(Sharma SV, Vandewater E, Chuang RJ, Byrd-Williams C, Kelder S, Butte N, Hoelscher DM; Child Obes.; 2018)
(Barlow SE, Salahuddin M, Butte NF, Hoelscher DM, Pont SJ; Child Obes.; 2018)
(Wilson TA, Liu Y, Adolph AL, Sacher PM, Barlow SE, Pont S, Sharma S, Byrd-Williams C, Hoelscher DM, Butte NF; J Nutr Educ Behav.; 2018)
(Peng T, Pérez A, Pettee Gabriel K; J Manipulative Physiol Ther.; 2018)
(Sharma SV, Chuang RJ, Byrd-Williams C, Danho M, Upadhyaya M, Berens P, Hoelscher DM; Prev Med Rep.; 2018)
(Byrd-Williams CE, Dooley EE, Sharma SV, Chuang RJ, Butte NF, Hoelscher DM; Preventing Chronic Disease; Dec 2017)
(Butte NF, Hoelscher DM, Barlow SE, Pont S, Durand C, Vandewater EA, Liu Y, Adolph AL, Pérez A, Wilson TA, Gonzalez A, Puyau MR, Sharma SV, Byrd-Williams C, Oluyomi A, Huang T, Finkelstein EA, Sacher PM, Kelder SH; Obesity (Silver Spring); 2017)
(Butte, N.F., Hoelscher, D.M., Barlow, S.E., Pont, S., Durand, C, Vandewater, E.A., Liu,Y., Adolph, A.L., Pérez, A., Wilson, T.A., Gonzalez, A., Puyau, M.R., Sharma, S.V., Byrd-Williams, C., Oluyomi, A., Huang, T., Finkelstein, E.A., Sacher, P., Kelder, S.H; Forthcoming Obesity; 2017)
(Brown AL, Poston WS, Jahnke SA, Keith Haddock C, Luo S, Delclos GL, Sue Day Rl; 2016)
(Brown AL, Poston WS, Jahnke SA, Haddock CK, Luo S, Delclos GL, Day RS; 2015)
(Reininger B, Lee M, Jennings R, Evans A, Vidoni M; Public Health Nutrition; 2016)
(Hoelscher DM, Ranjit N, Pérez A; Annual Rev Public Health; 2016)
(Newsome K, Rashid T, Vonville H, Sharma SV; Curr Nutr Rep; 2016)
(Wilkinson AV, Miller EE, Koehly LM, Daniel CR, Forman MR; J Immigr Minor Health; 2016)
(Greene-Cramer B, Harrell MB, Hoelscher DM, Sharma S, Ranjit N, Gupta V, Nazar G, Arora M; Global Health Promotion; 2016)
(Sharma SV, Upadhyaya M, Karhade M, Baun WB, Perkison WB, Pompeii LA, Brown HS, Hoelscher DM; J Occup Eviron Med; 2016)
(Sharma SV, Upadhyaya M, Karhade M, Baun WB, Perkison WB, Pompeii LA, Brown HS, Hoelscher DM; J Occup Environ Med.; 2016)
(Evans A, Ranjit N, Hoelscher D, Jovanovic C, Lopez M, McIntosh A, Ory M, Whittlesey L, McKyer L, Kirk A, Smith C, Walton C, Heredia N, Warren J; BMC Public Health; 2016)
(Evans A, Ranjit N, Fair CN, Jennings R, Warren JL; J Nutr Educ Behav; 2016)
(Imamura F, Micha R, Wu JH, de Oliveira Otto MC, Otite FO, Abioye AI, Mozaffarian D; 2016)
(de Oliveira Otto MC, Afshin A, Micha R, Khatibzadeh S, Fahimi S, Singh G, Danaei G, Sichieri R, Monteiro CA, Louzada ML, Ezzati M, Mozaffarian D; Global Burden of Diseases, Injuries, and Risk Factors Metabolic Risk Factors of Chronic Diseases Expert Group; Nutrition and Chronic Diseases Expert Group (NutriCoDE); 2016)
(Li L, Pérez A, Wu LT, Ranjit N, Brown HS, Kelder SH; Child Obes.; 2016)
(de Oliveira Otto MC, Padhye NS, Bertoni AG, Jacobs DR Jr, Mozaffarian D;PLoS One; 2015)
(Li L, Pérez A, Wu LT, Ranjit N, Brown HS, Kelder SH; Childhood Obesity; 2016)
(Lu W, McKyer EL, Dowdy D, Evans A, Ory M, Hoelscher DM, Wang S, Miao J; Journal of the Academy of Nutrition and Dietetics; 2016)
(Roberts-Gray C, Briley M, Ranjit N, Byrd-Williams C, Sweitzer SJ, Sharma SV, Romo-Palafox M, Hoelscher DM; International Journal of Behavioral Nutrition and Physical Activity; 2016)
(Atteberry H, Dowdy D, Oluyomi A, Nichols D, Ory MG, & Hoelscher DM; Environment & Behavior; 2016)
(Hoelscher DM, Ory MG, Dowdy D, Miao J, Atteberry H, Nichols D, Evans A, Menendez T, Lee C, & Wang S; Environment & Behavior; 2016)
(Spears-Lanoix EC, McKyer EL, Evans A, McIntosh WA, Ory M, Whittlesey L, Kirk A, Hoelscher DM, Warren JL; Childhood Obesity, 2015)
(Sharma SV, Rashid T, Ranjit N, Byrd-Williams C, Chuang RJ, Roberts-Gray C, Briley M, Sweitzer S, Hoelscher DM; Preventive
(Shuval K, Barlow CE, Finley CE, Gabriel KP, Schmidt MD, DeFina LF; Mayo Clinic Proceedings; 2015)
(Van Dyck D, Cerin E, De Bourdeaudhuij I, Salvo D, Christiansen LB, MacFarlane D, Owen N, Mitas J, Troelsen J, Aguinaga-Ontoso I, Davey R, Reis RS, Sarmiento OL, Schofield G, Conway TL, Sallis JF; Health & Place; 2015)
Romo-Palafox MJ, Ranjit N, Sweitzer SJ, Roberts-Gray C, Hoelscher DM, Byrd-Williams CE, Briley ME; Journal of the Academy of Nutrition and Dietetics; 2015)
(Brown AL, Poston WS, Jahnke SA, Haddock CK, Luo S, Delclos GL1, Day RS; American Journal of Preventive Medicine; 2015)
(Case KR, Pérez A, Saxton DL, Hoelscher DM, Springer AE; Health Educ Behav; 2015)
(Thompson DA, Polk S, Cheah CS, Vandewater EA, Johnson SL, Chrismer MC, Tschann JM; Clinical Pediatrics; 2015)
(Sharma S, Helfman L, Albus K, Pomeroy M, Chuang RJ, Markham C; Journal of Primary Prevention; 2015)
(Sharma SV, Shegog R, Chow J, Finley C, Pomeroy M, Smith C, Hoelscher DM; Journal of the Academy of Nutrition and Dietetics; 2015)
UTHealth researchers published eight new articles, including an introduction from the regional dean, as part of a special obesity issue of the International Journal of Behavioral Nutrition and Physical Activity. The issue provides insights into how to solve the child obesity epidemic and close the gap in our current understanding of its causes.
(Taber DR, Chriqui JF, Vuillaume R, Kelder SH, Chaloupka FJ; The International Journal of Behavioral Nutrition and Physical Activity; 2015)
(Perry CL, Hoelscher DM, Kohl III HW; International Journal of Behavioral Nutrition and Physical Activity; 2015)
Researchers from the MSD Center published the eight articles in this special issue from the International Journal of Behavioral Science and Physical Activity. The supplement provides insights into how to solve the child obesity epidemic and close the gap in our current understanding of its causes.
(Vandewater EA, Park SE, Hébert ET, Cummings HM; International Journal of Behavioral Nutrition and Physical Activity; 2015)
(Pérez A, Gabriel K, Nehme EK, Mandell DJ, Hoelscher DM; International Journal of Behavioral Nutrition and Physical Activity; 2015)
(Springer AE, Li L, Ranjit N, Delk J, Mehta K, Kelder SH; International Journal of Behavioral Nutrition and Physical Activity; 2015)
(Carey FR, Singh GK, Brown HS 3rd, Wilkinson AV; Int J Behav Nutr Phys Act.; 2015)
(Shuval K, Nguyen BT, Yaroch AL, Drope J, Gabriel KP; Preventive Medicine; 2015)
(Carey FR, Singh GK, Brown HS 3rd, Wilkinson AV; Journal of Behavioral Nutrition and Physical Activity; 2015)
(Evans A, Banks K, Jennings R, Nehme E, Nemec C, Sharma S, Hussaini A, Yaroch A; International Journal of Behavioral Nutrition and Physical Activity; 2015)
(Springer AE, Li L, Ranjit N, Delk J, Mehta K, Kelder SH; 2015)
(De Bourdeaudhuij I, Van Dyck D, Salvo D, Davey R, Reis RS, Schofield G, Sarmiento OL, Mitas J, Christiansen LB, MacFarlane D, Sugiyama T, Aguinaga-Ontoso I, Owen N, Conway TL, Sallis JF, Cerin E; International Journal of Behavioral Nutrition and Physical Activity; 2015)
(Thompson DA, Vandewater EA, Matson PA, Tschann JM; Acta Paediatrica; 2015)
(Ranjit N, Menendez T, Creamer M, Hussain, A, Potratz C, Hoelscher DM; American Journal of Health Education; 2015)
(Oluyomi AO, Byars A, Byrd-Williams C, Sharma SV, Durand C, Hoelscher DM, Butte NF, Kelder SH; Child Obesity; 2015)
(Aarestrup AK, Jorgensen TS, Hoelscher DM, Due P, Krolner R; BMC
Public Health; 2015)
(Hoelscher DM, Butte NF, Barlow S, Vandewater EA, Sharma SV, Huang T, Finkelstein E, Pont S, Sacher P, Byrd-Williams C, Oluyomi AO, Durand C, Li L, Kelder SH; Childhood Obesity; 2015)
(Van Dyck D, Cerin E, De Bourdeaudhuij I, Hinckson E, Reis RS, Davey R, Sarmiento OL, Mitas J, Troelsen J, MacFarlane D, Salvo D, Aguinaga-Ontoso I, Owen N, Cain KL, Sallis JF; International
Journal of Obesity; 2015)
(Hodge MG, Hovinga M, Shepherd JA, Egleston B, Gabriel K, Van Horn L, Robson A, Snetselaar L, Stevens VK, Jung S, Dorgan J; Pediatric Exercise Science; 2015)
(Ranjit N, Evans AE, Springer AE, Hoelscher DM, Kelder SH; Journal of Nutrition and Education Behavior; 2015)
(Mama SK, Diamond PM, McCurdy SA, Evans AE, McNeill LH, Lee RE; Preventive Medicine Reports; 2015)
(Wilson, K, Brown HS, Bastida E; Health Promotion Practice, 2015)
(Dubuisson O, Day RS, Dhurandhar NV; Journal of Diabetes and Its Complications, 2015)
(Dortch KS, Gay J, Springer, AE, Kohl, HW, Sharma, SV, Saxton, DL, Hoelscher, DM.; American Journal of Health Promotion, 2014)
(Taber DR, Chiriqui JF, Vuillaume R, Chaloupka FJ; PLOS ONE; 2014)
(Poston WSC, Haddock CK, Jahnke SA, Jitnarin N, Day RS, Daniels ID; Journal of Health Disparities Research and Practice; 2014)
(Oluyomi AO, Lee C, Nehme E, Dowdy D, Ory MG, Hoelscher DM; Int J Behav Nutr Phys Act; 2014)
(Kendzor, DE, Chen, M, Reininger, B, Businelle, MS, Stewart, DS, Fisher-Hoch, SP, Rentfro, A, Wetter, DW, McCormick, JB; BMC Public Health, 2014)
(Duong HT, Roberts RE; Journal of Psychosomatic Research; 2014)
(Perry, CL, Creamer, M, The Journal of Pediatrics, 2014)
(Ory MG, Nichols D, Dickerson JB, Madsen KK, Dowdy D, Menendez T, Hoelscher DM; Progress in Community Health Partnerships: Research, Education, and Action, 2013)
(Salinas, J, Shah, MS, Gay, JL, Sextonm, K, Nehme, E, Mandell, D, Hoelscher, DM; Journal of Applied Research on Children, 2013)
(Riggs N, Tewari A, Stigler MH, Rodrigues L, Arora M, Pentz MA; Health Promotion Practice, 2013)
(Roberts RE, Duong HT; Psychological Medicine, 2013)
This position paper provides guidance and recommendations for levels of intervention targeting overweight and obesity prevention and treatment from preschool age through adolescence.
(Hoelscher, DM, Kirk, S, Ritchie, L, Cunningham-Sabo, L; Journal of the Academy of Nutrition and Dietetics, 2013)
(Lee CD, Ory MG, HyungJin, Dowdy D, Hoelscher DM; Journal of Physical Activity and Health; 2013)
(Poston WSC, Haddock CK, Jahnke SA, Jitnarin, N, Day RS; BMC Public Health, 2013)
(Chriqui JF, Turner L, Taber DR, Chaloupka FJ; JAMA Pediatrics; 2013)
(Roberts, RE, Duong HT; Journal of Psychiatric Research, 2013)
(Brown HS, Yarnell LM; International Journal of Behavioral Nutrition and Physical Activity, 2013)
(Hales DH, Stevens JS Murray DM, Taber DR, Roberts A; International Journal of Behavioral Nutrition and Physical Activity; 2013)
(Gyllenhammer, LE, Vanni, AK, Byrd-Williams, C, Kalan, M, Bernstein, L, Davis, JN; Journal of Physical Activity and Health, 2013)
(Smith HA, Storti KL, Arena VC, Kriska AM, Pettee-Gabriel, K, Sutton-Tyrrel K, Hames K, Conroy MB; Obesity, 2013)
(Roberts, RE, Duong HT; Journal of Eating Behaviors, 2013)
(Arora M, Nazar GP, Stigler MH, Gupta VK, Perry CL, Reddy KS ; BMC Public Health , 2012)
(Hernandez-Valero M, Bustamante-Montes LP, Hernanadez M, Halley Castillo ME, Wilkinson A, Bondy LM, Olvera N. ; Journal of Immigrant and Minority Health , 2012)
(Latimer LA, Delk J, Springer AE, Pasch KE; 2012)
(Lind C, Mirchandani GG, Castrucci BC, Chavez N, Handler A, Hoelscher DM; J Sch Health; 2012)
(Hasson RE, Adam TC, Davis JN, Kelly LA, Ventura EE, Toledo-Corral C, Byrd-Williams C, Roberts CK, Lane CJ, Azen SP, Chou C, Spruijt-Metz D, Weigensberg M, Berhane K, Goran MI; Obesity , 2012)
(Davis JN, Ventura EE, Tung A, Munerva MA, Hasson RE, Byrd-Williams C, Vanni AK, Spruijt-Metz D, Weigensberg M, Goran MI ; Pediatric Obesity , 2012)
(Schiefelbein EL, Mirchandani GG, George GC, Becker EA, Castrucci BC, Hoelscher DM; Matern Child Health; 2012)
(Herndon ME, Hastings E, Day RS, Sanchez BE, Garland B, Wiemann ME ; Journal of American Dietetic Association , 2011)
(Ezendam NP, Springer AE, Brug J, Oenema A, Hoelscher DH; J Nutr Educ Behav; 2011)
(Perez A, Hoelscher DM, Springer AE, Brown HS, Barroso CS, Kelder SH, Castrucci B ; Preventing Chronic Disease , 2011)
(Kuller LH, Pettee-Gabriel, K, Kinzel LS, Underwood DA, Conroy MB, Chang Y, Mackey RH, Edmundowicz D, Sutton-Tyrrell K, Kriska AM ; Obesity, 2011)
(Ezendam N, Springer AE, Brug J, Oenema A, Hoelscher DM; Journal of Nutrition Education and Behavior , 2011)
(Rosen-Reynoso, M, Alegria, M, Chen, C, Lederman, M, Roberts RE; Journal of Eating Behaviors, 2011)
(Springer AE, Lewis K, Kelder SH, Fernandez ME, Barroso CS, Hoelscher DM; J Immigr Minor Health; 2010)
(Evans AE, Springer AE, Evans MH, Ranjit N, Hoelscher DM; J Am Coll Nutr; 2010)
(Hoelscher DM, Kelder SH, Pérez A, Day RS, Benoit JS, Frankowski RF, Walker JL, Lee ES; Obesity; 2010)
(Hoelscher DM, Springer AE, Ranjit N, Perry CL, Evans AE, Stigler M, Kelder SH; Obesity, 2010)
(Brown HS III, Evans AE, Mirchandani GG, Kelder SH, Hoelscher DM; Obesity; 2010)
(Vader AM, Walters ST, Harris TR, Hoelscher DM; Prev Chronic Dis; 2009)
(Springer AE, Hoelscher DM, Kelder SH, Castrucci B, Pérez A; Prev Chronic Dis; 2009)
(Brown HS, Pérez A, Mirchandani GG, Hoelscher DM, Kelder SH; Int J Behav Nutr Phys Act; 2008)
(Hoelscher DM, Day RS, Lee ES, Frankowski RF, Kelder SH, Ward JL, Scheurer ME; Am J Public Health; 2004)
(Hoelscher DM, Day RS, Kelder SH, Ward JL; J Am Diet Assoc; 2003)
(Donnelly R, Springer A; Journal of Nutrition Education and Behavior; 2015)
9/20/17 - Child obesity rates and statistics on obesity-related health behaviors from the 2015-2016 SPAN Survey results.
9/20/17 - Las tasas de obesidad infantil y las estadísticas sobre los comportamientos de salud relacionados con la obesidad a partir de los resultados de la encuesta SPAN 2015-2016.
2/18/16 - This infographic describes some of the initial findings from the GAVA evaluation.
9/15/15 - What one YEAR of school party food really looks like.
7/28/15 - This infographic shows how the food shopping environment has a strong influence on what foods families ultimately buy and consume, and their subsequent health outcomes.
7/27/15 - UTHealth researchers published eight new articles, including an introduction from the regional dean, as part of a special obesity issue of the International Journal of Behavioral Nutrition and Physical Activity. The issue provides insights into how to solve the child obesity epidemic and close the gap in our current understanding of its causes.
5/1/15 - Con base en los cambios demográficos que actualmente ocurren alrededor del país, Texas muy probablemente es una buena representación del futuro poblacional de los Estados Unidos.
5/1/15 - Texas very likely represents the future of the United States, given the current shifts in demographics across the country. Diverse population, geography and an array of cultures are only a few of the benefits that make Texas an ideal place to perform public health research.
4/1/15 - Follow this flowchart to learn how to make healthier food choices—try to eat more GO foods than SLOW foods, and eat WHOA foods in very small amounts.
4/1/15 - Sigue el camino para aprender cómo elegir alimentos más saludables—trata de comer más alimentos GO que alimentos SLOW, y come alimentos WHOA en pequeñas cantidades.
2/1/15 - The Peer-Led games process of Active Play Active Learning is a way to teach students leadership skills as well as social and emotional skills while they engage in physically active games.
2/1/15 - Playground markings are a good way to incorporate physical activity and active learning during recess time as well as class time. This guide includes the list of Playground Markings our team uses, and the simple curriculum that encourages active learning!
2/1/15 - In this guide, we present a range of easy-to-implement “Brain Breaks”- short activity dynamics that can be implemented by the teacher in the classroom setting. The guide is structured in two sections: 1.) General Brain Breaks that can be applied across classes and academic topic areas during any part of the day; and 2.) Academic-specific Brain Breaks that directly correlate to subjects.
1/12/15 - This infographic shows findings and recommendations from the Texas Childhood Obesity Prevention Policy Evaluation Project.
1/10/15 - Download this PowerPoint version of the T-COPPE "Our Kids Want To Walk the Walk" infographic. Includes list of sources.
11/1/14 - Fact sheet with the latest statistics on obesity in the United States and in Texas.
9/1/14 - Child obesity rates and statistics on obesity-related health behaviors from the 2009-2011 SPAN Survey.
9/1/14 - Download detailed 2009-2011 SPAN Survey results, sorted into one-page fact sheets by grade (4th, 8th, and 11th) and Health Service Region.
One-page summary of the 2013 Texas Health Perception Survey results.
Eighty-three Texas legislators were surveyed to identify knowledge and perceptions about obesity prevention and control measures. Legislators from both political parties and legislative chambers responded to the survey.
2/1/14 - CATCH provides a comprehensive and coordinated framework to address many of the key Leading Health Indicators from Healthy People 2020.
11/1/13 - Got that “2:30" feeling? Don’t reach for a sugary energy drink–try these activity breaks to re-energize your body and mind!
11/1/13 - Use this guide to inject some activity into your meetings, conferences, and workspace.
8/1/13 - This report from the Institute of Medicine offers a framework that will provide guidance for systematic and routine planning, implementation, and evaluation of the advancement of obesity prevention efforts.
6/12/13 - In this video we demonstrate the proper protocol for conducting height and weight measurements.
6/1/13 - En este video se demuestra el protocolo adecuado para la realización de medidas de altura y peso.
5/1/12 - The foods and beverages that surround us make it difficult to maintain a healthy weight. Making healthy foods and beverages the routine, readily available, and affordable option, along with decreasing unhealthy food and beverage options, will improve our chances to achieve and maintain a healthy weight. Source: Institute of Medicine
5/1/12 - Schools have a tradition of supporting the health and well-being of their students. Children and teens spend up to half of their waking hours in school and may consume more than half of their daily calories there. This puts schools in a unique position to support students in getting optimum physical activity, eating healthily, and achieving and maintaining a healthy weight—not only in the short term but over their lifetimes. Source: Institute of Medicine
5/1/12 - Employed adults spend a quarter of their lives at the workplace, making it an ideal setting for promoting healthy eating and active living. Obesity is increasing employer costs, economic and otherwise. Because employers bear direct medical and indirect productivity costs of obesity, they can benefit from promoting and increasing physical activity, healthy eating, breastfeeding, and overall well-being in the workplace. Source: Institute of Medicine
5/1/12 - We are surrounded by messages about physical activity and food through multi-media advertising, on food packages and in restaurants, and in public service campaigns. Marketing and messages that promote healthy choices and discourage unhealthy choices could transform the message environment. Source: Institute of Medicine
5/1/12 - The Institute of Medicine (IOM) evaluated prior obesity prevention strategies and identified recommendations to accelerate progress in obesity prevention. Center faculty, Drs. Steve Kelder and Bill Kohl, sat on the IOM committee that authored the 2012 report.
5/1/12 - Physical activity is key to maintaining a healthy weight. The way that environments where we live, work, learn, and play are designed and built— for example, whether there are sidewalks or bike lanes—influences how physically active we are. Source: Institute of Medicine
5/1/12 - This excerpt from the 2012 Institute of Medicine report on Accelerating Progress in Obesity Prevention discusses the evidence base for the CATCH program.
5/1/12 - Visit the Weight of the Nation website where you can find resources, take pledges for healthy change, and watch the documentary films in their entirety.
5/1/12 - Health care providers and insurers are part of a system of support and service that can give individuals and families access to obesity prevention and treatment. The full potential of this system to detect obesity, counsel patients, support healthy behaviors, and encourage changes in the community remains untapped. Source: Institute of Medicine
2/1/12 - The RGK Foundation commissioned this report as part of its efforts to improve physical activity. reduce childhood obesity, and diminish health disparities in Texas. The report was completed by Dr. Steven Kelder.
1/1/12 - This report from the Food Trust includes policy recommendations to stimulate healthy food retail development in the Houston area to improve healthy food access in underserved communities throughout the state.
4/1/11 - Audio and slides from the 2011 Michael & Susan Dell Lectureship in Child Health with Russell Pate, PhD
9/1/10 - GO, SLOW and WHOA foods to help you stay healthy eat smart.
5/1/10 - The report from the Food Trust presents a comprehensive review of studies of Health Equity and Place and its impacts — 132 studies conducted in the United States in the past 20 years.
4/2/10 - Conoces tus alimentos GO - SLOW - WHOA?
4/2/10 - Do you know your GO, SLOW, WHOA foods? This presentation can be used to help teachers, parents, and students learn about the CATCH program's GO, SLOW, WHOA stoplight system for categorizing foods.
4/1/10 - Learn about the key components of the CATCH elementary school program with this handout.
4/1/10 - This handout contains simple steps that will add up to a big difference in your family’s health. Be a CATCH MVP and select one or two new habits that are best suited for you and your family!
4/1/10 - Aprenda sobre los componentes clave del programa de la escuela primaria CATCH con este folleto.
4/1/10 - This flyer for parents includes healthy tips from the CATCH program.
4/1/10 - Este volante para padres incluye consejos saludables del programa CATCH.
1/1/08 - The Federal Government has issued its first-ever Physical Activity Guidelines for Americans. They describe the types and amounts of physical activity that offer substantial health benefits to Americans.