State Obesity Plans: Synthesis of Partners and Strategies to Promote Active Living

Background: This study analyzed the nature of PA-related elements included in state obesity-related plans. Specifically, we examined whether plans reflected an active living approach to PA (e.g., inclusion of land use/planning, transportation, and parks/recreation). Methods: Plans for each state and D.C. were obtained. A qualitative content analysis coding tool and decision rules were developed with all plans double-coded by two reviewers. Results: Forty-three states (84%) had a statewide plan by June 2010. Most plans were developed with partners in public health (98%), education (88%), health care (79%), academia (81%), non-profits (81%), advocacy/coalition groups (79%), and parks/recreation/fitness (63%). Transportation (49%), land use/community design (30%), and elected officials (21%) were less likely to be included. In assessing both the PA specific goals and strategies, 58% of plans addressed workforce development, 67% coalition building, 67% surveillance, 49% evaluation, 84% policy change and 82% environmental change. Few plans included specific goals/strategies on land use/urban design (19%) parks and recreation (19%), or transportation infrastructure (16%). Conclusions: Of 43 states with a state plan, many were broad in scope but lacked an in-depth PA orientation. While some plans addressed sectors in the National PA plan, many focused on “traditional” PA elements as opposed to sectors affecting the built environment and active living (i.e., parks and recreation, land use/community design, and transportation). This analysis provides data on where state plans are in comparison to the National PA Plan and can serve as a starting point for states as they begin to revise plans in the future.