Overview
Six-Cs Model
Six-Cs Model Continued
Dimensions/
Zones
100

A national public health concern among children in the U.S. 

Obesity

100

The six Cs of the Six-Cs model

Cell, child, clan, community, country, and culture 

100

Neighborhood factors that influence childhood obesity

Access to facilities, distance to supermarkets, presence of violence, distance to fast-food outlets and convenience stores 

100

Number of dimensions and their names 

1: Six-Cs Dimension 2: NAP Dimension 3: ROP Dimension 4: Time Dimension 

200

Overweight by this age predicts the most severe adult obesity 

8

200

Genetic predispositions to body structure and other biological factors falls under this sphere

Cell

200

Ways family influence childhood obesity 

Maternal mental health (depression), overeating, quantity and quality of family mealtimes, open parent-child communication, unsupportive home environment, and family habits (e.g., level of physical activity) 

200

This dimension is similar to Bronfenbrenner's chronosystem 

Time

300

This theory has inspired other ecological models related to childhood obesity 

Bronfenbrenner's ecological systems theory

300

Peers fall under this sphere 

Community 

300
A concern within the culture sphere 
Portion size 
300

The NAP dimension reflects this 

The fact that eating, exercise, and person-specific characteristics determine weight status. Splits the model into sections representing nutrition (Zones 1 and 3), activity (Zones 2 and 4), and personal and relational attributes (Zone 5) 

400
An increase in the rate of weight gain between these age is a strong predictor of adult overweight 

2 and 5 

400

Parental dietary intake falls under this sphere 

Clan 

400

Three notable factors within the child sphere that contribute to childhood obesity 

Compromised self-regulation, media exposure, and sleep 
400

The ROP dimension reflects this 

The fact that a child's weight status is not only by daily behaviors but also by structural constraints on those behaviors. Splits the model into sections representing resources and opportunities (Zones 1 and 2) and practices (Zones 3 and 4) 

500

Rate at which overweight for 2- to 5-year-olds rose from 1976 to 2006

5.0 to 12.4% 

500

Events within the country sphere that could contribute to childhood obesity rates 

Economic recessions 

500

Percent of U.S. preschool children spend part of the day in nonparental childcare 

75

500

The time arrow signifies these two types of developmental changes in the model 

1. The relative control of agents in the proximal spheres over factors in the distal spheres 

2. Relavence of particular influences 

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