Evidence base for primary prevention of obesity in children and adolescents

Hillier, Frances C; Pedley, C.; Summerbell, Carolyn

doi:10.1007/s00103-010-1227-4

Cited by 41 publications

(36 citation statements)

References 41 publications

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“…This could provide a key approach for elucidating parental understanding and views regarding food parenting practices and perspectives on food parenting and weight that may vary across communities and ethnicities. Community-based research methods and approaches to better understand childhood obesity 37,38 involve a cyclical, iterative process that includes partnership development. 39 To incorporate successful community-based research methods, both researchers and community members must subscribe to a number of common principles, including the use of egalitarian, evidence-based, participatory, reflective, and action-oriented approaches.…”

Section: Translational/community Involvementmentioning

confidence: 99%

Food Parenting Measurement Issues: Working Group Consensus Report

et al. 2013

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Childhood obesity is a growing problem. As more researchers become involved in the study of parenting influences on childhood obesity, there appears to be a lack of agreement regarding the most important parenting constructs of interest, definitions of those constructs, and measurement of those constructs in a consistent manner across studies. This article aims to summarize findings from a working group that convened specifically to discuss measurement issues related to parental influences on childhood obesity. Six subgroups were formed to address key measurement issues. The conceptualization subgroup proposed to define and distinguish constructs of general parenting styles, feeding styles, and food parenting practices with the goal of understanding interrelating levels of parental influence on child eating behaviors. The observational subgroup identified the need to map constructs for use in coding direct observations and create observational measures that can capture the bidirectional effects of parent-child interactions. The selfregulation subgroup proposed an operational definition of child self-regulation of energy intake and suggested future measures of self-regulation across different stages of development. The translational/community involvement subgroup proposed the involvement of community in the development of surveys so that measures adequately reflect cultural understanding and practices of the community. The qualitative methods subgroup proposed qualitative methods as a way to better understand the breadth of food parenting practices and motivations for the use of such practices. The longitudinal subgroup stressed the importance of food parenting measures sensitive to change for use in longitudinal studies. In the creation of new measures, it is important to consider cultural sensitivity and context-specific food parenting domains. Moderating variables such as child temperament and child food preferences should be considered in models.

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Section: Translational/community Involvementmentioning

confidence: 99%

Food Parenting Measurement Issues: Working Group Consensus Report

et al. 2013

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“…Whereas school-based interventions appear to be the default choice [41, 42], we may need to reconsider and explore better ways to include parents and target the home environment. The recent community-based interventions aiming to improve energy balance-related behaviours and reduce obesity risk in children may be a way forward [43]. …”

Section: Discussionmentioning

confidence: 99%

The role of family-related factors in the effects of the UP4FUN school-based family-focused intervention targeting screen time in 10- to 12-year-old children: the ENERGY project

et al. 2014

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BackgroundScreen-related behaviours are highly prevalent in schoolchildren. Considering the adverse health effects and the relation of obesity and screen time in childhood, efforts to affect screen use in children are warranted. Parents have been identified as an important influence on children’s screen time and therefore should be involved in prevention programmes. The aim was to examine the mediating role of family-related factors on the effects of the school-based family-focused UP4FUN intervention aimed at screen time in 10- to 12-year-old European children (n child–parent dyads = 1940).MethodsA randomised controlled trial was conducted to test the six-week UP4FUN intervention in 10- to 12-year-old children and one of their parents in five European countries in 2011 (n child–parent dyads = 1940). Self-reported data of children were used to assess their TV and computer/game console time per day, and parents reported their physical activity, screen time and family-related factors associated with screen behaviours (availability, permissiveness, monitoring, negotiation, rules, avoiding negative role modeling, and frequency of physically active family excursions). Mediation analyses were performed using multi-level regression analyses (child-school-country).ResultsAlmost all TV-specific and half of the computer-specific family-related factors were associated with children’s screen time. However, the measured family-related factors did not mediate intervention effects on children’s TV and computer/game console use, because the intervention was not successful in changing these family-related factors.ConclusionFuture screen-related interventions should aim to effectively target the home environment and parents’ practices related to children’s use of TV and computers to decrease children’s screen time.Trial registrationThe study is registered in the International Standard Randomised Controlled Trial Number Register (registration number: ISRCTN34562078).

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“…At best, the picture emerging does allow the conclusion that complex interventions addressing at least diet as well as physical activity seem to be more promising than interventions focusing on physical activity, and interventions that target environments and upstream determinants are more effective than those focusing on education. In addition, community-based interventions combining behavioral and environmental measures and targeting diverse settings (e.g., kindergarten, school, sport facility, social and healthcare center, neighborhood, family) and population groups appear to be more effective than those that target children only [32]. Looking at long-term cost-effectiveness, environmental interventions as, for example, advertisement regulation, appear to be very cost effective, whereas school-based interventions show a comparably lower cost-effectiveness [48].…”

Section: Expert Commentarymentioning

confidence: 95%

“…An umbrella review of systematic reviews published between 2001 and 2009 and focusing only on school-based interventions covered 196 trials [31]. A recent study synthesizing the evidence on child and adolescent obesity prevention identified more than 30 reviews and meta-analyses published since 2008 [32]. Although the results of the various reviews are not fully consistent [33], mainly owing to different selections of studies included, and a substantial part of single trials and projects have failed to achieve the intended effects on changes in BMI, all reviews share the findings of the most recent Cochrane review on this subject matter [34].…”

Section: Effectivenessmentioning

confidence: 99%

Combating pediatric obesity in Germany: the role of economic findings in informing policy

John¹,

Teuner

2012

Expert Review of Pharmacoeconomics & Outcomes Research

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As in most countries, overweight and obesity among children and adolescents have dramatically increased in Germany over the last two decades. This serious public-health challenge has stimulated many efforts to curb the pediatric obesity epidemic. In this article, the authors briefly describe these efforts and examine the role of health economics in informing German health policies and evaluating the outcomes of interventions aimed at reducing pediatric obesity. The findings indicate that the tools of health-economic analysis have rarely been used to guide the development of strategies to prevent pediatric obesity and to support decision-making on the use of the scarce resources available for preventive actions. The authors give some reasons why health economics has not been an important policy tool so far and make some recommendations for how this could be changed. Reasons impeding health economics playing a more important role in this area are the existence of many unsolved issues in the methods of health economic evaluation and large gaps in the knowledge base on the effectiveness of interventions. Nevertheless, these methods should be considered to be indispensible tools of health policy development. However, taking into account the broad range of political and societal concerns related to pediatric obesity, decision-making in this area will ultimately rest on a process of deliberate thinking integrating different perspectives among, which health economics will be one.

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Evidence base for primary prevention of obesity in children and adolescents

Cited by 41 publications

References 41 publications

Food Parenting Measurement Issues: Working Group Consensus Report

Food Parenting Measurement Issues: Working Group Consensus Report

The role of family-related factors in the effects of the UP4FUN school-based family-focused intervention targeting screen time in 10- to 12-year-old children: the ENERGY project

Combating pediatric obesity in Germany: the role of economic findings in informing policy

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