Obesity Systems Map

4
TV Watching Exposure to Food Advertising Media Availability Media Consumption Importance of Ideal body -size image Sociocultural Valuation of Food Social Rejection of Smoking Social Acceptability of fatness Acculturation Purchasing Power Education Peer Pressure Food Literacy Self Esteem Stress Use of Medicines Scientific Inconsistency Parental Control Desire to Differentiate Food Offerings Children’s Control of Diet Tendency to Graze Food Exposure Food Abundance Perceived Lack of Time Smoking Cessation Desire to Minimize Cost Standardisation of Food Offerings Convenience of Food Offerings Market Price of Food Offerings De-skilling Alcohol Consumption Food Variety Desire to Maximize Volume Pressure to Cater for Acquired Tastes Pressure to Improve Access to Food Offerings Energy-Density of Food Offerings Palatability of Food Offerings Nutritional Quality of Food & Drink Fibre Content of Food & Drink Portion Size Rate of Eating Demand for Convenience Cost of Ingredients Conscious Control of Accumulation Psychological Ambivalence F2F Social Interaction Individualism Perceived Danger In Environment Demand for Indulgence/ Compensation Desire to Resolve Tension Pressure on job performance Effort to Increase Efficiency of Production Pressure for Growth & Profitability Effort to Increase Efficiency of Consumption Level of Employment Demand for Health Female Employment Societal Pressure to Consume Force of Dietary Habits ENERGY BALANCE R Access to Opportunities for Physical Exercise Cost of Physical Exercise Reliance on Pharma Remedies Reliance on Surgical Interventions Level of Infections Safety of Unmotorised Transport Opportunity for Unmotorised Transport Ambient Temperature Dominance of Motorised Transport Level of Available Energy Degree of Primary Appetite Control Importance of Physical Need Quality & Quantity of Breast Feeding (and Weaning) Effort to Acquire Energy Tendency to Preserve Energy Strength of Lock-in to Accumulate Energy Genetic and/or Epigenetic Predisposition to Obesity Appropriateness of Embryonic & Fetal Growth Appropriateness of Child Growth Resting Metabolic Rate Level of Thermogenesis Level of Fat Free Mass Level of Adipocyte Metabolism Degree of Optimal GI Signaling Extent of Digestion and Absorption Level of Satiety Appropriateness of Nutrient Partitioning Appropriateness of Maternal Body Composition Physical Activity Functional Fitness Degree of Innate Activity in Childhood Degree of Physical Education Sociocultural Valuation of Activity Opportunity for Team-Based Activity Learned Activity Patterns in Early Childhood Level of Recreational Activity Level of Domestic Activity Level of Transport Activity NEAT Non-Volitional Activity Level of Occupational Activity Parental Modeling of Activity Social Depreciation of Labor Reliance on Labor-Saving Devices & Services Availability of Passive Entertainment Options Dominance of Sedentary Employment Walkability of Living Environment Conceptualisation of Obesity as a Disease Predisposition to Activity Side-Effects of Medicine Biological Social Psychological Infrastructure Activity Food Media Economic Medical Positive Influence Negative Influence Developmental Obesity System Map copyright® 2010 shiftn cvba

description

A systems map developed by shiftN (www.shiftn.com) for Foresight UK in the framework of the Tackling Obesities project (2007)

Transcript of Obesity Systems Map

Page 1: Obesity Systems Map

TVWatching

Exposure to Food

Advertising

MediaAvailability

MediaConsumption

Importance ofIdeal body -size image

Sociocultural Valuation of

Food

SocialRejection

of Smoking

Social Acceptability

of fatness

Acculturation

PurchasingPower

Education

Peer Pressure

Food Literacy

Self Esteem

Stress

Use ofMedicines

Scienti�cInconsistency

ParentalControl

Desire to Di�erentiate

Food O�erings

Children’sControl of

Diet

Tendencyto Graze

Food Exposure

Food Abundance

Perceived Lack of Time

SmokingCessation

Desire toMinimize

Cost

Standardisationof Food

O�erings

Convenienceof Food

O�erings

Market Priceof Food

O�erings

De-skilling

AlcoholConsumption

FoodVariety

Desire toMaximizeVolume

Pressure to Cater for

Acquired Tastes

Pressure toImproveAccess to

Food O�erings

Energy-Densityof Food

O�erings

Palatabilityof Food

O�erings

NutritionalQuality of

Food & Drink

FibreContent of

Food & Drink

PortionSize

Rate ofEating

Demand for Convenience

Cost of Ingredients

ConsciousControl of

Accumulation

PsychologicalAmbivalence

F2F SocialInteraction

Individualism

PerceivedDanger In

Environment

Demand forIndulgence/

Compensation

Desire toResolveTension

Pressure on job

performance

E�ort to Increase E�ciency

of Production

Pressure forGrowth &

Pro�tability

E�ort to IncreaseE�ciency of

Consumption

Level ofEmployment

Demandfor

Health

FemaleEmployment

SocietalPressure toConsume

Force ofDietaryHabits

ENERGYBALANCE

R

Access to Opportunities forPhysical Exercise

Cost ofPhysicalExercise

Reliance onPharma

Remedies

Reliance onSurgical

Interventions

Level ofInfections

Safety of Unmotorised

Transport

Opportunity forUnmotorised

Transport

AmbientTemperature

Dominanceof Motorised

TransportLevel of

Avai lableEnergy

Degree ofPrimary

AppetiteControl

Importance ofPhysical Need

Quality &Quantity of

Breast Feeding(and Weaning)

E�ort toAcquireEnergy

Tendency toPreserveEnergy

Strength ofLock-in to

AccumulateEnergy

Geneticand/or

EpigeneticPredisposition

to Obesity

Appropriatenessof Embryonic &

Fetal Growth

Appropriatenessof Child Growth

RestingMetabolic

Rate

Level ofThermogenesisLevel of

Fat Free Mass

Level ofAdipocyte

Metabolism

Degree of Optimal GISignaling

Extent ofDigestion and

Absorption

Level ofSatiety

Appropriatenessof NutrientPartitioning

Appropriatenessof Maternal Body

Composition

PhysicalActivity

FunctionalFitness

Degree ofInnate Activityin Childhood

Degree ofPhysical

Education

SocioculturalValuation of

Activity

Opportunity forTeam-Based

Activity

Learned ActivityPatterns in Early

Childhood

Level ofRecreational

Activity

Level ofDomesticActivity

Level ofTransportActivity

NEATNon-Volitional

Activity

Level ofOccupational

Activity

ParentalModeling of

Activity

SocialDepreciation of

Labor

Reliance onLabor-Saving

Devices &Services

Availabilityof Passive

EntertainmentOptions

Dominance ofSedentary

Employment

Walkability of Living

Environment

Conceptualisationof Obesity

as a Disease

Predispositionto Activity

Side-E�ectsof Medicine

Biological

Social

Psychological

Infrastructure

Activity

Food

Media

Economic

Medical

Positive In�uence

Negative In�uence

Developmental

Obesity System Map

copyright® 2010 shiftn cvba

Page 2: Obesity Systems Map

TVWatching

Exposure to Food

Advertising

MediaAvailability

MediaConsumption

Importance ofIdeal body -size image

Sociocultural Valuation of

Food

SocialRejection

of Smoking

Social Acceptability

of fatness

Acculturation

PurchasingPower

Education

Peer Pressure

Food Literacy

Self Esteem

Stress

Use ofMedicines

Scienti�cInconsistency

ParentalControl

Desire to Di�erentiate

Food O�erings

Children’sControl of

Diet

Tendencyto Graze

Food Exposure

Food Abundance

Perceived Lack of Time

SmokingCessation

Desire toMinimize

Cost

Standardisationof Food

O�erings

Convenienceof Food

O�erings

Market Priceof Food

O�erings

De-skilling

AlcoholConsumption

FoodVariety

Desire toMaximizeVolume

Pressure to Cater for

Acquired Tastes

Pressure toImproveAccess to

Food O�erings

Energy-Densityof Food

O�erings

Palatabilityof Food

O�erings

NutritionalQuality of

Food & Drink

FibreContent of

Food & Drink

PortionSize

Rate ofEating

Demand for Convenience

Cost of Ingredients

ConsciousControl of

Accumulation

PsychologicalAmbivalence

F2F SocialInteraction

Individualism

PerceivedDanger In

Environment

Demand forIndulgence/

Compensation

Desire toResolveTension

Pressure on job

performance

E�ort to Increase E�ciency

of Production

Pressure forGrowth &

Pro�tability

E�ort to IncreaseE�ciency of

Consumption

Level ofEmployment

Demandfor

Health

FemaleEmployment

SocietalPressure toConsume

Force ofDietaryHabits

ENERGYBALANCE

R

Access to Opportunities forPhysical Exercise

Cost ofPhysicalExercise

Reliance onPharma

Remedies

Reliance onSurgical

Interventions

Level ofInfections

Safety of Unmotorised

Transport

Opportunity forUnmotorised

Transport

AmbientTemperature

Dominanceof Motorised

TransportLevel of

Avai lableEnergy

Degree ofPrimary

AppetiteControl

Importance ofPhysical Need

Quality &Quantity of

Breast Feeding(and Weaning)

E�ort toAcquireEnergy

Tendency toPreserveEnergy

Strength ofLock-in to

AccumulateEnergy

Geneticand/or

EpigeneticPredisposition

to Obesity

Appropriatenessof Embryonic &

Fetal Growth

Appropriatenessof Child Growth

RestingMetabolic

Rate

Level ofThermogenesisLevel of

Fat Free Mass

Level ofAdipocyte

Metabolism

Degree of Optimal GISignaling

Extent ofDigestion and

Absorption

Level ofSatiety

Appropriatenessof NutrientPartitioning

Appropriatenessof Maternal Body

Composition

PhysicalActivity

FunctionalFitness

Degree ofInnate Activityin Childhood

Degree ofPhysical

Education

SocioculturalValuation of

Activity

Opportunity forTeam-Based

Activity

Learned ActivityPatterns in Early

Childhood

Level ofRecreational

Activity

Level ofDomesticActivity

Level ofTransportActivity

NEATNon-Volitional

Activity

Level ofOccupational

Activity

ParentalModeling of

Activity

SocialDepreciation of

Labor

Reliance onLabor-Saving

Devices &Services

Availabilityof Passive

EntertainmentOptions

Dominance ofSedentary

Employment

Walkability of Living

Environment

Conceptualisationof Obesity

as a Disease

Predispositionto Activity

Side-E�ectsof Medicine

Physical ActivityEnvironment

IndividualPhysical Activity

IndividualPhysiology

FoodProduction

SocialPsychology Individual

Psychology

FoodConsumption

Physiology

Variable Clusters

Biological

Social

Psychological

Infrastructure

Activity

Food

Media

Economic

Medical

Positive In�uence

Negative In�uence

Developmental

Obesity System Map

copyright® 2010 shiftn cvba

Page 3: Obesity Systems Map

TVWatching

Exposure to Food

Advertising

MediaAvailability

MediaConsumption

Importance ofIdeal body -size image

Sociocultural Valuation of

Food

SocialRejection

of Smoking

Social Acceptability

of fatness

Acculturation

PurchasingPower

Education

Peer Pressure

Food Literacy

Self Esteem

Stress

Use ofMedicines

Scienti�cInconsistency

ParentalControl

Desire to Di�erentiate

Food O�erings

Children’sControl of

Diet

Tendencyto Graze

Food Exposure

Food Abundance

Perceived Lack of Time

SmokingCessation

Desire toMinimize

Cost

Standardisationof Food

O�erings

Convenienceof Food

O�erings

Market Priceof Food

O�erings

De-skilling

AlcoholConsumption

FoodVariety

Desire toMaximizeVolume

Pressure to Cater for

Acquired Tastes

Pressure toImproveAccess to

Food O�erings

Energy-Densityof Food

O�erings

Palatabilityof Food

O�erings

NutritionalQuality of

Food & Drink

FibreContent of

Food & Drink

PortionSize

Rate ofEating

Demand for Convenience

Cost of Ingredients

ConsciousControl of

Accumulation

PsychologicalAmbivalence

F2F SocialInteraction

Individualism

PerceivedDanger In

Environment

Demand forIndulgence/

Compensation

Desire toResolveTension

Pressure on job

performance

E�ort to Increase E�ciency

of Production

Pressure forGrowth &

Pro�tability

E�ort to IncreaseE�ciency of

Consumption

Level ofEmployment

Demandfor

Health

FemaleEmployment

SocietalPressure toConsume

Force ofDietaryHabits

ENERGYBAL ANCE

Access to Opportunities forPhysical Exercise

Cost ofPhysicalExercise

Reliance onPharma

Remedies

Reliance onSurgical

Interventions

Level ofInfections

Safety of Unmotorised

Transport

Opportunity forUnmotorised

Transport

AmbientTemperature

Dominanceof Motorised

TransportLevel of

Avai lableEnergy

Degree ofPrimary

AppetiteControl

Importance ofPhysical Need

Quality &Quantity of

Breast Feeding(and Weaning)

E�ort toAcquireEnergy

Tendency toPreserveEnergy

Strength ofLock-in to

AccumulateEnergy

Geneticand/or

EpigeneticPredisposition

to Obesity

Appropriatenessof Embryonic &

Fetal Growth

Appropriatenessof Child Growth

RestingMetabolic

Rate

Level ofThermogenesisLevel of

Fat Free Mass

Level ofAdipocyte

Metabolism

Degree of Optimal GISignaling

Extent ofDigestion and

Absorption

Level ofSatiety

Appropriatenessof NutrientPartitioning

Appropriatenessof Maternal Body

Composition

PhysicalActivity

FunctionalFitness

Degree ofInnate Activityin Childhood

Degree ofPhysical

Education

SocioculturalValuation of

Activity

Opportunity forTeam-Based

Activity

Learned ActivityPatterns in Early

Childhood

Level ofRecreational

Activity

Level ofDomesticActivity

Level ofTransportActivity

NEATNon-Volitional

Activity

Level ofOccupational

Activity

ParentalModeling of

Activity

SocialDepreciation of

Labor

Reliance onLabor-Saving

Devices &Services

Availabilityof Passive

EntertainmentOptions

Dominance ofSedentary

Employment

Walkability of Living

Environment

Conceptualisationof Obesity

as a Disease

Predispositionto Activity

Side-E�ectsof Medicine

Obesity System Map

Biological

Social

Psychological

Infrastructure

Activity

Food

Media

Economic

MedicalPositive In�uence

Negative In�uenceDevelopmental

Page 4: Obesity Systems Map

TVWatching

Exposure to Food

Advertising

MediaAvailability

MediaConsumption

Importance ofIdeal body -size image

Sociocultural Valuation of

Food

SocialRejection

of Smoking

Social Acceptability

of fatness

Acculturation

PurchasingPower

Education

Peer Pressure

Food Literacy

Self Esteem

Stress

Use ofMedicines

Scienti�cInconsistency

ParentalControl

Desire to Di�erentiate

Food O�erings

Children’sControl of

Diet

Tendencyto Graze

Food Exposure

Food Abundance

Perceived Lack of Time

SmokingCessation

Desire toMinimize

Cost

Standardisationof Food

O�erings

Convenienceof Food

O�erings

Market Priceof Food

O�erings

De-skilling

AlcoholConsumption

FoodVariety

Desire toMaximizeVolume

Pressure to Cater for

Acquired Tastes

Pressure toImproveAccess to

Food O�erings

Energy-Densityof Food

O�erings

Palatabilityof Food

O�erings

NutritionalQuality of

Food & Drink

FibreContent of

Food & Drink

PortionSize

Rate ofEating

Demand for Convenience

Cost of Ingredients

ConsciousControl of

Accumulation

PsychologicalAmbivalence

F2F SocialInteraction

Individualism

PerceivedDanger In

Environment

Demand forIndulgence/

Compensation

Desire toResolveTension

Pressure on job

performance

E�ort to Increase E�ciency

of Production

Pressure forGrowth &

Pro�tability

E�ort to IncreaseE�ciency of

Consumption

Level ofEmployment

Demandfor

Health

FemaleEmployment

SocietalPressure toConsume

Force ofDietaryHabits

ENERGYBAL ANCE

Access to Opportunities forPhysical Exercise

Cost ofPhysicalExercise

Reliance onPharma

Remedies

Reliance onSurgical

Interventions

Level ofInfections

Safety of Unmotorised

Transport

Opportunity forUnmotorised

Transport

AmbientTemperature

Dominanceof Motorised

TransportLevel of

Avai lableEnergy

Degree ofPrimary

AppetiteControl

Importance ofPhysical Need

Quality &Quantity of

Breast Feeding(and Weaning)

E�ort toAcquireEnergy

Tendency toPreserveEnergy

Strength ofLock-in to

AccumulateEnergy

Geneticand/or

EpigeneticPredisposition

to Obesity

Appropriatenessof Embryonic &

Fetal Growth

Appropriatenessof Child Growth

RestingMetabolic

Rate

Level ofThermogenesisLevel of

Fat Free Mass

Level ofAdipocyte

Metabolism

Degree of Optimal GISignaling

Extent ofDigestion and

Absorption

Level ofSatiety

Appropriatenessof NutrientPartitioning

Appropriatenessof Maternal Body

Composition

PhysicalActivity

FunctionalFitness

Degree ofInnate Activityin Childhood

Degree ofPhysical

Education

SocioculturalValuation of

Activity

Opportunity forTeam-Based

Activity

Learned ActivityPatterns in Early

Childhood

Level ofRecreational

Activity

Level ofDomesticActivity

Level ofTransportActivity

NEATNon-Volitional

Activity

Level ofOccupational

Activity

ParentalModeling of

Activity

SocialDepreciation of

Labor

Reliance onLabor-Saving

Devices &Services

Availabilityof Passive

EntertainmentOptions

Dominance ofSedentary

Employment

Walkability of Living

Environment

Conceptualisationof Obesity

as a Disease

Predispositionto Activity

Side-E�ectsof Medicine

Variable Clusters

Physical ActivityEnvironment

IndividualPhysical Activity

IndividualPhysiology

FoodProduction

SocialPsychology Individual

Psychology

FoodConsumption

Physiology

Obesity System Map

Biological

Social

Psychological

Infrastructure

Activity

Food

Media

Economic

MedicalPositive In�uence

Negative In�uenceDevelopmental