Childhood Obesity

Budd, Geraldine M.; Hayman, Laura L.

doi:10.1097/00005082-200611000-00005

Cited by 26 publications

(6 citation statements)

References 33 publications

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“…Parental influence with regards to children’s nutrition and physical activity behaviors is a well known determinant of childhood obesity [ 12 , 14 , 15 , 16 ]. However, only 40% of the included interventions incorporated parental involvement as a targeted strategy.…”

Section: Resultsmentioning

confidence: 99%

“…With 43 million children globally considered overweight or obese, 92 million at risk of becoming overweight, and a projected increase of childhood overweight and obesity estimated to reach 9.1% worldwide in 2020, childhood obesity has become a public health crisis in dire need of support [ 4 ]. School-based interventions are essential in the fight against global childhood obesity since many children lack nutrition and/or physical activity education, resources, and support outside of their homes [ 12 , 13 , 14 , 15 , 16 ]. As supported by the promising outcomes reported in this review, childhood obesity can be mitigated through the use of school-based interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Obesity is shaped by a number of determinants: common genetic variants, influences within the first year of life, maternal behaviors, family food environment and dietary behaviors, physical activity and inactivity, and environmental factors that either hinder or enhance one’s accessibility to healthy food and physical activity [ 12 , 13 , 14 , 15 , 16 ]. Not only should childhood obesity prevention interventions aim to target modifiable determinants of obesity, but the setting in which these interventions are implemented also needs to be considered to truly impact this global epidemic.…”

Section: Introductionmentioning

confidence: 99%

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Global School-Based Childhood Obesity Interventions: A Review

Ickes

McMullen

Haider

et al. 2014

IJERPH

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Background: The issue of childhood overweight and obesity has become a global public health crisis. School-based interventions have been developed and implemented to combat this growing concern. The purpose of this review is to compare and contrast U.S. and international school-based obesity prevention interventions and highlight efficacious strategies. Methods: A systematic literature review was conducted utilizing five relevant databases. Inclusion criteria were: (1) primary research; (2) overweight or obesity prevention interventions; (3) school-based; (4) studies published between 1 January 2002 through 31 December 2013; (5) published in the English language; (6) child-based interventions, which could include parents; and (7) studies that reported outcome data. Results: A total of 20 interventions met the inclusion criteria. Ten interventions each were implemented in the U.S. and internationally. International interventions only targeted elementary-aged students, were less likely to target low-income populations, and were less likely to be implemented for two or more years in duration. However, they were more likely to integrate an environmental component when compared to U.S. interventions. Discussion: Interventions implemented in the U.S. and internationally resulted in successful outcomes, including positive changes in student BMI. Yet, varying approaches were used to achieve success, reinforcing the fact that a one-size-fits-all approach is not necessary to impact childhood obesity. However, building on successful interventions, future school-based obesity prevention interventions should integrate culturally specific intervention strategies, aim to incorporate an environmental component, and include parents whenever possible. Consideration should be given to the potential impact of long-term, frequent dosage interventions, and subsequent follow-up should be given attention to determine long-term efficacy.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Global School-Based Childhood Obesity Interventions: A Review

Ickes

McMullen

Haider

et al. 2014

IJERPH

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“…That way, children get backing and motivation from their peers in all emerging health-related changes. Moreover, for children that age (kindergarten: 3 to 6 years), the SCT is an ideal framework since its implementation strategies such as model learning can be accomplished very well in the kindergarten setting [28]. The SCT is recommended and used as theoretical framework by many successful interventions for health promotion [28]; yet, its specific use and implementation or those of other behaviour change theories in context of kindergarten or school-based health promotion interventions are very rarely described in detail [10, 12].…”

Section: Discussionmentioning

confidence: 99%

Design, Implementation, and Study Protocol of a Kindergarten-Based Health Promotion Intervention

Kobel

Wartha

Wirt

et al. 2017

BioMed Research International

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Inactivity and an unhealthy diet amongst others have led to an increased prevalence of overweight and obesity even in young children. Since most health behaviours develop during childhood health promotion has to start early. The setting kindergarten has been shown as ideal for such interventions. “Join the Healthy Boat” is a kindergarten-based health promotion programme with a cluster-randomised study focussing on increased physical activity, reduced screen media use, and sugar-sweetened beverages, as well as a higher fruit and vegetable intake. Intervention and materials were developed using Bartholomew's Intervention Mapping approach considering Bandura's social-cognitive theory and Bronfenbrenner's ecological framework for human development. The programme is distributed using a train-the-trainer approach and currently implemented in 618 kindergartens. The effectiveness of this one-year intervention with an intervention and a control group will be examined in 62 kindergartens using standardised protocols, materials, and tools for outcome and process evaluation. A sample of 1021 children and their parents provided consent and participated in the intervention. Results of this study are awaited to give a better understanding of health behaviours in early childhood and to identify strategies for effective health promotion. The current paper describes development and design of the intervention and its implementation and planned evaluation. Trial Registration. The study is registered at the German Clinical Trials Register (DRKS), Freiburg University, Germany, ID: DRKS00010089.

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“…Children's eating behaviors, that start to develop at birth, are established by early childhood, and parents' behaviors largely influence this (Budd & Hayman, 2010 Birch & Fisher, 2015). Parents shape their children's food environment, which in turn shapes children's preferences and food acceptance patterns later in life (Evers, 1997).…”

Section: Determinantsmentioning

confidence: 99%

The impact of a Smarter Lunchrooms Makeover on children's food choice and consumption

Zhuzhina¹

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The Impact Of A Smarter Lunchrooms Makeover On Children's Food Choice And Consumption Polina ZhuzhinaChildhood obesity has tripled over the past three decades and poses a serious public health problem. The Smarter Lunchrooms Movement aims to increase healthy eating by incorporating low-cost to no-cost alterations to the school lunchroom in an effort to increase consumption of healthier foods, such as fruits and vegetables, by making them more attractive and convenient.Our study implemented Smarter Lunchrooms interventions at two primarily Hispanic elementary schools in Paso Robles, CA. The interventions focused on increasing the appeal of the salad bars, including installation of age-appropriate signage highlighting fruits and vegetables, as well as branding of fruits and vegetables with fun age-appropriate characters. Fruits were also placed into decorative bowls to increase their attractiveness. To determine whether these changes had an influence on fruit and vegetable choice and consumption, we tracked student's choice and intake prior to and following the intervention. Consumption was analyzed using a visual tray waste measurement to determine how much fruit, vegetable, and entrée the students ate during lunch.Following the intervention, the proportion of children who selected fruits and vegetables increased at one school, but not at the other. Of the children that selected fruits and/or vegetables, the proportion eating the entire fruit or vegetable increased at both schools, while the proportion of students who did not eat any of their vegetables v decreased at one school. There were few significant differences by grade level (1-3 and 4-5).If easy-to-implement strategies such as Smarter Lunchrooms interventions are effective mitigators of obesity risk, larger scale efforts across populations may help stem the ever-increasing impact of obesity. Therefore, future research should identify targeted methods by which to approach younger vs. older children among diverse sociodemographic and geographic groups.vi ACKNOWLEDGMENTS

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Childhood Obesity

Cited by 26 publications

References 33 publications

Global School-Based Childhood Obesity Interventions: A Review

Global School-Based Childhood Obesity Interventions: A Review

Design, Implementation, and Study Protocol of a Kindergarten-Based Health Promotion Intervention

The impact of a Smarter Lunchrooms Makeover on children's food choice and consumption

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