Behavioral factors influencing childhood obesity: a systematic review and meta-analysis

Poorolajal, Jalal; Sahraei, Fatemeh; Mohamdadi, Younes; Doosti-Irani, Amin; Moradi, Leila

doi:10.1016/j.orcp.2020.03.002

Cited by 117 publications

(115 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the last decades, a growing body of research explored associations between properties of the living environment, especially the urban living environment, and leisure activities, cognitive functioning and health. Physical activity and outdoor play have health-promoting effects on physical (e.g., weight [ 3 ]) and mental health (e.g., depressive symptoms [ 4 ]) in children and adolescents. However, according to a Europe-wide survey, only 25% of boys and 15% of girls meet current WHO recommendations to be active for at least 60 min per day [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Associations of Green Spaces and Streets in the Living Environment with Outdoor Activity, Media Use, Overweight/Obesity and Emotional Wellbeing in Children and Adolescents

Poulain

Sobek

Ludwig

et al. 2020

IJERPH

View full text Add to dashboard Cite

Aspects of the living environment can affect health and wellbeing of children and adolescents. Whereas most previous studies assessed the more distant residential urban environment, less is known on possible effects of the close environment. The present study investigated associations of the proportion of streets and green spaces in the immediate urban living environment (50, 100 and 400 m around the home) with media use, outdoor activity, overweight/obesity and emotional problems in two samples of younger (age 3–10, n = 395) and older children (age 10–19, n = 405). Independently of socioeconomic parameters, a higher proportion of streets was associated with overweight/obesity (in younger and older children), higher media use (in younger children), less outdoor activity and more emotional problems (in older children). Older children’s outdoor activity in winter increased with increasing proportions of green spaces. The observations suggest that the immediate urban living environment is a factor that can affect leisure behavior and health in children.

show abstract

Section: Introductionmentioning

confidence: 99%

Associations of Green Spaces and Streets in the Living Environment with Outdoor Activity, Media Use, Overweight/Obesity and Emotional Wellbeing in Children and Adolescents

Poulain

Sobek

Ludwig

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Health organizations and experts are in agreement that salt and sugar should be avoided during the first two years of life and limited later on [ 7 , 8 , 9 , 10 ]. Sodium and sugar intake in childhood was linked with many adverse health effects, including high blood pressure [ 11 ] and cardiovascular diseases [ 12 ], obesity [ 13 , 14 ] or dental caries [ 15 ]. Interestingly, in animal studies, it was reported that salt and sugar consumption may alter gut microbiota [ 16 , 17 ], which seems to play a pivotal role in health programming [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

The Use of Added Salt and Sugar in the Diet of Polish and Austrian Toddlers. Associated Factors and Dietary Patterns, Feeding and Maternal Practices

Masztalerz-Kozubek

Zielińska

Rust

et al. 2020

IJERPH

View full text Add to dashboard Cite

Children aged <2 years should not be given meals with the addition of salt and sugar due to health risks and to promote healthier dietary habits. The aims of this study were: to assess the prevalence of the use of added salt (AS), sugar (ASu) and both salt and sugar (AS&Su) in the diets of Polish and Austrian toddlers aged 12–24 and 25–36 months; to explore the sociodemographic and early nutritional factors associated with the use of AS and ASu; to investigate the difference in dietary habits and maternal concerns about toddlers’ eating regarding the use of AS and ASu in toddlers’ diet. This cross-sectional anonymous study was conducted in 5893 mothers of children aged 12–36 months, recruited through social media in 2017–2019. The questionnaire consisted of questions about sociodemographics, early feeding practices and current children’s nutrition (e.g., use of AS and ASu, food frequency questionnaire). Multivariate logistic regression and cluster analyses were applied. Austrian mothers more often used AS than mothers from Poland (at 2 years old: 74.8% vs. 52.8%; at 3 years old 87.4% vs. 74.4%, p ≤ 0.001), however Polish mothers were more prone to use ASu (at 2 years old: 34.7% vs. 27.7%; at 3 years old: 59.0% vs. 45.8%, p ≤ 0.001). In younger toddlers (12–24 months), the odds of using of AS, ASu, and AS&Su increased with toddlers’ age, when the mother was a multipara, was not currently breastfeeding, or had exclusively breastfed for 4–5 months. This risk decreased when older toddlers (25–36 months) were introduced to solids by baby-led weaning (BLW). Toddlers from both countries who consumed meals with AS or ASu more often a followed Western-like dietary pattern. Our study emphasizes the need for parental nutritional education when beginning to introduce solid foods.

show abstract

“…To show the capability and flexibility of the 'metaplot" command we used various datasets (S1-S3 Datasets) related to our previous published meta-analyses [6][7][8].…”

Section: Resultsmentioning

confidence: 99%

“…The third dataset (S3 Dataset), which was used to introduce the "metaplot" module, related to a published meta-analysis addressed the preventable factors for primary prevention of childhood obesity [8]. This is a dataset with a "binomial" outcome (stomach cancer) and multiple studies.…”

Section: Plos Onementioning

confidence: 99%

Metaplot: A new Stata module for assessing heterogeneity in a meta-analysis

Poorolajal

Noornejad

2021

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Background The proposed sequential and combinatorial algorithm, suggested as a standard tool for assessing, exploring, and reporting heterogeneity in the meta-analysis, is useful but time-consuming particularly when the number of included studies is large. Metaplot is a novel graphical approach that facilitates performing sensitivity analysis to distinguish the source of substantial heterogeneity across studies with ease and speed. Method Metaplot is a Stata module based on Stata’s commands, known informally as "ado". Metaplot presents a two-way (x, y) plot in which the x-axis represents the study codes and the y-axis represents the values of I2 statistics excluding one study at a time (n-1 studies). Metaplot also produces a table in the ’Results window’ of the Stata software including details such as I2 and χ2 statistics and their P-values omitting one study in each turn. Results Metaplot allows rapid identification of studies that have a disproportionate impact on heterogeneity across studies, and communicates to what extent omission of that study may reduce the overall heterogeneity based on the I2 and χ2 statistics. Metaplot has no limitations regarding the number of studies or types of outcome data (binomial or continuous data). Conclusions Metaplot is a simple graphical approach that gives a quick and easy identification of the studies having substantial influences on overall heterogeneity at a glance.

show abstract

Behavioral factors influencing childhood obesity: a systematic review and meta-analysis

Cited by 117 publications

References 26 publications

Associations of Green Spaces and Streets in the Living Environment with Outdoor Activity, Media Use, Overweight/Obesity and Emotional Wellbeing in Children and Adolescents

Associations of Green Spaces and Streets in the Living Environment with Outdoor Activity, Media Use, Overweight/Obesity and Emotional Wellbeing in Children and Adolescents

The Use of Added Salt and Sugar in the Diet of Polish and Austrian Toddlers. Associated Factors and Dietary Patterns, Feeding and Maternal Practices

Metaplot: A new Stata module for assessing heterogeneity in a meta-analysis

Contact Info

Product

Resources

About