Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking

Roberto, Christina A.; Swinburn, Boyd; Hawkes, Corinna; Huang, Terry T.‐K.; Costa, Sergio A.; Ashe, Marice; Zwicker, Lindsey; Cawley, John; Brownell, Kelly D.

doi:10.1016/s0140-6736(14)61744-x

Cited by 742 publications

(627 citation statements)

References 56 publications

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“…The findings give support to internationally mutual targets in improving dietary patterns in children. 3,4,8 …”

Section: Discussionmentioning

confidence: 99%

“…7 Modifying eating behaviour on a population level requires both individual-and environment-based policies and actions. 8 There is a need to understand and compare broader dietary patterns between countries representing different geographical regions and developmental stages. Similarities offer possibilities for joint strategies and learning from other populations, whereas dissimilar dietary determinants call for more population-specific strategies.…”

Section: Introductionmentioning

confidence: 99%

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An international comparison of dietary patterns in 9–11-year-old children

et al. 2015

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OBJECTIVES: Dietary pattern is defined as a combination of foods and drinks and the frequency of consumption within a population. Dietary patterns are changing on a global level, which may be linked to an increased incidence of chronic diseases. The aim of this study was to identify and compare the dietary patterns among 9-11-year-old children living in urban regions in different parts of the world. METHODS: Participants were 7199 children (54% girls), aged 9-11 years, from 12 countries situated in all major world regions. Food consumption was assessed using a 23-item Food Frequency Questionnaire (FFQ). To identify dietary patterns, principal components analyses (PCA) were carried out using weekly portions as input variables. RESULTS: Both site-specific and pooled PCA resulted in two strong components. Component 1 ('unhealthy diet pattern') included fast foods, ice cream, fried food, French fries, potato chips, cakes and sugar-sweetened sodas with 40.6 loadings. The loadings for component 2 ('healthy diet pattern') were slightly weaker with only dark-green vegetables, orange vegetables, vegetables in general, and fruits and berries reaching a 40.6 loading. The site-specific diet pattern scores had very strong correlations with the pattern scores from the pooled data: r = 0.82 and 0.94 for components 1 and 2, respectively. CONCULSIONS: The results suggest that the same 'healthier' and 'unhealthier' foods tend to be consumed in similar combinations among 9-11-year-old children in different countries, despite variation in food culture, geographical location, ethnic background and economic development.

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“…The findings give support to internationally mutual targets in improving dietary patterns in children. 3,4,8 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An international comparison of dietary patterns in 9–11-year-old children

et al. 2015

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“…The higher incidence of obesity in more deprived areas suggests that cost and household income are also significant contributing features of its development. Rather than focus on one particular cause or element, research suggests the most useful approach is to consider the reciprocal nature of the interaction between the individual and the environment and contexts in which they operate and co-exist (Roberto et al, 2015). A number of non-medical strategies and interventions have been proposed with the aim of targeting the antecedents of obesity and reversing the growing epidemic, including large public health interventions, such as the NHS’s “Live Well” (UK NHS) programme and the UK government’s “sugar tax” (Sarlio-Lähteenkorva & Winkler, 2015) and behavioural interventions focusing on promoting healthy diets, and increasing physical activity e.g., (Mastellos, Gunn, Felix, Car, & Majeed, 2014; Shaw, Gennat, O’Rourke, & Mar, 2006; Waters et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Providing healthy diets for young children: the experience of parents in a UK inner city

Goldthorpe

Ali

Calam

2018

International Journal of Qualitative Studies on Health and Well

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Objectives: There is a consistent body of evidence to demonstrate that obesity in very early childhood tends to continue into adolescence and through to adulthood. Parental practices in relation to food can have an effect on this trajectory, however existing studies reporting on interventions for treating obesity suggest there is a need to involve populations from demographically diverse backgrounds childhood obesity research. Design/Methods: A qualitative study was carried out using semi-structured interviews with parents in a deprived inner city area. Results: Although parents had good intentions towards providing a health diet for their chidren, a number of barriers emerged. Findings were reported in relation to the following themes: information and education; barriers (having a child with special needs, children’s food preferences and using food to promote desirable behaviour) and techniques (household rules & routines, setting limits and parameters, modelling and food preparation). Conclusion: Parents and carers would benefit from targeted interventions based on improving techniques around food parenting practices, with a focus on equipping parents with the skills to overcome barriers encountered not only in early childhood, but as children progress to school age and through to adolescence.

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“…It has become necessary to expand the limited concept of obesity as a disease and propose contextual measures to deal with it, due to the limited effectiveness of interventions focused exclusively on the physical body and individualized care 19 . Strategies that extend beyond the health sector's scope are necessary, given the difficulties in implementing universal coverage of individual measures (e.g., bariatric surgery), besides individuals' own limitations in modifying their personal "choices" (eating habits, physical exercise, etc.)…”

Section: Obesity As a Disease Diagnostic Criteria Conditioning Factmentioning

confidence: 99%

“…Meanwhile, measures that aim at transformations of "obesogenic environments", such as regulation of food advertising, can affect commercial interests 15 . Both are equally important, but their operationalization poses different challenges and management approaches 19 .…”

Section: Introductionmentioning

confidence: 99%