Food, Health, &amp; Choices: Curriculum and Wellness Interventions to Decrease Childhood Obesity in Fifth-Graders

Koch, Pamela; Contento, Isobel R.; Gray, Heewon L.; Burgermaster, Marissa; Bandelli, Lorraine N; Abrams, E.; Noia, Jennifer Di

doi:10.1016/j.jneb.2018.12.001

Cited by 24 publications

(74 citation statements)

References 29 publications

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“…Interventions to address childhood obesity in schools and childcare settings provided the most citations (27 representing 28%). These included programmes of education and support for children, teachers, parents and caregivers on healthy eating and physical activity in a range of cities [ [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] ], restricting unhealthy food provision and advertising around schools [ 24 , 32 , 33 ] and increasing the provision of free healthy school meals [34] . Two cities, New York [ [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] ] and Singapore [ 44 , 45 ] report a breadth of interventions within schools and child care settings.…”

Section: Resultsmentioning

confidence: 99%

Systematic review into city interventions to address obesity

Danielli¹,

Coffey²,

Ashrafian³

et al. 2021

EClinicalMedicine

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Background Obesity threatens to undo the improvements that have been made in life expectancy over the last two centuries. It disproportionately affects lower socioeconomic and ethnic minority groups and has become one of the most important global health challenges of the 21 st century. Whilst obesity is not confined to city populations, cities are home to more than half of the world's population with concentrated groups at high risk of obesity. Cities have also long been the forefront of social and technological change that has led to our current obesogenic environment. The aim of this study was to systematically identify city-wide interventions to address obesity, from which recommendations for policy makers, health system leaders and political leaders in cities could be made. Methods Systematic review, conducted according to PRISMA guidelines, examining Embase, Ovid Medline, Central, Scopus, Campbell Library, CINALH, Health Business Elite; Health Management Information Consortium (HMIC), PyschINFO and Prospero. No restrictions on article type, date range or geographic location were applied. Along with classic academic sources, books and policy white papers were sought and reviewed. Studies that described a city-wide intervention to reduce obesity were included, irrespective of study design or perceived methodological quality. Only studies in English language were included. The primary outcome indicators that were sought and extracted were: reduction in obesity, reduction in weight and/or reduction in BMI. Where a primary outcome indicator was not stated, any other secondary impact measure was identified and recorded. This manuscript represents thematic analysis of a sub-set of data from the Prospero study, registration number: CRD42020166210 Findings Our search yielded 42,137 original citations of which 1614 met the inclusion criteria and 96 were coded as relating to obesity. The 96 citations, ranging in year of publication 1997 to 2019, were conducted in 36 cities, with 13 citations either not stating a city or covering multiple cities, across 5 continents. The highest proportion of publications were from North America (59 / 96) and in particular the USA (56/96) and New York City (23/96). Primary outcome indicators were only stated in one quarter of the identified studies (24/96). Overall, there was heterogeneity of study design, descriptive methodologies and publication types, with a majority being descriptive texts using qualitative instruments of assessment. Interpretation Multi-level and multi-component interventions, at the individual, community and city level, done in concert, are needed to address obesity. A composite of interventions that cities can utilise to address obesity is provided. These interventions will also be beneficial to the environment and make the case that personal health and planetary health are inextricably linked and should be considered as one. ...

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Section: Resultsmentioning

confidence: 99%

Systematic review into city interventions to address obesity

Danielli¹,

Coffey²,

Ashrafian³

et al. 2021

EClinicalMedicine

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“…The screening process identified 48 papers meeting the criteria for inclusion in the review, representing 39 unique interventions. An additional five papers were identified during the full text review that pertained to included interventions, for a total of 53 papers used in the data extraction process [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , …”

Section: Resultsmentioning

confidence: 99%

“…Nutrition education interventions delivered in a classroom setting where adults were the population trained to deliver the intervention was the largest group in our categorization system ( n = 19 unique interventions). Teachers were the primary population trained, though in some instances, graduate students, volunteers, or assistants were also trained as co-teachers [ 22 , 49 , 50 , 51 , 54 , 56 , 57 , 69 ]. In five of the interventions, the authors describe an initial training with follow-up trainings or regular meetings with teachers during the intervention to provide support or resolve any issues that arose [ 22 , 28 , 29 , 30 , 31 , 32 , 45 , 46 , 47 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…Teachers were the primary population trained, though in some instances, graduate students, volunteers, or assistants were also trained as co-teachers [ 22 , 49 , 50 , 51 , 54 , 56 , 57 , 69 ]. In five of the interventions, the authors describe an initial training with follow-up trainings or regular meetings with teachers during the intervention to provide support or resolve any issues that arose [ 22 , 28 , 29 , 30 , 31 , 32 , 45 , 46 , 47 , 51 ]. Most trainings are described as in-services or professional development for teachers, and several note that trainings were interactive, giving teachers the opportunity to practice delivering the content to the trainers and their peers.…”

Section: Resultsmentioning

confidence: 99%

“…Most trainings are described as in-services or professional development for teachers, and several note that trainings were interactive, giving teachers the opportunity to practice delivering the content to the trainers and their peers. Four interventions emphasized encouraging those delivering the intervention to tailor examples and references to the local context [ 22 , 45 , 49 , 50 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

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Themes in Train-the-Trainer Nutrition Education Interventions Targeting Middle School Students: A Systematic Review

Pierre

Guan²,

Barry

et al. 2021

Nutrients

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Context-appropriate nutrition education interventions targeting middle school students have the potential to promote healthy dietary patters that may help prevent unnecessary weight gain at a point in childhood development when youth experience increasing agency over their food choices. The aim of this review was to identify and synthesize themes in train-the-trainer approaches, intervention content and delivery, and youth receptivity across teacher, mentor, and peer-led nutrition education interventions that targeted middle school-age youth in urban, primarily low-income settings. A systematic, electronic literature search was conducted in seven electronic databases, PubMed/Medline, CINAHL, ERIC, PsycINFO, Scopus, SPORTDiscus, and Cochrane CENTRAL, using fixed inclusion and exclusion criteria. A total of 53 papers representing 39 unique interventions were selected for data extraction and quality assessment. A framework synthesis approach was used to organize the interventions into six categories and identify themes according to whether the intervention was classroom-based or out-of-school-based and whether adults, cross-age peers or same-age peers delivered the intervention. Ten of the interventions contained multiple components such that they were included in two of the categories. The review findings indicated that trainings should be interactive, include opportunities to role-play intervention scenarios and provide follow-up support throughout intervention delivery. Interventions targeting middle school youth should include positive messaging and empower youth to make healthy choices within their specific food environment context.

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