle, social conditions, and cultural beliefs, emphasizing the need for tailored health communications and policies that take regional cultural differences into account to enhance dental care and outcomes.
View Article and Find Full Text PDF

Public health, personal/community health behaviors, health care delivery, and the scientific community have all been impacted by the COVID-19 pandemic and are consequently poised to consider substantial paradigm shifts that will enhance disease prevention and public health resilience. The current analysis compares the newly developed Lifestyle Health Index (LHI) to U.S.

View Article and Find Full Text PDF
Article Synopsis
  • Meaning in life is linked to better health and longevity, potentially through healthier behaviors like physical activity, but little has been done to leverage meaning in exercise interventions.
  • The study introduces the Meaningful Activity Program (MAP to Health), a web-based intervention designed for middle-aged adults to enhance physical activity by focusing on meaning and self-determination.
  • The pilot trial involved 35 participants who used MAP for 8 weeks, measuring changes in their motivation and activity levels, with results indicating the program's potential to influence behavior through increased meaning and psychological fulfillment.
View Article and Find Full Text PDF

Introduction: Food insecurity and limited healthful food access are critical public health issues in the United States (U.S), with unequal distribution across regions. This report tracked the prevalence of food insecurity, healthful food access, and the food environment, as cultural experiences according to the American Nations Model.

View Article and Find Full Text PDF

The purpose of this report is to provide a perspective on the use of qualitative systems mapping, provide examples of physical activity (PA) systems maps, discuss the role of PA systems mapping in the context of iterative learning to derive breakthrough interventions, and provide actionable recommendations for future work. Systems mapping methods and applications for PA are emerging in the scientific literature in the study of complex health issues and can be used as a prelude to mathematical/computational modeling where important factors and relationships can be elucidated, data needs can be prioritized and guided, interventions can be tested and (co)designed, and metrics and evaluations can be developed. Examples are discussed that describe systems mapping based on Group Model Building or literature reviews.

View Article and Find Full Text PDF

Background: Since the COVID-19 pandemic health systems have shifted necessarily from chronic to infectious disease treatment, but chronic disease remains critical. One large health system uniquely tracks member health behaviors. This analysis compares data from select months of an ongoing monthly cross-sectional survey before and during the pandemic.

View Article and Find Full Text PDF

Background: Despite broad recognition of the physical inactivity pandemic, little to no progress has been made in the past decade in mitigating the problem. The current analysis builds upon previous research into the drivers of physical inactivity to assess the potential interactions with firearm violence in the United States.

Methods: We merged county-level data on firearm fatality rates, physical inactivity prevalence, the Social Vulnerability Index, and the American nations regional cultures schematic.

View Article and Find Full Text PDF

According to the World Health Organization, 30 countries currently have a life expectancy of ≥80 years: the United States (U.S.) is not among this group of countries.

View Article and Find Full Text PDF

Background: In the United States, ongoing efforts to increase individual- and population-level physical activity have made little to no progress over the past decade in reducing the percentage of individuals who report no leisure-time physical activity. The purpose of the current study is to further assess the relationship between social vulnerability and the prevalence of physical inactivity at the county level.

Methods: We merged county-level data on physical inactivity prevalence, the Social Vulnerability Index (SVI), and the American Nations regional cultures schematic.

View Article and Find Full Text PDF

Background: Physical inactivity and obesity crises persist in the United States despite substantial mitigation efforts. The primary goal of this analysis is to determine whether the geographic concentration of religious institutions overlaps with geographic patterns for physical inactivity and obesity prevalence.

Methods: We obtained 2021 county-level, age-adjusted physical inactivity ("no leisure time physical activity") and obesity prevalence from the 2023 Centers for Disease Control and Prevention PLACES database.

View Article and Find Full Text PDF