Effectiveness of current interventions in obese New Zealand children and adolescents

Anderson, Yvonne; Cave, Tami L.; Cunningham, Vicki; Pereira, Nicola M.; Woolerton, Donna M.; Grant, Cameron; Cutfield, Wayne S.; Derraik, José G. B.; Hofman, Paul L.

doi:10.1016/j.orcp.2014.10.004

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…There is increased recognition that the first few years of life could be the most crucial for establishing healthy weight trajectories, 23 and because of the limited success of obesity treatment in childhood, prevention is a key focus for reducing obesity prevalence. 24,25 Overall, the longer a child spends in obesogenic environments, the greater their risk of becoming overweight. 26 Correspondingly, there is emerging evidence to support the belief that interventions and prevention efforts have more potential to reduce obesity risk when begun earlier in life.…”

Section: Preschool Children Are Uniquementioning

confidence: 99%

“…26 Correspondingly, there is emerging evidence to support the belief that interventions and prevention efforts have more potential to reduce obesity risk when begun earlier in life. 23,24 Pregnancy and the postnatal period have been described as a "teachable moment" for lifestyle interventions because of mothers' increased concern with health and well-being and contact with health services. 27 A growing understanding of fetal origins of obesity risk has led to the design of interventions targeting children who may be at increased risk for becoming overweight before they are even born.…”

Section: Preschool Children Are Uniquementioning

confidence: 99%

See 1 more Smart Citation

Slim Evidence to Suggest Preschoolers Are Emerging from the Obesity Epidemic

Maessen¹,

Swinburn²,

Taylor³

et al. 2021

The Journal of Pediatrics

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Section: Preschool Children Are Uniquementioning

confidence: 99%

Section: Preschool Children Are Uniquementioning

confidence: 99%

Slim Evidence to Suggest Preschoolers Are Emerging from the Obesity Epidemic

Maessen¹,

Swinburn²,

Taylor³

et al. 2021

The Journal of Pediatrics

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“…Research needs to focus on preschool children and to examine the impact of early intervention. Anderson et al (2015) investigated the effectiveness of various interventions offered to 290 obese and overweight children and adolescents (3 -16 years) in New Zealand. Interventions included: medical follow-up by a paediatrician at regular intervals; medical follow-up by a paediatrician and dietitian input at regular intervals; medical follow-up, dietitian and GRxAF input; and a multidisciplinary intervention programme.…”

Section: The New Zealand Contextmentioning

confidence: 99%

“…The extent of BMI SDS reduction was significantly affected by the participant's age at entry, suggesting that younger children may benefit more from interventions than their older peers. Interventions to help obese and overweight children lose weight can make a positive difference; however, further research is needed to thoroughly evaluate the effectiveness of intervention programmes in the New Zealand context (Anderson et al, 2015). Research that investigates physical activity interventions for general populations of New Zealand preschoolers, rather than exclusively focusing on children who are overweight, is scarce.…”

Section: The New Zealand Contextmentioning

confidence: 99%

Literature Review on Motor Skill and Physical Activity in Preschool Children in New Zealand

Ali¹,

Pigou²,

Clarke³

et al. 2017

APE

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Children's physical activity levels have decreased significantly over the past 20 -30 years, coinciding with obesity rates reaching epidemic levels. There is little research into typically developing preschool (birth to 5 year-olds) children's physical activity, with the majority of research focusing on children at risk of motor skill or neurological deficiencies. This review examines current research into young children's development, especially motor development and physical activity, the effectiveness of intervention programmes for promoting children's physical development and the various methods used to assess physical development. A decrease in children's physical activity levels has coincided with an increase in obesity rates. Further research is needed to determine culturally and contextually appropriate and effective interventions for preschool children. Areas for further research include preschool children's physical activity, particularly in regards to movement guidelines and requirements for this age-group and ways to overcome potential barriers to meeting physical activity requirements. Young children's physical activity and motor skill proficiency may be an important predictor of later-life physically active behaviors. Physical literacy and physical activity interventions within early childhood education could potentially support academic skills as well as physical skills and behaviors.

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“…No national cohesive approach for managing childhood obesity exists, despite national clinical guidelines being available since 2009 [ 7 ]. A recent multi-centre audit showed that, irrespective of type of intervention, a small but significant reduction in BMI SDS was achievable (−0.15 overall), highlighting the importance of health professionals being proactive in identifying and addressing child obesity [ 8 ]. However, even when obesity is identified, intervention is infrequently implemented.…”

Section: Introductionmentioning

confidence: 99%

The effect of a multi-disciplinary obesity intervention compared to usual practice in those ready to make lifestyle changes: design and rationale of Whanau Pakari

et al. 2015

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BackgroundChild obesity internationally has been identified as one of the major threats to future population health. Indigenous people and those from lower socio-economic backgrounds are over-represented in obesity statistics. There is a need for evidence of effect of interventions for child obesity with long-term follow-up. Whether engaging with those that are more motivated to make lifestyle changes is a useful strategy has not been fully explored. We hypothesise that in obese/overweight children, assessed as psychologically “ready for change”, delivery of a 12-month multi-disciplinary intervention programme results in a significant reduction in body mass index standard deviation score.Methods/DesignWhanau Pakari is an unblinded randomised controlled clinical trial comparing a 12 month intervention programme with standard practice, with 6 monthly assessments for 2 years, conducted in Taranaki, New Zealand (a region where 15.8 % of the population are indigenous). It specifically targets indigenous people and those in more deprived households.Obese/overweight children and adolescents aged 5–16 years are eligible. Exclusion criteria are medical/psychological conditions leading to inability to undertake physical activity/participate in group sessions; those not “ready” to make lifestyle changes; and those without a committed family member.Assessments of health parameters, dietary history, physical activity and overall health-related quality of life/psychological functioning are completed in the participant’s home. Fasting blood tests are obtained at baseline, 12 and 24 months.The primary outcome is body mass index standard deviation score. Secondary outcomes include quality of life, dietary behaviour and physical activity, cardiovascular and metabolic profile (blood pressure, resting heart rate, waist circumference), glycaemic control (fasting glucose and glycated Haemoglobin), fasting insulin, and lipids.A general linear mixed model will be used to assess change from baseline using the 6, 12, 18 and 24 month measures, adjusting for age, gender, socioeconomic status and ethnicity, and whether at the contemplative or preparation/action stages of readiness for change.DiscussionThis trial will inform the development of management programmes for obese children and adolescents that are appropriate for indigenous populations. It will investigate whether those at the preparation/action stage of “readiness” to make lifestyle changes are more successful in making changes than those who are contemplative.Trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR):12611000862943. (Date registered 15/08/2011).

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Effectiveness of current interventions in obese New Zealand children and adolescents

Cited by 3 publications

References 3 publications

Slim Evidence to Suggest Preschoolers Are Emerging from the Obesity Epidemic

Slim Evidence to Suggest Preschoolers Are Emerging from the Obesity Epidemic

Literature Review on Motor Skill and Physical Activity in Preschool Children in New Zealand

The effect of a multi-disciplinary obesity intervention compared to usual practice in those ready to make lifestyle changes: design and rationale of Whanau Pakari

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