A national public health concern among children in the U.S.
Obesity
The six Cs of the Six-Cs model
Cell, child, clan, community, country, and culture
Neighborhood factors that influence childhood obesity
Access to facilities, distance to supermarkets, presence of violence, distance to fast-food outlets and convenience stores
Number of dimensions and their names
1: Six-Cs Dimension 2: NAP Dimension 3: ROP Dimension 4: Time Dimension
Overweight by this age predicts the most severe adult obesity
8
Genetic predispositions to body structure and other biological factors falls under this sphere
Cell
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)
This dimension is similar to Bronfenbrenner's chronosystem
Time
This theory has inspired other ecological models related to childhood obesity
Bronfenbrenner's ecological systems theory
Peers fall under this sphere
Community
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)
2 and 5
Parental dietary intake falls under this sphere
Clan
Three notable factors within the child sphere that contribute to childhood obesity
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)
Rate at which overweight for 2- to 5-year-olds rose from 1976 to 2006
5.0 to 12.4%
Events within the country sphere that could contribute to childhood obesity rates
Economic recessions
Percent of U.S. preschool children spend part of the day in nonparental childcare
75
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