Childhood Obesity Prevention Programs: How Do They Affect Eating Pathology and Other Psychological Measures?

Carter, Frances A.; Bulik, Cynthia M.

doi:10.1097/psy.0b013e318164f911

Cited by 42 publications

(43 citation statements)

References 41 publications

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“…39,40 As recently suggested, 41 obesity interventions should take these issues into account, including an evaluation whether these programmes increase the risk of unhealthy food restraint and subsequently eating disorders. We found no signs of negative effects of the intervention as measured by self-report.…”

Section: Discussionmentioning

confidence: 99%

A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP

et al. 2009

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Objective: To assess the efficacy of a school-based intervention programme to reduce the prevalence of overweight in 6 to 10-year-old children. Design: Cluster-randomized, controlled study. Subjects: A total of 3135 boys and girls in grades 1-4 were included in the study. Methods: Ten schools were selected in Stockholm county area and randomized to intervention (n ¼ 5) and control (n ¼ 5) schools. Low-fat dairy products and whole-grain bread were promoted and all sweets and sweetened drinks were eliminated in intervention schools. Physical activity (PA) was aimed to increase by 30 min day À1 during school time and sedentary behaviour restricted during after school care time. PA was measured by accelerometry. Eating habits at home were assessed by parental report. Eating disorders were evaluated by self-report. Results: The prevalence of overweight and obesity decreased by 3.2% (from 20.3 to 17.1) in intervention schools compared with an increase of 2.8% (from 16.1 to 18.9) in control schools (Po0.05). The results showed no difference between intervention and controls, after cluster adjustment, in the longitudinal analysis of BMIsds changes. However, a larger proportion of the children who were initially overweight reached normal weight in the intervention group (14%) compared with the control group (7.5%), P ¼ 0.017. PA did not differ between intervention and control schools after cluster adjustment. Eating habits at home were found to be healthier among families with children in intervention schools at the end of the intervention. There was no difference between children in intervention and control schools in self-reported eating disorders. Conclusions: A school-based intervention can reduce the prevalence of overweight and obesity in 6 to 10-year-old children and may affect eating habits at home. The effect of the intervention was possibly due to its effect on healthy eating habits at school and at home rather than on increased levels of PA.

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Section: Discussionmentioning

confidence: 99%

A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP

et al. 2009

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“…[19] The inconsistent findings are largely due to differences in the design of the reviews, their methods, and the quality of the primary literature (e.g., small study size, lack of blinding, short follow-up, and varied statistical analyses. [12][13][14][15][16][17][18][19][20][21][22][23][24] Pediatric obesity prevention programs caused small changes in target behaviors and no significant effect on BMI compared with control.…”

Section: Discussionmentioning

confidence: 99%

Targeting Parents and Children at Schools in the Treatment of Childhood Obesity: Short-Term Results, Dubai 2016

W¹

2017

IJPN

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Abstract:Background: Obesity and Overweight among children and adolescents is continuously worldwide increasing problem, which put this vital segment of population at greater risk for health problems compared with their normal-weight counterparts and are more likely to become obese adults. Obese children and adolescents are more likely to have serious health conditions, such as cardiovascular, metabolic, and psychosocial illnesses; type 2 diabetes; hypertension; high cholesterol; stroke; heart disease; nonalcoholic fatty liver disease; certain cancers; and arthritis. Other reported health consequences of childhood obesity include eating disorders and mental health issues, such as depression and low self-esteem.

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“…Two studies have provided convincing evidence that broad-based obesity prevention programs in fact decrease eating pathology [56,57], whereas another recent study indicates that decreasing competitive food offerings did not increase eating and weight concerns in students [51]. A review focused on this question concluded that childhood obesity prevention programs do not appear to have a negative impact on eating pathology [58]. The evidence to date supports the position that eating disorder and obesity prevention efforts need not be inimical, rather offer the opportunity to work toward a common goal.…”

Section: Schools As An Important Starting Pointmentioning

confidence: 99%

The Need for Bold Action to Prevent Adolescent Obesity

Brownell

Schwartz

Puhl

et al. 2009

Journal of Adolescent Health

115

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Childhood Obesity Prevention Programs: How Do They Affect Eating Pathology and Other Psychological Measures?

Abstract: The existing evidence does not support the view that childhood obesity prevention programs are associated with unintended psychological harm. However, because these variables have been so poorly assessed, conclusions about the possible iatrogenic effects of these programs are premature.

Cited by 42 publications

References 41 publications

A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP

A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP

Targeting Parents and Children at Schools in the Treatment of Childhood Obesity: Short-Term Results, Dubai 2016

The Need for Bold Action to Prevent Adolescent Obesity

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