Effect of obesity treatment interventions in preschool children aged 2–6 years: a systematic review and meta-analysis

Nordlund, Samantha; McPhee, Patrick G.; Gabarin, Ramy; Deacon, Charlotte; Mbuagbaw, Lawrence; Morrison, Katherine M.

doi:10.1136/bmjopen-2021-053523

Cited by 4 publications

(1 citation statement)

References 36 publications

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“…ToyBox, for example, is a kindergarten-based, family-involved intervention to apply environmental changes and implement lifestyle behaviors to counter obesity [33]. Pediatric weight management interventions in the primary care setting for parents of young children 2-6 years with overweight or obesity resulted in small declines in BMI [53]. Parental involvement is important in health promotion programs for kindergarten children.…”

Section: Discussionmentioning

confidence: 99%

Developing Healthy Lifestyle Behaviors in Early Age—An Intervention Study in Kindergartens

Jakobovich,

Berry,

Levita

et al. 2023

Nutrients

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Childhood obesity prevention is a leading public health challenge requiring the adoption of healthy lifestyles at an early age. We examined how the kindergarten environment can promote eating sensibly, drinking water and becoming physically active. The effects of an intervention program among 42 Israeli kindergartens (1048 children, aged 4–6) whose teachers participated in a health education training program were compared to 32 kindergartens (842 children) whose teachers did not undergo this training program. An eight-month intervention program focused on knowledge/mathematical/logical/critical thinking, self-regulation/control acquisition, and sensible decision-making abilities. We hypothesized that nutrition and physical-exercise-oriented intervention programs, combining knowledge/mathematical logical thinking, would positively impact the quality of children’s mid-morning snack and water consumption, their ability to express feelings following physical exercise, and the adoption of healthy lifestyles at home. The quality of mid-morning snacks and water consumption were observed in both groups pre- and post-intervention. Qualitative interviews documented children’s subjective feelings following physical exercise. A significant improvement (p < 0.001) was observed in the mid-morning snacks composition and in water drinking habits in the intervention group; 80% of children offered a physiological explanation regarding energy expenditure processes following intense physical exercise. In conclusion, kindergarten interventions implemented by trained teachers can promote adoption of health behaviors necessary for obesity prevention.

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Section: Discussionmentioning

confidence: 99%

Developing Healthy Lifestyle Behaviors in Early Age—An Intervention Study in Kindergartens

Jakobovich,

Berry,

Levita

et al. 2023

Nutrients

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Exploring the association between individual, family, and program characteristics and change in health outcomes 12 months after enrollment into the CANadian Pediatric Weight management Registry (CANPWR)

McPhee,

Ball,

Buchholz

et al. 2024

Int J Obes

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Replicability, adaptability and long-term impact of the ‘Healthy Youngsters, Healthy Dads’ program in Newcastle, Australia

Ashton,

Grounds,

Barnes

et al. 2024

Health Promotion International

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‘Healthy Youngsters, Healthy Dads’ (HYHD) targets fathers to improve the health of their preschool-aged children. In a previous randomized trial, fathers and children experienced meaningful improvements in physical activity and eating behaviours. The next phase is to test the replicability and adaptability of HYHD when delivered in the community by trained facilitators. Fathers/father-figures and children aged 3–5 years were recruited from Newcastle, Australia into a 9-week, non-randomized trial with assessments at baseline, 10 weeks, and 12 months. The primary outcome was achievement of pre-registered targets for recruitment (≥ 96 dyads), attendance (≥ 70%), compliance (completing ≥ 70% of home-based tasks), fidelity (≥ 80% of content delivered as intended) and program satisfaction (≥ 4/5). Secondary outcomes included physical activity, nutrition, screen time and parenting measures. Process targets were surpassed for recruitment (140 fathers, 141 children), attendance (79% for fathers-only workshops, 81% for father–child sessions), compliance (80% of home-tasks completed), fidelity (99% for education, ≥ 97% for practical) and program satisfaction (4.8/5). Mixed effects regression models revealed significant effects in fathers for moderate-to-vigorous physical activity, co-physical activity, dietary intake and parenting practises, which were maintained at 12 months. Significant effects were also established for screen time at 10 weeks only. For children, significant effects were observed for screen time and dietary intake at 10 weeks, while effects on energy-dense, nutrient-poor foods and healthy, nutrient-dense core food intake were maintained at 12 months. Findings demonstrate the replicability and adaptability of HYHD when delivered in the community by local trained facilitators. Further investigation into how to optimally scale-up HYHD is warranted.

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Effect of obesity treatment interventions in preschool children aged 2–6 years: a systematic review and meta-analysis

Cited by 4 publications

References 36 publications

Developing Healthy Lifestyle Behaviors in Early Age—An Intervention Study in Kindergartens

Developing Healthy Lifestyle Behaviors in Early Age—An Intervention Study in Kindergartens

Exploring the association between individual, family, and program characteristics and change in health outcomes 12 months after enrollment into the CANadian Pediatric Weight management Registry (CANPWR)

Replicability, adaptability and long-term impact of the ‘Healthy Youngsters, Healthy Dads’ program in Newcastle, Australia

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