Health Promotion Intervention in Low Socioeconomic Kindergarten Children

Nemet, Damir; Geva, Daniel; Eliakim, Alon

doi:10.1016/j.jpeds.2010.10.040

Cited by 58 publications

(118 citation statements)

References 23 publications

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“…The included studies were of varying study designs, with 42 48,50,53,54,[57][58][59]62,63,[67][68][69]71,[73][74][75][76][77][78][79][80][81]83,84,86,87,89,90,[93][94][95][96][97]98,102,103,[106][107][108][109][110][111][112][113][114][115][116][117][118][119]124 experimental (largely cluster trials) and 34 [40][41][42][43][44][45][46][47]49,51,…”

Section: Studies Included In the Reviewmentioning

confidence: 99%

“…studies seldom reported means and standard deviations), it was possible to conduct meta-analysis for only a small subset of interventions in this category (n = 13 targeted interventions). The fifty-two studies are therefore synthesised narratively in terms of whether they followed a universal (n = 16 44,45,57,64,[74][75][76][77]86,88,[96][97][98][100][101][102]104,105 ) or a targeted (n = 36 54,56,[58][59][60][61][62][63][65][66][67][68][69][70][71][72][73][78][79][80][81][82][83][84][85]87,[89][90][91][92][93][94][95]99,103,106 ) approach. The results are also summarised in Table 41 (universal-approach studies) and …”

Section: Targeted Interventionsmentioning

confidence: 99%

“…Sixteen 44,45,57,64,[74][75][76][77]86,88,[96][97][98][100][101][102]104,105 followed a universal approach and either included subgroup analysis of different SES groups or explored associations between SES and intervention outcomes. The remaining 36 studies 55,56,[58][59][60][61][62][63][65][66][67][68][69][70][71][72][73][78][79][80][81][82][83][84][85]87,[89][90][91][92][93][94][95]99,101,103,106 were targeted at low-SES or disadvantaged groups or areas.…”

Section: Reducing Inequalities In Obesity Among Childrenmentioning

confidence: 99%

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How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? Two systematic reviews

Bambra

Hillier

Cairns

et al. 2015

Public Health Research

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BackgroundTackling obesity is one of the major contemporary public health policy challenges and is vital in terms of addressing health inequalities.ObjectivesTo systematically review the effectiveness of interventions (individual, community and societal) in reducing socioeconomic inequalities in obesity among (1) children aged 0–18 years (including prenatal) and (2) adults aged ≥18 years, in any setting, in any country, and (3) to establish how such interventions are organised, implemented and delivered.Data sourcesNine electronic databases including MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO and NHS Economic Evaluation Database were searched from database start date to 10 October 2011 (child review) and to 11 October 2012 (adult review). We did not exclude papers on the basis of language, country or publication date. We supplemented these searches with website and grey literature searches.Review methodsPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Experimental studies and observational studies with a duration of at least 12 weeks were included. The reviews considered strategies that might reduce existing inequalities in the prevalence of obesity [i.e. effective targeted interventions or universal interventions that work more effectively in low socioeconomic status (SES) groups] as well as those interventions that might prevent the development of inequalities in obesity (i.e. universal interventions that work equally along the SES gradient). Interventions that involved drugs or surgery and laboratory-based studies were excluded from the reviews. The initial screening of titles and abstracts was conducted by one reviewer with a random 10% of the sample checked by a second reviewer. Data extraction was conducted by one reviewer and independently checked by a second reviewer. The methodological quality of the included studies was appraised independently by two reviewers. Meta-analysis and narrative synthesis were conducted focusing on the ‘best-available’ evidence for each intervention type (defined in terms of study design and quality).ResultsOf 56,967 papers of inequalities in obesity in children, 76 studies (85 papers) were included, and of 70,730 papers of inequalities in obesity in adults, 103 studies (103 papers) were included. These studies suggested that interventions that aim to prevent, reduce or manage obesity do not increase inequalities. For children, there was most evidence of effectiveness for targeted school-delivered, environmental and empowerment interventions. For adults, there was most evidence of effectiveness for primary care-delivered tailored weight loss and community-based weight loss interventions, at least in the short term among low-income women. There were few studies of appropriate design that could be included on societal-level interventions, a clear limitation of the evidence base found.LimitationsThe reviews located few evaluations of societal-level interventions and this was probably because they included only experimental study designs. The quality assessment tool, although described as a tool for public health interventions, seemed to favour those that followed a more clinical model. The implementation tool was practical but enabled only a brief summary of implementation factors to be made. Most of the studies synthesised in the reviews were from outside the UK and related to women.ConclusionsThe reviews have found some evidence of interventions with the potential to reduce SES inequalities in obesity and that obesity management interventions do not increase health inequalities. More experimental studies of the effectiveness and cost-effectiveness of interventions (particularly at the societal level) to reduce inequalities in obesity, particularly among adolescents and adult men in the UK, are needed.Study registrationThe studies are registered as PROSPERO CRD42011001740 and CRD42013003612.FundingThe National Institute for Health Research Public Health Research programme.

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Section: Studies Included In the Reviewmentioning

confidence: 99%

Section: Targeted Interventionsmentioning

confidence: 99%

Section: Reducing Inequalities In Obesity Among Childrenmentioning

confidence: 99%

See 1 more Smart Citation

How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? Two systematic reviews

Bambra

Hillier

Cairns

et al. 2015

Public Health Research

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“…Differences in socio-economic status and ethnicity in relation to prevalence of overweight and the necessity of interventions aimed at nutritional knowledge and physical activity have been highlighted in previous studies from abroad and in Israel (26,(44)(45)(46)(47) . A study in Israel within a minority community incorporating a similar intervention demonstrated improvements in nutrition and physical activity knowledge and preferences, as well as improved fitness (26) . Our study builds on this research by providing data on the significant reduction of daily energy intake.…”

Section: Discussionmentioning

confidence: 99%

An intervention for improving the lifestyle habits of kindergarten children in Israel: a cluster-randomised controlled trial investigation

Lerner‐Geva

Bar-Zvi

Levitan

et al. 2014

Public Health Nutr.

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Objective: To assess the effectiveness of an intervention programme to improve kindergarten children's eating and leisure habits in Israel. Design: A cluster-randomised controlled trial. Setting: Six full-day kindergartens in Israel were randomly divided into three groups. Group A received the full intervention programme, which included lessons on good eating habits and daily physical exercise. Group B received a partial intervention of lessons only. Group C, the reference group, did not receive any intervention. Subjects: Children aged 4-6 years (n 204) were recruited for the study. Methods: Objective data for weight and height were collected to calculate BMI Z-scores. Activity, sedentary time, sleeping hours and daily energy intake were assessed via a parental questionnaire. Nutritional knowledge was assessed by a single dietitian using a questionnaire addressed to the children. Assessments were done at baseline and at the end of the intervention. Results: After adjustment for baseline levels we observed a significant reduction in daily energy intake for the full intervention group A (P 5 0?03). A positive intervention effect was demonstrated on nutritional knowledge in the partial intervention group B (P 5 0?03), although no significant change was demonstrated for BMI Z-score. Conclusions: The study supports the incorporation of education on healthy lifestyle habits and physical activity into the curricula of kindergartens.

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“…Considering the findings of existing intervention studies for general health promotion, they have shown little or no success for socially disadvantaged children or children with migration background [23] [37] [38] [39]. Besides, there is a gap of effective intervention studies which aim to improve motor proficiency of children with migration background.…”

Section: Discussionmentioning

confidence: 99%

Intervention Effects of the School-Based Health Promotion Program “Join the Healthy Boat” on Motor Abilities of Children with Migration Background

Lämmle¹,

Wartha²,

Kobel³

et al. 2017

Health

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Purpose: Motor abilities of migrant children show worse performance compared with children without migration background. This study investigated whether a one-year intervention, which aimed to increase physical activity (PA), could influence the motor performance of these children positively. Methods: A sub-sample of 525 migrant children (7.1 ± 0.7 years; 48.6% male), participated in the study and included an intervention (IG) and control group (CG). The Dordel-Koch-Test was used to assess motor performance. An exploratory factor analysis was performed. Differences between IG and CG were examined using ANCOVA. Results: Boys in the IG showed a significant improvement in the conditional skills (F(1, 201) = 8.02, p ≤ 0.005) and girls showed a tendency towards better results. Additionally, girls showed a significant improvement in flexibility (F(1, 226) = 10.72, p ≤ 0.01) compared with the CG. Conclusion: The intervention affects parts of motor skills of migrant children significantly. Future interventions should aim at a target-group-specific promotion to get a holistic improvement in their motor abilities.

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Health Promotion Intervention in Low Socioeconomic Kindergarten Children

Cited by 58 publications

References 23 publications

How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? Two systematic reviews

How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? Two systematic reviews

An intervention for improving the lifestyle habits of kindergarten children in Israel: a cluster-randomised controlled trial investigation

Intervention Effects of the School-Based Health Promotion Program “Join the Healthy Boat” on Motor Abilities of Children with Migration Background

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