title: Preventing Obesity in the Military Community (POMC): the development of a clinical trials research network.
abstract: Obesity impacts the U.S. military by affecting the health and readiness of active duty service members and their families. Preventing Obesity in Military Communities (POMC) is a comprehensive research program within Patient Centered Medical Homes (PCMHs) in three Military Training Facilities. This paper describes three pilot randomized controlled trials that target critical high risk periods for unhealthy weight gain from birth to young adulthood: (1) pregnancy and early infancy (POMC-Mother-Baby), (2) adolescence (POMC-Adolescent), and (3) the first tour of duty after boot camp (POMC-Early Career). Each study employs a two-group randomized treatment or prevention program with follow up. POMC offers a unique opportunity to bring together research and clinical expertise in obesity prevention to develop state-of-the-art programs within PCMHs in Military Training Facilities. This research builds on existing infrastructure that is expected to have immediate clinical benefits to DoD and far-reaching potential for ongoing collaborative work. POMC may offer an economical approach for widespread obesity prevention, from conception to young adulthood, in the U.S. military as well as in civilian communities.
authors: Department of Family Medicine, Madigan Army Medical Center, 9040 Fitzsimmons Avenue, Joint Base Lewis-McChord, Tacoma, WA 98431, USA. elena.a.spieker.ctr@mail.mil.|Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. elena.a.spieker.ctr@mail.mil.|The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. elena.a.spieker.ctr@mail.mil.
authors: Elena A
authors: EA
authors: Spieker
authors: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. tracy.sbrocco@usuhs.edu.
authors: Tracy
authors: T
authors: Sbrocco
authors: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. kelly.theim.ctr@usuhs.edu.|The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. kelly.theim.ctr@usuhs.edu.
authors: Kelly R
authors: KR
authors: Theim
authors: Department of Family Medicine, Madigan Army Medical Center, 9040 Fitzsimmons Avenue, Joint Base Lewis-McChord, Tacoma, WA 98431, USA. douglas.m.maurer.mil@mail.mil.
authors: Douglas
authors: D
authors: Maurer
authors: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. dawn.johnson@usuhs.edu.
authors: Dawn
authors: D
authors: Johnson
authors: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. edny.joseph@usuhs.edu.
authors: Edny
authors: E
authors: Bryant
authors: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. Jennifer.bakalar@usuhs.edu.|The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. Jennifer.bakalar@usuhs.edu.
authors: Jennifer L
authors: JL
authors: Bakalar
authors: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. natasha.schvey.ctr@usuhs.edu.|The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. natasha.schvey.ctr@usuhs.edu.
authors: Natasha A
authors: NA
authors: Schvey
authors: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. rachel.ress.ctr@usuhs.edu.|The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. rachel.ress.ctr@usuhs.edu.
authors: Rachel
authors: R
authors: Ress
authors: Department of Family and Community Medicine, Nelson Hall, Fort Gordon, GA 30905, USA. Dean.A.Seehusen.mil@health.mil.
authors: Dean
authors: D
authors: Seehusen
authors: Department of Family Medicine, Fort Belvoir Community Hospital, 9300 DeWitt Loop, Fort Belvoir, VA 22060, USA. david.a.klein26.mil@mail.mil.
authors: David A
authors: DA
authors: Klein
authors: Oregon Research Institute, 1776 Millrace Dr., Eugene, OR 97403, USA. estice@ori.org.
authors: Eric
authors: E
authors: Stice
authors: Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, Bethesda, MD 20892, USA. yanovskj@mail.nih.gov.
authors: Jack A
authors: JA
authors: Yanovski
authors: Department of Obstetrics and Gynecology, Naval Hospital Camp Lejeune, 100 Brewster Blvd., Camp Lejeune, NC 28547, USA. Linda.Chan@med.navy.mil.
authors: Linda
authors: L
authors: Chan
authors: Department of Family Medicine, Naval Hospital Camp Lejeune, 100 Brewster Blvd., Camp Lejeune, NC 28547, USA. shari.gentry@med.navy.mil.
authors: Shari
authors: S
authors: Gentry
authors: Department of Family Medicine, Naval Hospital Camp Lejeune, 100 Brewster Blvd., Camp Lejeune, NC 28547, USA. carol.ellsworth@med.navy.mil.
authors: Carol
authors: C
authors: Ellsworth
authors: Department of Research, Naval Hospital Camp Lejeune, 100 Brewster Blvd., Camp Lejeune, NC 28547, USA. Joanne.Hill@med.navy.mil.
authors: Joanne W
authors: JW
authors: Hill
authors: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. yanovskj@mail.nih.gov.|Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, Bethesda, MD 20892, USA. yanovskj@mail.nih.gov.
authors: Marian
authors: M
authors: Tanofsky-Kraff
authors: Department of Family Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. mark.stephens@usuhs.edu.
authors: Mark B
authors: MB
authors: Stephens
mesh_terms: D000293:Adolescent; D002986:Clinical Trials as Topic; D005260:Female; D006801:Humans; D007223:Infant; D008889:Military Personnel; D009765:Obesity / Q000517:prevention & control*; D011247:Pregnancy; D012307:Risk Factors; D014481:United States; D015430:Weight Gain / Q000502:physiology
references: Clin Sci (Lond). 2013 Feb;124(4):231-41
references: 23126426
references: Int J Obes (Lond). 2012 Jul;36(7):956-62
references: 22234282
references: J Gen Intern Med. 2013 Jul;28 Suppl 2:S563-70
references: 23807066
references: PLoS One. 2013;8(7):e70048
references: 23894586
references: J Abnorm Psychol. 2013 Aug;122(3):684-93
references: 24016009
references: JAMA. 2014 Feb 26;311(8):806-14
references: 24570244
references: Obesity (Silver Spring). 2013 Nov;21(11):2205-20
references: 23836452
references: Mil Med. 2014 May;179(5):462-70
references: 24806489
references: Am J Clin Nutr. 2014 Oct;100(4):1010-8
references: 25240070
references: Mil Med. 2001 Feb;166(2):121-5
references: 11272708
references: Arch Gen Psychiatry. 2002 Aug;59(8):713-21
references: 12150647
references: Pediatrics. 1998 Mar;101(3 Pt 2):518-25
references: 12224658
references: Int J Obes Relat Metab Disord. 2004 Jan;28(1):10-6
references: 14652621
references: Annu Rev Psychol. 2004;55:591-621
references: 14744228
references: N Engl J Med. 2004 Jun 3;350(23):2362-74
references: 15175438
references: J Child Psychol Psychiatry. 1985 Jan;26(1):7-15
references: 3972932
references: Mil Med. 1993 Jul;158(7):465-9
references: 8351048
references: J Trauma Stress. 1994 Apr;7(2):173-94
references: 8012742
references: J Am Acad Child Adolesc Psychiatry. 1996 Apr;35(4):433-41
references: 8919705
references: Health Psychol. 1999 Jan;18(1):54-62
references: 9925046
references: Obes Res. 2005 Jan;13(1):163-9
references: 15761176
references: J Nutr Educ Behav. 2005 May-Jun;37(3):129-36
references: 15904576
references: J Consult Clin Psychol. 2005 Dec;73(6):1097-107
references: 16392983
references: Pediatrics. 2006 Apr;117(4):1203-9
references: 16585316
references: J Consult Clin Psychol. 2006 Apr;74(2):263-75
references: 16649871
references: J Child Psychol Psychiatry. 2006 Dec;47(12):1254-62
references: 17176380
references: Mil Med. 2007 Sep;172(9):962-7
references: 17937360
references: Am J Health Promot. 2007 Nov-Dec;22(2):120-39
references: 18019889
references: J Consult Clin Psychol. 2007 Dec;75(6):901-13
references: 18085907
references: Mil Med. 2008 Feb;173(2):138-45
references: 18333489
references: J Consult Clin Psychol. 2008 Apr;76(2):329-40
references: 18377128
references: Prev Sci. 2008 Jun;9(2):114-28
references: 18506621
references: Int J Eat Disord. 2009 Jan;42(1):26-30
references: 18720473
references: Mil Med. 2008 Oct;173(10):978-84
references: 19160616
references: Behav Res Ther. 2009 Apr;47(4):265-74
references: 19281965
references: J Consult Clin Psychol. 2009 Oct;77(5):825-34
references: 19803563
references: Appetite. 2010 Apr;54(2):331-9
references: 20006662
references: Am J Clin Nutr. 2010 May;91(5):1514S-1519S
references: 20335556
references: Int J Eat Disord. 2010 Dec;43(8):701-6
references: 19882739
references: J Abnorm Psychol. 2011 Feb;120(1):108-18
references: 21114355
references: Obes Facts. 2011;4(3):229-37
references: 21701240
references: J Consult Clin Psychol. 2011 Aug;79(4):500-8
references: 21707136
references: Prev Chronic Dis. 2012;9:E99
references: 22595323
references: Obesity (Silver Spring). 2012 Jul;20(7):1534-8
references: 22314620
references: JAMA Pediatr. 2013 Feb;167(2):149-55
references: 23229786