title: The role of state health departments in supporting community-based obesity prevention.
abstract: BACKGROUND
  Recent national attention to obesity prevention has highlighted the importance of community-based initiatives. State health departments are in a unique position to offer resources and support for local obesity prevention efforts.
  
  
  OBJECTIVE
  In North Carolina, one-third of children are overweight or obese. North Carolina's Division of Public Health supports community-based obesity prevention by awarding annual grants to local health departments, providing ongoing training and technical assistance, and engaging state-level partners and resources to support local efforts.
  
  
  METHODS
  The North Carolina Division of Public Health administered grants to 5 counties to implement the Childhood Obesity Prevention Demonstration Project; counties simultaneously carried out interventions in the community, health care organizations, worksites, schools, child care centers, and faith communities.
  
  
  RESULTS
  The North Carolina Division of Public Health worked with 5 local health departments to implement community-wide policy and environmental changes that support healthful eating and physical activity. The state health department supported this effort by working with state partners to provide technical assistance, additional funding, and evaluation.
  
  
  CONCLUSIONS
  State health departments are well positioned to coordinate technical assistance and leverage additional support to increase the strength of community-based obesity prevention efforts.
authors.affiliation: Chronic Disease and Injury Section, North Carolina Division of Public Health, 1915 Mail Service Center, Raleigh, NC 27699-1915, USA. jamie.cousins@dhhs.nc.gov
authors.forename: Jamie M
authors.initials: JM
authors.lastname: Cousins
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Langer
authors.forename: Lori K
authors.initials: LK
authors.lastname: Rhew
authors.forename: Cathy
authors.initials: C
authors.lastname: Thomas
mesh_terms: D000293:Adolescent; D002648:Child; D003153:Community Health Services / Q000191:economics*; D005260:Female; D006293:Health Promotion / Q000191:economics*; D006801:Humans; D008297:Male; D009657:North Carolina / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control*; D011634:Public Health; D011635:Public Health Administration / Q000193:education*; D012189:Retrospective Studies