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Childhood obesity prevention studies: Childhood Obesity Prevention Programs: Comparative Effectiveness Review and Meta-Analysis

Adv Nutr.

Lucas Cox
Monday, December 23, 2019
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  • The preliminary effects of a primary care-based randomized treatment trial with overweight and obese young children and their parents.

  • Key strategies have been identified from the effective intervention programs.

  • Predictors of online health information seeking among women with breast cancer: The role of social support perception and emotional well-being. Another limitation refers to the lack of follow-up results in about half of reviewed studies, which makes it difficult to evaluate the sustainability and long-term effects of interventions, rather than their temporary results.

  • However, the intervention group showed a greater decrease in the body mass index BMI z-score

  • Parents and educators of children from kindergartens. Targeting individual eating habits, parenting approaches, and offering personalized, brief support along with generalizing clinic-taught behavioral management strategies into the real natural home environment can be effective strategies.

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McGuire S, Institute of Medicine. Obesity prevention is a public health priority around the world. Nystrom

  • Studies that targeted overweight or obese children in their intervention containing training sessions followed by maintenance for parents and those that focused on individual support for overweight children and their parents, resulted in higher improvement in BMI and other outcomes.

  • The Feel4Diabetes-study.

  • Published : 14 December

  • A school-based program of physical activity may prevent obesity.

Pediatrics ; Pediatr Obes. Attention-matched control: SHS Supervising for Home Safety program is a 9-week group-based program focusing on child injury prevention. CrossrefGoogle Scholar Downward trends in the prevalence of childhood overweight in the setting of year school- and community-based programmes.

Do not eat the red food! Effect of childhood obesity prevention programs on blood pressure: a systematic review and meta-analysis. Taghizadeh, S. The National Academy of Sciences recommended that more attention should be paid to providing opportunities to choose healthy foods in society [ 7 ].

Introduction

S: United States. Family structure and the reproduction of inequalities. The aim of the current review obesify to identify the most effective strategies in improving health behaviors and tackling obesity in primary school-aged children with special emphasis given to low socioeconomic status and vulnerable groups that Feel4Diabete-study specifically targeted, taking into account their increased risk for obesity [ 920 ] and type 2 diabetes [ 21 ]. The changing nature of family structures, including the increasing number of single-parent households over time, [ 52 ] calls for a more inclusive approach to defining what is considered a family in research.

Thus, a start date of appropriately balances feasibility of implementation and the validity of the resulting information. Family-based interventions for pediatric obesity: methodological and conceptual challenges from family psychology. Both the development and the implementation methodology of the research, as well as the barriers, challenges and possible facilitators should be encouraged to be thoroughly recorded and published in order to inform the scientific community on the feasibility and sustainability of implementing interventions in real life situations. A school-based program of physical activity may prevent obesity. Google Scholar.

Psychological Consequences of Obesity Several studies related to childhood and adolescent obesity have focused primarily on physiological consequences. Given that few differences were identified, this information is presented in Additional file 3 : Table S1 to streamline the presentation of results. Additional files. The authors declare that they have no further competing interests. For example, if both a protocol and outcome evaluation were published for an intervention, the intervention was marked as having an outcome evaluation.

Initiatives to fund interventions specifically targeted at racial and ethnic minorities may have increased the number of interventions targeting Studies, but not racial minorities. Conclusions Despite limitations, this study used a novel approach to synthesize and profile the recent literature on family-based childhood obesity prevention interventions. Int J Epidemiol. BMJ Open. Type 2 diabetes incidence and socio-economic position: a systematic review and meta-analysis. Prevalence of obesity among children and adolescents aged 2 to 19 years, by sex and age: the United States, Try out PMC Labs and tell us what you think.

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Health E-Stats. PLoS Prevention studies ;6:e Types of interventions, main findings regarding anthropometric changes, and sustainability of the results were diverse and different. Mailed materials focused on child development. The studies that reported BMI and BMI-Z score as primary or secondary outcomes in intervention and control groups were included for two-class meta-analysis synthesis.

Assessing the sustained impact of a school-based obesity prevention program for adolescent boys: the ATLAS cluster randomized controlled trial. Large reductions in child overweight and obesity in intervention and comparison communities 3 years after a community project. Downward trends in the prevalence of childhood overweight in the setting of year school- and community-based programmes. Overweight and obese children persist as a serious health problem and a public challenge of the twenty-first century. Int J Pediatr ; Parents of overweight and obese year-old children.

Excess body fat is a major health studies in childhood and adolescent populations. View author publications. Childhoos sample size varied across the studies, ranging from to participants. Having a high body mass index BMI is a major risk factor for diseases such as cardiovascular disease, type 2 diabetes and cancer later in life [ 78 ]. This approach requires the active involvement and participation of teachers. Apart from the already mentioned recommendations that have been used as inclusion criteria in the present review, several strategies have been proven efficacious, i. Manganello J, Blake N.

MeSH terms

We coded parents as single if they self-identified as such, were not cohabitating, or were widowed or divorced. J Clin Epidemiol. Conclusions: A simple environmental intervention could effectively influence children.

Meetings with parents at school seemed to lead to increased effectiveness in more cases in comparison to written material, i. In a study, Cutler et al found that an increase in consumption of food tends to be related to technology innovation in food production and transportation. These criteria were applied in order to avoid repetition of already proven to be effective strategies and take the existing literature a step further. Int J Epidemiol.

Facebook Twitter LinkedIn Syndicate. Health Educ Behav ;— Int J Public Health. A potential reason to this finding could be related to the age of children. CMAJ Open. Pediatr Obes ;e12—e

Publication types

Conclusion In prevenrion, the obesity prevention policies in short-term periods of less than 2 years, in rather early age of school with approaches of change in both of diet and physical activity, could be more effective in prevention of childhood obesity. Investigating the effectiveness of school health services delivered by a health provider: a systematic review of systematic reviews. Issues and challenges in studying parental control: Toward a new conceptualization.

Although systematic reviews can identify effective childhood obesity prevention studies strategies, they cannot identify the absence of information or gaps in the literature. Google Scholar Author information Affiliations Harvard T. A synthesis of existing systematic reviews and meta-analyses of school-based behavioural interventions for controlling and preventing obesity. America becoming: racial trends and their consequences.

Furthermore, an intervention program particularly targeting Jewish population offered gender separated obdsity activity classes for pupils, adapting the intervention to the needs of the specific population group thus increasing adherence and effectiveness of the intervention. Racial and ethnic differences in health: recent trends, current patterns, future directions. Obstet Gynecol Clin N Am. Int J Epidemiol. A complementary search was executed to update the results for the publication to cover the period from February to January following the same methodology.

Structured Abstract

Contact us Submission enquiries: bmcendocrinedisorders biomedcentral. One coder TA cleaned the data. Psychological Consequences of Obesity Several studies related to childhood and adolescent obesity have focused primarily on physiological consequences.

Child Dev Perspect ;— Assessment of an after-school physical activity program to prevent obesity among 9- to year-old children: A cluster randomized trial. These inconsistencies might be due to differences in inclusion criteria. Small Prevention of overweight and obesity in children and youth: a systematic review and meta-analysis.

  • Healthy habits, happy homes: Randomized trial to improve household routines for obesity prevention among preschool-aged children.

  • J Clin Endocrinol Metab. Obesity can affect all aspects of the children including their psychological as well as cardiovascular health; also, their overall physical health is affected.

  • Lumeng

  • Further to this finding, those studies that contain training sessions followed childhood obesity prevention studies maintenance for parents as well as those that focus on individual consultation for overweight children, resulted in more improvement in outcome measures such as weight reduction, increased physical activity level, decreased consumption of sugar-sweetened beverages, and higher consumption of fruit and vegetables. CDC Healthy Schools.

Of the articles screened at the abstract level, proceeded to full-text screening, of which articles met the eligibility criteria and were included in the final pool of eligible papers see Additional file 2 for a list of eligible articles. Article PubMed Google Scholar srudies Multiple strategies are used in effective interventions, highlighting the fact that a one-size-fits-all approach is not applicable in childhood obesity prevention intervention programs development and that many different strategies can be effective. Int J Epidemiol. In the study, they identified that parental BMI and gestational weight gain among other factors should be considered in prevention programs. Reprints and Permissions. After a baseline assessment was done, the 9-month study found that the children with obesity had a higher number of days of wheezing over 2 weeks 4.

J Clin Epidemiol. The vast majority of studies were conducted in developed, or high-income, countries. Article Google Scholar 2. Effective strategies for childhood obesity prevention via school based, family involved interventions: a critical review for the development of the Feel4Diabetes-study school based component. It is our recommendation that parents and community teachers and doctors should be involved in identifying children at risk based on their BMI and participate in implementing practices such as good diet control through the reduction of sugary drinks, fatty foods, and also encouraging safe exercise programs to prevent and control childhood obesity in the society.

Background

Google Scholar Int J Pediatr Obes. Strategies which aim to positively impact on weight, physical activity, diet and sedentary behaviours in children from zero to five years.

J Nutr. J Clin Epidemiol. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Am J Public Health.

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Effects of restriction on children's intake differ by child temperament, food reinforcement, and parent's chronic use of restriction. Associations between parental report of the home food childhodo and adolescent intakes of fruits, vegetables and dairy foods. Mentioned databases were searched to find out all randomized controlled trials RCTs with parental engagement as an exposure and children's anthropometric indices as an outcome, which have been published in last 10 years from until February 14, The effect of parent engagement in prevention of obesity in children is not clear. Skip to main content.

  • In our finding, the integration of education alongside changes in the school environment had more favorable results compared with education only. Table S3.

  • Thus, interventions promoting such healthy behaviors in childhood provide a key strategy in the prevention of obesity, since it has been shown that treating obesity in adulthood poses more difficulties than changing lifestyle habits earlier on [ 16 ].

  • In the current meta-analysis, we summarized the results of controlled trials that evaluated the effect of obesity prevention policies in children and adolescents.

  • Old Password.

  • Parental involvement in interventions to improve child dietary intake: a systematic review. Health, United States.

Parent-only interventions in the treatment of childhood obesity: A systematic review of randomized controlled trials. Klein et al. Enter your email obfsity below and we will send you your username. Am J Clin Nutr ;— If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. This research received no specific grant from any funding agency, commercial, or not-for-profit sectors. Furthermore, engaging parents is better to be aligned with motivation for seeking health information and readiness for change.

A community intervention reduces BMI z-score in children: Preventikn up somerville first year results. The key findings childhood obesity prevention studies the current study were as follows. We were not able to assess the long-term sustainability of obesity prevention policies, because there was a limited number of studies that included long-term follow-up after the end of the intervention [ 546970 ]. Google Scholar 5. Barkin Can J Public Health ;e—e

Related Files

There is mounting evidence that childhood obesity is a risk factor for the development of asthma. Studies published between and January were retrieved from scientific electronic databases and grey literature. There are two primary components to the prevention and control of childhood obesity.

  • Acknowledgements Not applicable.

  • Maternal obesity and excessive weight gain during pregnancy, for example, both correlate with a higher risk of childhood obesity.

  • Parents and their 2—5-year multiethnic children. Table 1 Inclusion and exclusion criteria for study selection Full size table.

  • Child Dev Perspect ;—

Given the immense number of records initially identified, we needed to consider the feasibility of screening chkldhood then thoroughly coding eligible articles. Table 1 summarizes additional intervention characteristics for eligible interventions. While it has been established that prenatal life influences childhood obesity risk, the low number of interventions beginning in the prenatal period, in particular, may be due to a general lack of understanding of the mechanisms responsible for this association, and general debate in the field about how early intervention efforts should begin [ 5556 ]. Establishing healthy habits early in life is critical given the difficulty of changing energy-balance behaviors later on. Racial minorities and children from non-traditional families have also been underrepresented.

Walton et al. Prevalence of obesity among adults and youth: United States, — Cancel Continue. Obesity prevention is a public health priority around the world. For additional assistance, please contact us.

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Arch Dis Child. Childhood obesity prevention studies to the Morbidity childhoodd Mortality Weekly Report released inthere is an acceptance that there is no single cause of childhood obesity and that energy imbalance is just a part of the numerous factors. Tailoring interventions to fit the needs of a specific population group, as done in the study by Benjamins et al.

Begg's and Egger's regression tests were used to further illustrate publication bias Additional file 1 : Table S7. Studies that targeted overweight or obese children in their intervention containing training sessions followed by maintenance for parents and those that focused on individual support for overweight children and their parents, resulted in higher improvement in BMI and other outcomes. CrossrefMedlineGoogle Scholar 2. PMID: Preventing obesity among adolescent girls: one-year outcomes of the nutrition and enjoyable activity for teen girls NEAT Girls cluster randomized controlled trial. It has been established that integration of obesity prevention interventions in the classroom is difficult to achieve [ 65 ] and their long-term effectiveness is negligible [ 67 ]. Stark

Failure to take appropriate actions could lead to serious public health consequences. Methods Studies published between and January were retrieved from scientific electronic databases and grey literature. Contact us Submission enquiries: Access here and click Contact Us General enquiries: info biomedcentral. Preventing chronic diseases: a vital investment: World Health Organization;

Eur J Pediatr. Mol Psychiatry. A systematic review of real-world diabetes prevention programs: learnings from the last 15 years. Similar to type of intervention and age range, variety exists in outcome measurements as well.

Since most studies of the studies in pediatrics are conducted in schools, further investigations in other settings are indicated childhood obesity prevention studies elucidate their effectiveness in pediatric obesity prevention. Due to high heterogeneity values i. Generally, those studies that include training sessions continued with maintenance, and those that include individual support for overweight or obese participants led to better outcome. Multifaceted community-based intervention reduces rate of BMI growth in obese Mexican-origin boys. Table S3. Table S4.

  • These findings were not similar for adults; for example, in a study of adults with an intervention duration that ranged from 6 weeks to 2 years, it was reported that obesity prevention programs could be effective for more than 4 months [ 66 ].

  • In addition, blood pressure BP was significantly reduced, and significant improvement in physical fitness followed.

  • Furthermore, engaging parents is better to be aligned with motivation for seeking health information and readiness for change. September

  • French et al. According to literature, promising strategies for prevention of childhood obesity are those that include both physical activity and dietary habits, and mainly focus on establishing an encouraging environment in preschool- and school-based settings, which are aligned with home and community components.

  • This research received no specific grant from any funding agency, commercial, or not-for-profit sectors. Appetite ;—

  • Obesity can be triggered by genetic, psychological, lifestyle, nutritional, environmental, and hormonal factors.

A community intervention reduces BMI z-score in children: Shape up somerville first year results. What's this? Correspondence to Mahdieh Abbasalizad Farhangi. Skouteris

AAT created the codebook, assisted with screening and coding training, provided input on result interpretation, and edited the manuscript. Type 2 diabetes incidence and socio-economic position: a systematic review and meta-analysis. Characteristics of study design, behavioral domains targeted, and sample global childhood obesity were extracted from eligible articles using a comprehensive codebook. The current review served as a part of the PRECEDE phase of this specific theoretical model and its outcomes were utilized in the development of the Feel4Diabetes school- and community-based intervention. Contact us Submission enquiries: bmcendocrinedisorders biomedcentral. Furthermore, an intervention program particularly targeting Jewish population offered gender separated physical activity classes for pupils, adapting the intervention to the needs of the specific population group thus increasing adherence and effectiveness of the intervention.

Background

Modifiable early-life risk factors for childhood adiposity and overweight: an analysis of their combined impact and potential for prevention. Beverly Hills: Sage Publications; Learn More.

Studies that targeted overweight or obese children in their intervention containing childhood obesity prevention studies sessions followed by maintenance for parents and those that focused on individual support for studoes children and their parents, resulted in higher improvement in BMI and other outcomes. Sensitivity analysis for the effects of childhood obesity prevention policies on BMI-Z score. We compared the effects of the interventions on weight-related outcomes e. A review. Password Changed Successfully Your password has been changed. We quantitatively pooled the results of studies that were sufficiently similar.

Although systematic reviews can identify effective intervention strategies, they childhood obesity prevention studies identify the absence of information or gaps in the literature. Thus, instilling some responsibility on the parents and informing them that srudies food preparation, diet control, and family participation in physical activities will all assist in the treatment and control of obesity in their children. Introduction Childhood and adolescent obesity have reached epidemic levels in the United States, affecting the lives of millions of people. Psychological Consequences of Obesity Several studies related to childhood and adolescent obesity have focused primarily on physiological consequences. CDC grand rounds: childhood obesity in the United States. As obese adults, they will have a higher risk of many of the major causes of adult mortality, including coronary artery disease, hypertension, stroke, chronic kidney and liver disease as well as many types of cancer.

Childhood obesity: prevention is better than cure. Finally, stress can stimulate the production of biochemical hormones and peptides such as leptin, ghrelin, and neuropeptide Y. America becoming: racial trends and their consequences. Download PDF.

Google Scholar 5. Eligible studies were randomized controlled trials in last 10 years from until February 14,which had a parent engagement in obesity prevention interventions as an intervention and children's anthropometric indices as an outcome. A community intervention reduces BMI z-score in children: Shape up somerville first year results. Childhood obesity prevention programs: Comparative effectiveness review and meta-analysis.

Characteristics of study design, behavioral domains targeted, and sample demographics were extracted from eligible articles using a comprehensive codebook. Adolescent girls childhood obesity prevention studies Two randomized control trials of families were conducted from November to Septemberand they studied the efficacy of US pediatric obesity treatment guidelines in children aged 4 to 9 years with a standardized BMI ZBMI greater than the 85 percentile. The current review aimed to gather and evaluate available school-based intervention studies with family involvement targeting dietary, physical activity and sedentary behaviors among primary schoolchildren and their families, in order to identify the most effective strategies.

Establishing a standard definition for child overweight and obesity worldwide: prevention studies survey. Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches: a scientific statement from the American Heart Association. A systematic review and meta-analyses of the impact of diet and exercise programs single or combined was done on their effects on metabolic risk reduction in the pediatric population. The dramatic increase in childhood obesity foreshadows the serious health consequences of their adult life. J Pediatr. Prev Chronic Dis. More information on this project can be found in the literature [ 19 ].

Table 2. Studies Pediatr ;e Conclusion In conclusion, the obesity prevention policies in short-term periods of less than 2 years, in rather early age of school with prevntion of change in both of diet and physical activity, could be more effective in prevention of childhood obesity. Four concept groups were organized according to the search terms: a Population pediatric, children, or adolescents ; b Health problem under consideration obesity, pediatric obesity ; c Intervention policy, program, strategy ; and d Relevant outcomes of interest BMI, BMI-Z score. Preventing obesity among adolescent girls: one-year outcomes of the nutrition and enjoyable activity for teen girls NEAT Girls cluster randomized controlled trial.

  • Nyberg According to a recent study in the United States comparing the cost—benefit childhood obesity prevention studies prevention versus treatment obeeity in youth, preventive interventions in the early stages of life were found to be more beneficial than in adulthood, and addressing childhood obesity as early as possible is an effective strategy against obesity in later ages [ 5 ].

  • Why have Americans become more obese?

  • Correspondence to Mahdieh Abbasalizad Farhangi. Parents and their 2—5-year multiethnic children.

  • Table S5. Old Password.

  • Funding The authors received no funding for this study and have no relevant financial relationships to disclose.

  • First author's name, publication year, country, population, intervention and control type, sample size in each group, outcome of interest, duration of follow-up, and final results were excluded.

Circadian rhythms in diet-induced obesity. Using a comprehensive search strategy, we searched the PubMed, PsycIFO, and CINAHL databases childhood obesity prevention studies identify eligible interventions aimed obesjty preventing childhood obesity with an active family component published between and Regarding school policies, several strategies such as the increased water accessibility, the free provision of fruits, the availability of only healthy options in the school cafeteria and the removal of vending machines seem to be efficacious strategies. CPL and OA constructed the search strategy for review and they also read and selected articles.

PLoS Med ;6:e Barkin We also reviewed consumer health informatics interventions. Pamphlet on healthy eating and physical activity in preschool-aged children. You will be subject to the destination website's privacy policy when you follow the link.

Med J Aust. In studies where limited information was provided and marital status was simply dichotomized as married or not married, not married was used as a proxy for single. A thorough situational analysis and formative research should be included in the time planning for the development of interventions, especially when targeting schools in low-SES areas and vulnerable groups [ 28 ].

Jackson-Leach R, Lobstein T. Email: moc. Moreover, teachers acting as role-models and getting actively involved in all targeted EBRBs has been highlighted as another effective strategy. Support Center Support Center.

Etiology and Risk Factors Excess body fat is a major health concern in childhood and adolescent populations. PubMed Google Scholar. This was in part due to a number of key reports published inincluding an Institute of Medicine IOM report on the recent progress of childhood obesity prevention [ 10 ] and a report from a committee of experts representing 15 professional organizations appointed to make evidence-based recommendations for the prevention, assessment, and treatment of childhood obesity [ 1112 ]. Perinatal risk factors for childhood obesity and metabolic dysregulation. Confronting a rising tide of eating disorders and obesity: treatment vs. PubMed Google Scholar. The role of family and maternal factors in childhood obesity.

Worldviews Evid Based Nurs. Glob Pediatr Health. Prev Med. PLoS Med. Obesity in children. In order to tackle the climbing obesity rate, overall health and lifestyle needs to be a priority as they balance one with the other.

Childhood obesity prevention programs: Comparative effectiveness review and meta-analysis. Returning user. Acknowledgements Not applicable.

Password Changed Successfully Your password has been changed. Wald et al. Impact of an after-school physical activity program on obesity in children. The heterogeneity of educational materials that are provided in different studies make it difficult to achieve a unique finding about their effectiveness [ 74 ]. Table S5.

Enhanced primary childhood obesity prevention studies plus tailored individual health coaching twice-weekly text messages and telephone or video contacts childohod other month for 1 year. Google Scholar 8. Nyberg In our finding, the integration of education alongside changes in the school environment had more favorable results compared with education only. Sensitivity analysis for the effects of childhood obesity prevention policies on BMI-Z score. Clinic and home-based behavioral intervention for obesity in preschoolers: A randomized trial.

Implement Sci. Report of the Commission on Ending Childhood Obesity. Davis et al. Download references. Adv Behav Res Ther ;—

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