Household Obesity Prevention: Take Action—a Group‐Randomized Trial

French, Simone A.; Gerlach, Anne Faricy; Mitchell, Nathan; Hannan, Peter J.; Welsh, Ericka M.

doi:10.1038/oby.2010.328

Cited by 80 publications

(139 citation statements)

References 34 publications

(45 reference statements)

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“…None of the 6 studies reported a significant intervention effect on weightrelated outcomes, whereas 3 reported statistically significant effects of a combined intervention on fruit/vegetable intake 17,21 or sedentary behaviors. 20 No studies reported on clinical outcomes or adverse effects of the interventions.…”

Section: Overall Findings On the Effectiveness Of Home-based Intervenmentioning

confidence: 94%

“…During article screening, we excluded an additional 470 articles. Six studies reporting on home-based interventions (KQ2) were included in this review: 3 home-based combined (diet and PA) intervention studies, [16][17][18] 1 home-based diet intervention study, 19 1 combined home-based study with primary care and consumer health informatics components, 20 and 1 combined home-based study with school and community components (Fig 1). 21 The results of the gray literature search did not yield studies eligible for inclusion in this review.…”

Section: Search Resultsmentioning

confidence: 99%

“…16 The second study evaluated the effect of the intervention on television viewing, snack/sweet intake, eating out, and PA among entire households. 17 The third study assessed the effect of the intervention on dietary fat, fruit and vegetable intake, television viewing, and PA among preschool-aged children. 18 None of these studies reported significant beneficial intervention effects on BMI, BMI z score, weight, or prevalence of obesity/overweight.…”

Section: Effectiveness Of Home-based Interventions By Setting(s) and mentioning

confidence: 99%

“…[16][17][18][19][20][21] The majority of included studies were conducted exclusively in the home setting (n = 4). [16][17][18][19] The sample size of included studies ranged from 26 to 1323 participants. Intervention length varied between 14 and 104 weeks, and participant followup ranged from 52 to 104 weeks.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…[16][17][18] These studies enrolled a total of 262 participants aged 4 to 17 years. One reported on the effect of 2 educational diet and PA interventions, each targeting a different dietary behavior (increased fruit and vegetable intake versus decreased intake of high-fat/high-sugar foods).…”

Section: Effectiveness Of Home-based Interventions By Setting(s) and mentioning

confidence: 99%

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A Systematic Review of Home-Based Childhood Obesity Prevention Studies

et al. 2013

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BACKGROUND AND OBJECTIVES: Childhood obesity is a global epidemic. Despite emerging research about the role of the family and home on obesity risk behaviors, the evidence base for the effectiveness of home-based interventions on obesity prevention remains uncertain. The objective was to systematically review the effectiveness of home-based interventions on weight, intermediate (eg, diet and physical activity [PA]), and clinical outcomes. METHODS: We searched Medline, Embase, PsychInfo, CINAHL, clinicaltrials.gov, and the Cochrane Library from inception through August 11, 2012. We included experimental and natural experimental studies with ≥1-year follow-up reporting weight-related outcomes and targeting children at home. Two independent reviewers screened studies and extracted data. We graded the strength of the evidence supporting interventions targeting diet, PA, or both for obesity prevention. RESULTS: We identified 6 studies; 3 tested combined interventions (diet and PA), 1 used diet intervention, 1 combined intervention with primary care and consumer health informatics components, and 1 combined intervention with school and community components. Select combined interventions had beneficial effects on fruit/vegetable intake and sedentary behaviors. However, none of the 6 studies reported a significant effect on weight outcomes. Overall, the strength of evidence is low that combined home-based interventions effectively prevent obesity. The evidence is insufficient for conclusions about home-based diet interventions or interventions implemented at home in association with other settings. CONCLUSIONS: The strength of evidence is low to support the effectiveness of home-based child obesity prevention programs. Additional research is needed to test interventions in the home setting, particularly those incorporating parenting strategies and addressing environmental influences.

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Section: Overall Findings On the Effectiveness Of Home-based Intervenmentioning

confidence: 94%

Section: Search Resultsmentioning

confidence: 99%

Section: Effectiveness Of Home-based Interventions By Setting(s) and mentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Effectiveness Of Home-based Interventions By Setting(s) and mentioning

confidence: 99%

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A Systematic Review of Home-Based Childhood Obesity Prevention Studies

et al. 2013

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Interventions for preventing obesity in children

Brown

Moore

Hooper

et al. 2019

Cochrane Database of Systematic Reviews

1,215

659

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Background Obesity prevention is an international public health priority. The prevalence of obesity and overweight is increasing in child populations throughout the world, impacting on short and long-term health. Obesity prevention strategies for children can change behaviour but efficacy in terms of preventing obesity remains poorly understood. Objectives To assess the effectiveness of interventions designed to prevent obesity in childhood through diet, physical activity and/or lifestyle and social support. Search strategy MEDLINE, PsycINFO, EMBASE, CINAHL and CENTRAL were searched from 1990 to February 2005. Non-English language papers were included and experts contacted. Selection criteria Randomised controlled trials and controlled clinical trials with minimum duration twelve weeks. Data collection and analysis Two reviewers independently extracted data and assessed study quality. Main results Twenty-two studies were included; ten long-term (at least 12 months) and twelve short-term (12 weeks to 12 months). Nineteen were school/preschool-based interventions, one was a community-based intervention targeting low-income families, and two were familybased interventions targeting non-obese children of obese or overweight parents. Six of the ten long-term studies combined dietary education and physical activity interventions; five resulted in no difference in overweight status between groups and one resulted in improvements for girls receiving the intervention, but not boys. Two studies Interventions for preventing obesity in children (Review)

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Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health

Philipsborn

Stratil

Burns

et al. 2019

Cochrane Database of Systematic Reviews

168

136

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BackgroundFrequent consumption of excess amounts of sugar‐sweetened beverages (SSB) is a risk factor for obesity, type 2 diabetes, cardiovascular disease and dental caries. Environmental interventions, i.e. interventions that alter the physical or social environment in which individuals make beverage choices, have been advocated as a means to reduce the consumption of SSB.ObjectivesTo assess the effects of environmental interventions (excluding taxation) on the consumption of sugar‐sweetened beverages and sugar‐sweetened milk, diet‐related anthropometric measures and health outcomes, and on any reported unintended consequences or adverse outcomes.Search methodsWe searched 11 general, specialist and regional databases from inception to 24 January 2018. We also searched trial registers, reference lists and citations, scanned websites of relevant organisations, and contacted study authors.Selection criteriaWe included studies on interventions implemented at an environmental level, reporting effects on direct or indirect measures of SSB intake, diet‐related anthropometric measures and health outcomes, or any reported adverse outcome. We included randomised controlled trials (RCTs), non‐randomised controlled trials (NRCTs), controlled before‐after (CBA) and interrupted‐time‐series (ITS) studies, implemented in real‐world settings with a combined length of intervention and follow‐up of at least 12 weeks and at least 20 individuals in each of the intervention and control groups. We excluded studies in which participants were administered SSB as part of clinical trials, and multicomponent interventions which did not report SSB‐specific outcome data. We excluded studies on the taxation of SSB, as these are the subject of a separate Cochrane Review.Data collection and analysisTwo review authors independently screened studies for inclusion, extracted data and assessed the risks of bias of included studies. We classified interventions according to the NOURISHING framework, and synthesised results narratively and conducted meta‐analyses for two outcomes relating to two intervention types. We assessed our confidence in the certainty of effect estimates with the GRADE framework as very low, low, moderate or high, and presented ‘Summary of findings’ tables.Main resultsWe identified 14,488 unique records, and assessed 1030 in full text for eligibility. We found 58 studies meeting our inclusion criteria, including 22 RCTs, 3 NRCTs, 14 CBA studies, and 19 ITS studies, with a total of 1,180,096 participants. The median length of follow‐up was 10 months. The studies included children, teenagers and adults, and were implemented in a variety of settings, including schools, retailing and food service establishments. We judged most studies to be at high or unclear risk of bias in at least one domain, and most studies used non‐randomised designs. The studies examine a broad range of interventions, and we present results for these separately.Labelling interventions (8 studies): We found moderate‐certainty evidence that traffic‐light labelli...

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Household Obesity Prevention: Take Action—a Group‐Randomized Trial

Cited by 80 publications

References 34 publications

A Systematic Review of Home-Based Childhood Obesity Prevention Studies

A Systematic Review of Home-Based Childhood Obesity Prevention Studies

Interventions for preventing obesity in children

Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health

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