Poobalan et al. BMC Public Health 2010, 10:17 http://www.biomedcentral.com/1471-2458/10/17 implementation. The proposed framework could be used as a basis and adapted for wider use in other countries, for other topics and for different target groups. Every effort should be taken to formulate evidence based recommendations that facilitate their effective imple- mentation in view of the rapidly increasing obesity epidemic. Additional file 1: Search Strategy. Search Strategy used in Medline which was modified for the other databases. Click here for file [ http://www.biomedcentral.com/content/supplementary/1471-2458-10- 17-S1.DOC ] Additional file 2: Analysis based on proposed framework. Analysis of articles on obesity recommendations based on the proposed implementation framework. Click here for file [ http://www.biomedcentral.com/content/supplementary/1471-2458-10- 17-S2.DOC ] Additional file 3: Cross-country applicability of the proposed framework. Analysis of the Swedish Action Plan based on the proposed framework. Click here for file [ http://www.biomedcentral.com/content/supplementary/1471-2458-10- 17-S3.DOC ] Acknowledgements We would like to thank the staff at Medical School Library, University of Aberdeen and secretarial staff in the Section of Population Health for their help with obtaining the full texts of the articles and documents. AP, LA and WCS were funded by the University of Aberdeen and SA was a student who was self funded. This study was funded by the Section of Population Health within the University of Aberdeen. Author details 1Section of Population Health, Division of Applied Health Sciences, University of Aberdeen, Medical School, Polwarth Building, Foresterhill, Aberdeen AB25 2ZD, UK. 2Department of Paediatrics and Child Health, Aga Khan University Hospital, Stadium Road, Karachi 74200, Pakistan. Authors’ contributions The study was designed and planned by WCS. AP and SA carried out the systematic review. LA, AP and WCS contributed to the development of the implementation framework. AP and SA drafted the manuscript with the contribution from all authors. All authors read and approved the final manuscript. Competing interests The authors declare that they have no competing interests. Received: 19 January 2009 Accepted: 15 January 2010 Published: 15 January 2010 References 1. The Health Survey for England. http://www.dh.gov.uk/en/ Publicationsandstatistics/PublishedSurvey/HealthSurveyForEngland/ Healthsurveyresults/DH_4015537. 2. The information centre for health and social care: Statistics on Obesity, Physical Activity and Diet: England, February 2009. Leeds 2009. 3. The Scottish Health Survey. http://www.scotland.gov.uk/Publications/2005/ 11/25145024/50251. 4. Health of the Nation - A strategy for Health in England. London 1992. 5. NAO: Health of the Nation: A Progress report-Report by the Comptroller and Auditor General HC 458 1995/96. London 1996. Page 6 of 7 6. Jotangia D, Moody A, Stamatakis E, Wardle H: Revised: Health Survey for England 2005: Obesity among children under 11. London: National StatisticsWardle H 2006, 1-23. 7. Tackling Obesities: Foresight Report. London 2007. 8. Miccucci S, Thomas H, Vohra J: The Effectiveness of school-based strategies for the primary prevention of Obesity and for the promoting Physical activity and/Nutrition, the major modifiable risk factors for Type 2 Diabetes. A review of reviews Ontario, Canada: Effective Public Health Practice Project (EPHPP) 2002, 1-54. 9. Background material to the Action plan for healthy dietary habits and increased physical activity. Sweden 2005. 10. The challenge of obesity in the WHO European region and the strategies for response. Copenhagen, Denmark 2007. 11. WHO: A Framework to Monitor and Evaluate implementation: WHO global strategy on Diet, Physical Activity and Health. Geneva, Switzerland 2008. 12. Obesity: Third report of session 2003-04. http://www.parliament.the- stationery-office.co.uk/pa/cm200304/cmselect/cmhealth/23/2302.htm. 13. Davis AM, Giles A, Rona R: Tackling Obesity: A toolbox for local partnership action. London 2000. 14. Tackling overweight and obesity: Healthy weight strategy for Tayside. http://www.thpc.scot.nhs.uk/PDFs/NHS%20Tayside%20Healthy%20Weight% 20Strategy%202005.pdf. 15. Royal college of Physicians response to ‘Choosing Health’ overweight and obesity. http://www.rcplondon.ac.uk/news/statements/ response_choosehealth_obesity.asp. 16. Storing up problems: The medical case for a slimmer nation. A Report. London 2004. 17. Preventing Childhood Obesity: British Medical Association (BMA) Report. London 2005. 18. DMBC overview and scrutiny health and well-being panel: Report of Scrutiny of child obesity in Doncaster- Doncaster Metropolitan Borough Council. Doncaster 2005. 19. Obesity in Scotland: Scottish Intercollegiate Guidelines Network (SIGN). Edinburgh 1996. 20. Guidance on use of Sibutramine for the treatment of Obesity in adults. http://www.nice.org.uk/guidance/CG43. 21. Guidance on the use of Orlistat for treatment of Obesity in adults. http://www.nice.org.uk/guidance/CG43. 22. Guidance on Surgery for morbid Obesity. http://www.nice.org.uk/ guidance/CG43. 23. The Clinical Resource Efficiency Support Team (CREST): Guidelines for the management of obesity in secondary care. Northern Ireland-Belfast 2005. 24. Management of obesity in children and young people. http://www.sign. ac.uk/guidelines/fulltext/69/index.html. 25. Tackling obesity in England: The ninth report of the Committee of Public Accounts. http://www.publications.parliament.uk/pa/cm200102/ cmselect/cmpubacc/421/42103.htm. 26. Tackling obesity in England: National Audit Office (NAO) Report. London 2001. 27. Caroline M: The management of obesity and overweight. An analysis of reviews of diet, physical activity and behavioural approaches-Evidence briefing document. London 2003. 28. Coronary Heart Disease Guidance for implementing the preventive aspects of the National Service Framework. London 2001. 29. DOM (UK)s submission of evidence to the Government’s Health Select Committee into Obesity. http://domuk.org/category/professional-matters/ consultation-contributions/. 30. Comptroller Auditor General: Tackling Childhood Obesity-First steps Stationery Office: London 2006. 31. Swanton K, Frost M: Lightening the load: Tackling overweight and obesity. A toolkit for developing strategies to tackle overweight and obesity in children and adults -Updated March 2007. London 2007. 32. Obesity: The prevention, identification, assessment and management of overweight and obesity in adults and children-CG43. http://www.nice. org.uk/guidance/CG43. 33. Sacks G, Swinburn B, Lawrence M: Obesity Policy Action framework and analysis grids for a comprehensive policy approach to reducing obesity. Obesity Reviews 2009, 10:76-86. 34. Drinkwater C: Commissioning Obesity Services. Examples of PCTs Obesity services and strategies Northumbria University 2005.