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Research papers on Childhood obesity interventions

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  1. Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report

    Sarah E. Barlow · 2007 · PEDIATRICS · 4,557 citations

    To revise 1998 recommendations on childhood obesity, an Expert Committee, comprised of representatives from 15 professional organizations, appointed experienced scientists and clinicians to 3 writing groups to review the literature and recommend approaches to prevention, assessment, and treatment. Because effective strategies remain poorly defined, the writing groups used both available evidence and expert opinion to develop the recommendations. Primary care providers should universally assess children for obesity risk to improve early identification of elevated BMI, medical risks, and unhealthy eating and physical activity habits. Providers can provide obesity prevention messages for most c

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  2. Predicting Obesity in Young Adulthood from Childhood and Parental Obesity

    Robert C. Whitaker, Jeffrey A. Wright, Margaret S. Pepe, et al. · 1997 · New England Journal of Medicine · 4,430 citations

    Background Childhood obesity increases the risk of obesity in adulthood, but how parental obesity affects the chances of a child's becoming an obese adult is unknown.We investigated the risk of obesity in young adulthood associated with both obesity in childhood and obesity in one or both parents. MethodsHeight and weight measurements were abstracted from the records of 854 subjects born at a health maintenance organization in Washington State between 1965 and 1971.Their parents' medical records were also reviewed.Childhood obesity was defined as a body-mass index at or above the 85th percentile for age and sex, and obesity in adulthood as a mean body-mass index at or above 27.8 for men and

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  3. Interventions for preventing obesity in children

    Tamara Brown, Theresa HM Moore, Lee Hooper, et al. · 2019 · Cochrane Database of Systematic Reviews · 3,031 citations

    EDITORIAL NOTE: See https://doi.org/10.1002/14651858.CD015328.pub2, https://doi.org/10.1002/14651858.CD015330.pub2 and https://doi.org/10.1002/14651858.CD015326.pub2 for more recent reviews that cover this topic. BACKGROUND: Prevention of childhood obesity is an international public health priority given the significant impact of obesity on acute and chronic diseases, general health, development and well-being. The international evidence base for strategies to prevent obesity is very large and is accumulating rapidly. This is an update of a previous review. OBJECTIVES: To determine the effectiveness of a range of interventions that include diet or physical activity components, or both, desig

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  4. Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis

    Tayla von Ash, Alen Agaronov, Ta’Loria Young, et al. · 2017 · International Journal of Behavioral Nutrition and Physical Activity · 294 citations

    BACKGROUND: A wide range of interventions has been implemented and tested to prevent obesity in children. Given parents' influence and control over children's energy-balance behaviors, including diet, physical activity, media use, and sleep, family interventions are a key strategy in this effort. The objective of this study was to profile the field of recent family-based childhood obesity prevention interventions by employing systematic review and quantitative content analysis methods to identify gaps in the knowledge base. METHODS: Using a comprehensive search strategy, we searched the PubMed, PsycIFO, and CINAHL databases to identify eligible interventions aimed at preventing childhood obe

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  5. A systematic analysis of childhood obesity prevention interventions targeting Hispanic children: lessons learned from the previous decade

    Paul Branscum, Manoj Sharma · 2010 · Obesity Reviews · 87 citations

    Hispanic children suffer from the highest overall rates of prevalence for overweight and obesity in the US. In the last decade some interventions for prevention of childhood obesity have been developed and tailored to target this subgroup. The purpose of this review is to systematically analyze and summarize findings for health education and promotion interventions aimed at the prevention of childhood overweight and obesity among primarily Hispanic children. A systematic review of PubMed, CINAHL, and ERIC was done for the time period 2000 to May 2010. A posteriori effect size for the primary outcome of each intervention was calculated using G*Power. A total of nine interventions were located

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  6. Evaluation of complex community‐based childhood obesity prevention interventions

    Derin Karacabeyli, Steven Allender, Susan Pinkney, et al. · 2018 · Obesity Reviews · 64 citations

    BACKGROUND: Multi-setting, multi-component community-based interventions have shown promise in preventing childhood obesity; however, evaluation of these complex interventions remains a challenge. OBJECTIVE: The objective of the study is to systematically review published methodological approaches to outcome evaluation for multi-setting community-based childhood obesity prevention interventions and synthesize a set of pragmatic recommendations. METHODS: MEDLINE, CINAHL and PsycINFO were searched from inception to 6 July 2017. Papers were included if the intervention targeted children ≤18 years, engaged at least two community sectors and described their outcome evaluation methodology. A singl

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  7. Childhood Obesity Prevention Interventions in Childcare Settings: Systematic Review of Randomized and Nonrandomized Controlled Trials

    Yuan Zhou, Janice S. Emerson, Robert S. Levine, et al. · 2013 · American Journal of Health Promotion · 60 citations

    OBJECTIVE: Childcare settings are an opportune location for early intervention programs seeking to prevent childhood obesity. This article reports on a systematic review of controlled trials of obesity prevention interventions in childcare settings. DATA SOURCE: The review was limited to English language articles published in PubMed, Web of Science, and Education Resources Information Center (ERIC) between January 2000 and April 2012. INCLUSION CRITERIA: childhood obesity prevention interventions in childcare settings using controlled designs that reported adiposity and behavior outcomes. EXCLUSION CRITERIA: no interventions, non-childcare settings, clinical weight loss programs, non-English

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  8. Engaging Coalitions in Community-Based Childhood Obesity Prevention Interventions: A Mixed Methods Assessment

    Ariella R. Korn, Erin Hennessy, Alison Tovar, et al. · 2018 · Childhood Obesity · 51 citations

    BACKGROUND: Childhood obesity prevention interventions have engaged coalitions in study design, implementation, and/or evaluation to improve research outcomes; yet, no systematic reviews have been conducted on this topic. This mixed methods review aims to characterize the processes and dynamics of coalition engagement in community-based childhood obesity prevention interventions. METHODS: Data Sources: Studies extracted from Ovid MEDLINE, PubMed, and Web of Science; complementary original survey and interview data among researchers of included studies. Eligible Studies: Multisetting community-based obesity prevention interventions in high-income countries targeting children 0-12 years with a

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  9. Using School Staff Members to Implement a Childhood Obesity Prevention Intervention in Low-Income School Districts: the Massachusetts Childhood Obesity Research Demonstration (MA-CORD Project), 2012–2014

    Rachel E. Blaine, R. Franckle, C. Ganter, et al. · 2017 · Preventing Chronic Disease · 47 citations

    Introduction Although evidence-based interventions to prevent childhood obesity in school settings exist, few studies have identified factors that enhance school districts’ capacity to undertake such efforts. We describe the implementation of a school-based intervention using classroom lessons based on existing “Eat Well and Keep Moving” and “Planet Health” behavior change interventions and schoolwide activities to target 5,144 children in 4th through 7th grade in 2 low-income school districts. Methods The intervention was part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project, a multisector community-based intervention implemented from 2012 through 2014. Using

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  10. The Impact of a Multi-Level Multi-Component Childhood Obesity Prevention Intervention on Healthy Food Availability, Sales, and Purchasing in a Low-Income Urban Area

    J. Gittelsohn, A. Trude, Lisa Poirier, et al. · 2017 · International Journal of Environmental Research and Public Health · 43 citations

    The multifactorial causes of obesity require multilevel and multicomponent solutions, but such combined strategies have not been tested to improve the community food environment. We evaluated the impact of a multilevel (operating at different levels of the food environment) multicomponent (interventions occurring at the same level) community intervention. The B’more Healthy Communities for Kids (BHCK) intervention worked at the wholesaler (n = 3), corner store (n = 50), carryout (n = 30), recreation center (n = 28), household (n = 365) levels to improve availability, purchasing, and consumption of healthier foods and beverages (low-sugar, low-fat) in low-income food desert predominantly Afri

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  11. Childhood Obesity Prevention in Africa: A Systematic Review of Intervention Effectiveness and Implementation

    S. Klingberg, C. Draper, L. Micklesfield, et al. · 2019 · International Journal of Environmental Research and Public Health · 41 citations

    Childhood obesity is of increasing concern in many parts of Africa. We conducted a systematic search and review of published literature on behavioural childhood obesity prevention interventions. A literature search identified peer-reviewed literature from seven databases, and unindexed African journals, including experimental studies targeting children age 2–18 years in African countries, published in any language since 1990. All experimental designs were eligible; outcomes of interest were both behavioural (physical activity, dietary behaviours) and anthropometric (weight, body mass index, body composition). We also searched for process evaluations or other implementation observations. Meth

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  12. Environmental components of childhood obesity prevention interventions: an overview of systematic reviews

    Daniel Cauchi, Ketevan Glonti, Mark Petticrew, et al. · 2016 · Obesity Reviews · 41 citations

    Childhood obesity has a complex multi-factorial aetiology grounded in environmental and individual level factors that affect behaviour and outcomes. An ecological, systems-based approach to addressing childhood obesity is increasingly being advocated. The primary aim of this review is to summarize the evidence reported in systematic reviews on the effectiveness of population-level childhood obesity prevention interventions that have an environmental component. We conducted a systematic review of reviews published since 1995, employing a standardized search strategy in nine databases. Inclusion criteria required that reviews be systematic and evaluated at least one population-level, environme

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  13. A Health-Literacy Intervention for Early Childhood Obesity Prevention: A Cluster-Randomized Controlled Trial

    Lee M. Sanders, Eliana M. Perrin, H. S. Yin, et al. · 2021 · Pediatrics · 39 citations

    We conducted a cluster-randomized, controlled trial to assess efficacy of a low-literacy, primary care–based intervention to reduce obesity risk in early childhood. BACKGROUND AND OBJECTIVES: Children who become overweight by age 2 have greater risk of long-term obesity and health problems. The study aim was to assess the effectiveness of a primary care–based intervention on the prevalence of overweight at age 24 months. METHODS: In a cluster-randomized trial, sites were randomly assigned to the Greenlight intervention or an attention-control arm. Across 4 pediatric residency clinics, we enrolled infant–caregiver dyads at the 2-month well-child visit. Inclusion criteria included parent Engli

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  14. Implementation of Text-Messaging and Social Media Strategies in a Multilevel Childhood Obesity Prevention Intervention: Process Evaluation Results

    Ivory H. Loh, Teresa Schwendler, A. Trude, et al. · 2018 · Inquiry: A Journal of Medical Care Organization, Provision and Financing · 35 citations

    Social media and text messaging show promise as public health interventions, but little evaluation of implementation exists. The B’more Healthy Communities for Kids (BHCK) was a multilevel, multicomponent (wholesalers, food stores, recreation centers) childhood obesity prevention trial that included social media and text-messaging components. The BHCK was implemented in 28 low-income areas of Baltimore City, Maryland, in 2 waves. The texting intervention targeted 241 low-income African American caregivers (of 283), who received 3 texts/week reinforcing key messages, providing nutrition information, and weekly goals. Regular posting on social media platforms (Facebook, Instagram, Twitter) tar

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  15. Delivering a childhood obesity prevention intervention using Islamic religious settings in the UK: What is most important to the stakeholders?

    S. Dogra, K. Rai, S. Barber, et al. · 2021 · Preventive Medicine Reports · 32 citations

    Highlights • Obesity prevention interventions could be delivered through Islamic religious settings.• Co-production with target communities is essential to ensure cultural sensitivity and relevance.• Integrating Islamic narrative on healthy behaviours could enhance uptake and adherence.• Interventions should be adequately resourced, considering the cost of staff, space and materials.• Collaborating with external organisations can support scalability.

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  16. Feasibility and Acceptability of an Early Childhood Obesity Prevention Intervention: Results from the Healthy Homes, Healthy Families Pilot Study

    Akilah Dulin Keita, P. Risica, Kelli L Drenner, et al. · 2014 · Journal of Obesity · 32 citations

    Background. This study examined the feasibility and acceptability of a home-based early childhood obesity prevention intervention designed to empower low-income racially/ethnically diverse parents to modify their children's health behaviors. Methods. We used a prospective design with pre-/posttest evaluation of 50 parent-child pairs (children aged 2 to 5 years) to examine potential changes in dietary, physical activity, and sedentary behaviors among children at baseline and four-month follow-up. Results. 39 (78%) parent-child pairs completed evaluation data at 4-month follow-up. Vegetable intake among children significantly increased at follow-up (0.54 cups at 4 months compared to 0.28 cups

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  17. The cost of a primary care-based childhood obesity prevention intervention

    D. Wright, E. Taveras, M. Gillman, et al. · 2014 · BMC Health Services Research · 29 citations

    BackgroundUnited States pediatric guidelines recommend that childhood obesity counseling be conducted in the primary care setting. Primary care-based interventions can be effective in improving health behaviors, but also costly. The purpose of this study was to evaluate the cost of a primary care-based obesity prevention intervention targeting children between the ages of two and six years who are at elevated risk for obesity, measured against usual care.MethodsHigh Five for Kids was a cluster-randomized controlled clinical trial that aimed to modify children’s nutrition and TV viewing habits through a motivational interviewing intervention. We assessed visit-related costs from a societal pe

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  18. Community-based childhood obesity prevention intervention for parents improves health behaviors and food parenting practices among Hispanic, low-income parents

    Laura E. Otterbach, Noereem Z. Mena, G. Greene, et al. · 2018 · BMC obesity · 27 citations

    BackgroundGiven the current prevalence of childhood obesity among Hispanic populations, and the importance of parental feeding behaviors, we aimed to assess the impact of the evidence-based Healthy Children, Healthy Families (HCHF) intervention on responsive food parenting practices (FPPs) in a low-income Hispanic population.MethodsThis community-based pilot study used a non-experimental pre/post within-subjects design. Parents (n = 94) of children aged 3–11 years old were recruited to participate in an 8-week, weekly group-based intervention. The intervention was delivered to nine groups of parents by trained paraprofessional educators over a two-year period. Children participated in a sepa

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  19. Unpacking the behavioural components and delivery features of early childhood obesity prevention interventions in the TOPCHILD Collaboration: a systematic review and intervention coding protocol

    B. J. Johnson, K. Hunter, R. Golley, et al. · 2020 · BMJ Open · 21 citations

    Introduction Little is known about how early (eg, commencing antenatally or in the first 12 months after birth) obesity prevention interventions seek to change behaviour and which components are or are not effective. This study aims to (1) characterise early obesity prevention interventions in terms of target behaviours, delivery features and behaviour change techniques (BCTs), (2) explore similarities and differences in BCTs used to target behaviours and (3) explore effectiveness of intervention components in preventing childhood obesity. Methods and analysis Annual comprehensive systematic searches will be performed in Epub Ahead of Print/MEDLINE, Embase, Cochrane (CENTRAL), CINAHL, PsycIN

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