An initiative of the Robert Wood Johnson Foundation Robert Wood Johnson Foundation

A Generation of Change

With an introduction by

Dear friends, 

It’s hard to believe that it has been 20 years since the Robert Wood Johnson Foundation (RWJF) made our initial commitment to addressing childhood obesity. As this historic investment comes to a close, we celebrate and thank the many people and organizations who have dedicated themselves to this cause for two decades and beyond. 

Our work together has always been grounded in a simple belief: that every child should be able to grow up healthy, no matter who they are, where they live, or how much money their family has.  

And while there is still so much to do, we are proud of all that has been accomplished.  

Together, our collective efforts sparked a national movement, built research collaborations, supported community leaders, strengthened nutrition programs, and shifted the public conversation to recognize that childhood obesity is a symptom of larger challenges families face in their communities, like poverty and structural racism. 

These achievements reflect the power of true partnership.  

Despite this hard-won progress, families, caregivers, and children are facing serious threats to their health and nutrition: disrupted benefits and severe cuts to SNAP; rising healthcare costs and cuts to Medicaid; the elimination of federal programs that help schools and food banks purchase fresh, local foods; and mounting uncertainty around the nutrition of the food served in our schools. 

In the face of these threats, it’s more important than ever to remember our shared values and our power to create change. All of us want the same basic things: to feel safe, be financially secure, be able to feed our families, and afford our homes. And while the government has an important role to play in solving problems, we must also remember we have the power to make a positive impact in our neighborhoods, cities, and towns. 

I know this is true because we’ve seen it firsthand over the last 20 years: local leaders, communities, and passionate advocates coming together to create solutions that improve health and wellbeing for everyone.  

This final State of Childhood Obesity report honors everyone who has worked so hard for so long to help all children grow up healthy. It highlights lessons to carry forward, inspiring insights from many long-time partners, and a timeline highlighting all that has been accomplished.  

Thanks to all of you who have been a part of this journey over the past 20 years.   

With gratitude,

Jamie Bussel

Senior Program Officer, 

Robert Wood Johnson Foundation

Jamie Bussel

Senior Program Officer, 

Robert Wood Johnson Foundation

Read the letter

Dear friends, 

It’s hard to believe that it has been 20 years since the Robert Wood Johnson Foundation (RWJF) made our initial commitment to addressing childhood obesity. As this historic investment comes to a close, we celebrate and thank the many people and organizations who have dedicated themselves to this cause for two decades and beyond. 

Our work together has always been grounded in a simple belief: that every child should be able to grow up healthy, no matter who they are, where they live, or how much money their family has.  

And while there is still so much to do, we are proud of all that has been accomplished.  

Together, our collective efforts sparked a national movement, built research collaborations, supported community leaders, strengthened nutrition programs, and shifted the public conversation to recognize that childhood obesity is a symptom of larger challenges families face in their communities, like poverty and structural racism. 

These achievements reflect the power of true partnership.  

Despite this hard-won progress, families, caregivers, and children are facing serious threats to their health and nutrition: disrupted benefits and severe cuts to SNAP; rising healthcare costs and cuts to Medicaid; the elimination of federal programs that help schools and food banks purchase fresh, local foods; and mounting uncertainty around the nutrition of the food served in our schools. 

In the face of these threats, it’s more important than ever to remember our shared values and our power to create change. All of us want the same basic things: to feel safe, be financially secure, be able to feed our families, and afford our homes. And while the government has an important role to play in solving problems, we must also remember we have the power to make a positive impact in our neighborhoods, cities, and towns. 

I know this is true because we’ve seen it firsthand over the last 20 years: local leaders, communities, and passionate advocates coming together to create solutions that improve health and wellbeing for everyone.  

This final State of Childhood Obesity report honors everyone who has worked so hard for so long to help all children grow up healthy. It highlights lessons to carry forward, inspiring insights from many long-time partners, and a timeline highlighting all that has been accomplished.  

Thanks to all of you who have been a part of this journey over the past 20 years.   

With gratitude,

Jamie Bussel
Senior Program Officer
Robert Wood Johnson Foundation

Lessons to Carry Forward

Together, countless leaders, advocates, and champions have driven extraordinary progress over the past 20 years to help all children grow up healthy. RWJF has taken four broad lessons from this work that may be helpful in the years to come.

By investing in a way that demonstrated our long-term commitment, RWJF aimed to show our partners we would work alongside them as they made their own commitments too.


Together with our partners and peers, RWJF listened, learned, and evolved our approach for preventing childhood obesity to address the broader, broken systems that harm kids’ health.


The best solutions for making a community healthy come from the people who call it home.


Throughout this 20-year journey, RWJF worked with partners to assess what was working, what was not, and what needed to change.

The next generation gives us hope.

Lori Dorfman
Lori Dorfman, DrPH, MPH
Berkeley Media Studies Group

Young people give me hope. Students are still signing up to make public health their career despite the vicious attacks of late. Thank heaven for young people’s optimism and vitality.

Shiriki Kumanyika
Shiriki Kumanyika, PhD, MPH
University of Pennsylvania Perelman School of Medicine

What gives me hope is that the need for new paradigms, tools and short- and long-term strategies is undeniable— staring us in the face and presenting us with a call to take actions that we never saw as options in the realm of obesity prevention. We have no choice but to welcome new ways of thinking going forward.

Sara Bleich, PhD
Harvard University

The next generation gives me hope. I love working with talented, ambitious, and kind young people (including my own children) who will surely change the world one day.

Marlene Schwartz, PhD
UConn Rudd Center for Food Policy and Health

I think back to the early days of Healthy Eating Research when they said that their goal was to build the field. They built the field, and I really love our field. In particular, there are now at least three generations of researchers who are committed to this work, and it’s exciting to see presentations by graduate students of women who were my graduate students.

Growing demand for changes to our food system gives us hope.

Marice Ashe, JD, MPH
Public Health Law & Policy Consultant

I’m hopeful about the changes we’re seeing in demands for healthier foods and local transportation and urban planning policies that support active living. This work is slow and doesn’t unfold in straight lines, but it’s happening.

Neena Prasad, MD, MPH
Bloomberg Philanthropies

A growing recognition that our food system is not serving public and planetary health, especially among young people who are clear-eyed about the world they want to live in.

Gail Christopher
Gail Christopher, DN, ND
National Collaborative for Health Equity

I’m encouraged by the growing understanding today about the role of ultra-processed foods and excess sugar in our food system. I’m hopeful that demand will continue to increase for affordable, health-promoting foods through interventions like the food coop movement in low- and moderate income communities.

Karen Watson
Kinetic Leaders

In recent years, we’ve seen the conversation about ultra-processed food become mainstream. While we still have a long way to go, I believe that conversation is helping our policymakers look more closely at food marketing and address its harms.

Shared commitment to equity and diversity gives us hope.

Risa Wilkerson
Healthy Places by Design

Concepts like a caring economy, the solidarity economy, and the like are gaining traction and hold strong promise to support full health and wellbeing. Priorities like justice, dignity, liberation, respect, inclusion, compassion, kindness, and social connection are rising into the mainstream. I am hopeful that we can move all of this to the forefront!

Darrin Anderson
Darrin Anderson, Sr., PhD, MS
Urban League of Greater Philadelphia

Hope lives in the policies that center equity, in the partnerships that cross boundaries or state lines, and in the voices that were once silenced but now lead.

Working across sector and policy gives us hope.

Lori Fresina
Lori Fresina, MPP
Voices for Healthy Kids at American Heart Association

I’m seeing people genuinely willing to work across the political divide to advance meaningful progress for children and families—even when it requires both sides to set aside their agendas and reimagine a new, shared path forward.

Heidi Blanck
Heidi Blanck, MS, PhD
Appalachian Sustainable Agriculture Project

Every day in this country, hardworking people at community-based organizations, local and state health departments, WIC clinics, and federal agencies are focused on helping provide opportunities for better health and nutrition. Selfless individuals and civil servants, paired with dedicated academic researchers and field-level evaluators, will continue to support the field of public health, chronic disease prevention, and wellness in this decade.

Megan Lott
Megan Lott, RDN, MPH
Healthy Eating Research

During COVID-19, HER quickly convened researchers, advocates, and practitioners and together we generated timely evidence and policy solutions that reached USDA, Congress, and communities across the country. That spirit of collaboration not only made a difference during the pandemic but continues today, as we evolve to tackle broader challenges impacting food and nutrition security today. Knowing that we can come together in times of crisis—and build momentum that lasts—gives me great confidence for the future.

Community leadership gives us hope.

Linda Jo Doctor
Linda Jo Doctor
W.K. Kellogg Foundation

The resilience and leadership that I see in communities: organizers, advocates, practitioners, and operators.

Marissa Davis
Marissa Davis
New Jersey YMCA State Alliance

Seeing local projects scale up, community partnerships deepen, and healthy infrastructure become the norm.

Together the field has achieved so much in the last 20 years. These are just a few of the highlights.