Ending Childhood Obesity ECHO is a national initiative aiming to prevent overweight and obesity in preschool children aged 0-6 in Sweden, thereby contributing to the reduction of mental illness, type 2 diabetes, and cardiovascular diseases.
Together with individuals, public healthcare, academia and industry, the project will work towards its vision of zero childhood obesity at school start by 2030. This will be achieved through the broad support of the 24 formal project partners and a network of stakeholders. All five project packages will run throughout Sweden, and the solutions will be scalable on a national level.
Ending Childhood Obesity establishes the first ever national mission-oriented action that focuses on preventive health measures and system transformation from a Health-Risk-Disease perspective.
The national system (NPO) for Child and Youth Health within regional knowledge-driven governance plays a key role in the implementation of the knowledge generated by the project.
Individuals – all citizens. Children under 6 years of age, and their families, should be given the best possible conditions for a healthy life, and be able to maintain a healthy weight to prevent future illness.
Public Healthcare. National guidelines, initiatives and common indicators for the prevention of overweight and obesity will offer equal conditions for all children regardless of where they live. This will free up resources for diseases which are not preventable.
Academia. More research in the field, focusing on maintaining health in addition to treatment of overweight and obesity.
Industry, the Public Sector and NGOs. The project works to develop new types of incentives, reimbursement- and business models that make it beneficial and profitable to conduct activities within the Health sector from the Health-Risk-Sick-perspective. Currently, most of these incentives, reimbursement- and business models are designed for the Sick-sector.
The mission-oriented working method contributes to making the Swedish life-science industry more competitive, more attractive and more sustainable. It opens up opportunities for more stakeholders besides publicly funded healthcare to contribute to solutions.
Investment in system transformation creates conditions for further innovation.
This work package maps and develops existing successful, evidence-based initiatives to work with children living with obesity and overweight. We aim develop a shared view of what should be implemented to prevent childhood obesity in Sweden.
The proportion of children who are overweight or obese has increased dramatically in recent decades. Globally, the proportion of children and adolescents who are overweight or obese has increased from 11 million in 1975 to 124 million in 2016. If the development continues to follow the same pattern, by 2022 more children and adolescents will be overweight than underweight. Overweight and obesity that is established at a young age tends to persist into adulthood. As many as 60 percent of children who are obese before puberty will continue to be obese into their late teens.
Around 11 percent of children aged 4 in Sweden were overweight or obese in 2018. Of four-year-olds, around 9 percent were overweight and 2 percent were obese. Living with overweight and obesity was more common in girls (13 percent) than in boys (10 percent) and there were regional variations.
Obesity is a disease that causes both personal suffering and socio-economic losses. Almost 4 percent of all deaths in Sweden in 2016 can be attributed to obesity-related illness. Obesity cost Swedish society SEK 25.2 billion in 2016, while overweight cost SEK 23.4 billion.
SEK 4.7 million in the first year. During the same period, co-financing will also be provided by the project partners.
To reduce overweight and obesity among children aged 0-6 in 2030 by Sweden. Results will be measured according to region and municipality.
Generation Pep HOBS ICA Innovation Skåne Innovation Skåne Lund University – LU Innovation National Board of Health and Welfare – Division for Knowledge Governance for Public Healthcare National Board of Health and Welfare – Department for Knowledge Governance for Social Services Novo Nordisk Pediatric Healthcare Unit in Stockholm County Region Skåne – Knowledge Centre for Pediatric Healthcare Region Skåne – Regional Development Region Stockholm SLSO – Center for Obesity Region Västerbotten – Pediatric Healthcare Region Östergötland – Department of Public Health and Statistics RISE – Measurements RISE – Measurements RISE – Mobility and Systems SAS Institute Stockholm University – Department of Computer and Systems Science Swedish Food Agency The Swedish Food Federation Västra Götaland Region – Pediatric Medicine Uppsala University – Department of Medical Cell Biology
In addition to the formal partners, 40 additional stakeholders are participating in the project.