Slowing BMI Growth Trajectories in Elementary School-Aged Children

Toussaint, Loren; Housholder, Kristin; Janssen, Katelyn; Mansfield, Ann; Lynch, Brian

doi:10.1097/fch.0000000000000151

Cited by 5 publications

(7 citation statements)

References 32 publications

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“…We identified 6 publications examining the impact of city, state and national obesity prevention policies [41–46]. Three additional studies calculated the net cost or cost-effectiveness of obesity prevention interventions [47–49].…”

Section: Resultsmentioning

confidence: 99%

“…Six studies [41–46] estimated the cost and health benefits of city-wide, and state and national policies aimed at preventing future weight gain and obesity (Table 5). Kuo and colleagues [41] developed a simulation model estimating the impact on annual weight gain in Los Angeles (LA) County of a California menu law mandating large restaurant chains to display the caloric content of menu items.…”

Section: Resultsmentioning

confidence: 99%

“…The changes targeted schools and home meals and PA, established school gardens, and at the community-level provided access to outdoor recreational spaces and programs, local farmers markets and affordable healthy food. It was shown that children ages 4–12 years who had longer periods of program exposures (2 to 6 years) demonstrated a greater improvement in appropriate growth rate compared with children with shorter periods of program exposure (0 to 1 year) [46].…”

Section: Resultsmentioning

confidence: 99%

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Early childhood obesity prevention efforts through a life course health development perspective: A scoping review

2018

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IntroductionThe obesity rate in preschool children in the United States (US) is 13.9%, while even higher rates are associated with racial and ethnic minorities and children from low-income families. These prevalence patterns underscore the need to identify effective childhood obesity prevention programs.MethodA scoping review was conducted following Arksey and O’Malley’s framework to provide an overview of the types, effectiveness and cost-effectiveness of obesity prevention interventions and policies in children up to 6 years old. Inclusion criteria were studies at least 6-months duration; included a weight-based outcome, conducted in the US, English publications from January 2001 to February 2018. Exclusions: studies in overweight/obese children and obesity treatments, no comparator group. Evidence was characterized across the early life course and multiple-levels of influence.ResultsFrom the 2,180 records identified, 34 met the inclusion criteria. Less than half of the interventions initiated during pregnancy, infancy or preschool reported a significant improvement in a weight-based outcome. All interventions included strategies to influence individual- or interpersonal-level health behaviors, yet few removed obstacles in the healthcare system, physical/built environment, or sociocultural environment. The majority (78%) of the interventions occurred during preschool years, with 63% conducted in early childcare education settings serving low-income families. The health impact of the state-wide and national policies on children under age 6 years remains unclear. There was considerable uncertainty around estimates of the health and economic impacts of obesity prevention interventions and policies.ConclusionThere is a need to intensify early childhood obesity preventive efforts during critical periods of health development in the US. Future studies should estimate the feasibility, program effectiveness, and cost of implementing multilevel obesity prevention interventions and policies. Addressing these research gaps will provide stakeholders with the scientific evidence necessary to facilitate funding and policy decisions to decrease the prevalence of early childhood obesity.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Early childhood obesity prevention efforts through a life course health development perspective: A scoping review

2018

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“…There were no statistically significant changes in the percent of overweight (Wald χ 2 = .50, P = .48) or obese (Wald χ 2 = 1.71, P = . 19) in all children in the study between years 1 and 2 in HS. Changes in percentage of children categorized as overweight (Wald χ 2 = 1.98, P = .85) or obese (Wald χ 2 = 2.18, P = .82) between the initial and follow-up measurements did not vary significantly by study year.…”

Section: Resultsmentioning

confidence: 91%

Monitoring BMI Trends in a Midwest Regional Head Start Population: The Results of a Healthy Lifestyle Intervention

Miccoli

Toussaint

Hansen

et al. 2020

J Prim Care Community Health

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Background Childhood obesity represents a public health crisis in the United States. Thus, focusing on early childhood is crucial to modify the consequences associated with obesity. The Food and Fitness Initiative (FFI) is a community-based wellness program implemented in Northeast Iowa since 2009. FFI focuses on healthy eating and physical activity. Our aim is to describe the impact on body mass index (BMI) after implementing FFI in a Northeast Iowa Community Action Head Start (HS) population. Methods Retrospective BMI data was collected from all children attending 14 HS sites from 2012 to 2018. Children with BMI measurements during July to December of the first year in HS were included in the study. Follow-up data the second year in HS was obtained. Overweight and obesity prevalence, as well as, BMI changes between year 1 and 2 in HS were analyzed. Results Data from 1013 children were collected, 850 (84%) had qualifying BMI measurements during their first year in HS and 352 of those children (41%) had follow-up data in their second year. There was a decrease in BMI between years 1 and 2 in HS that approached statistical significance ( t = 1.83, P = .07, d = .10). There were no statistically significant changes in the percent of overweight (Wald χ2 = .50, P = .48) or obese (Wald χ2 = 1.71, P = .19) children between the first and second year. Conclusion The FFI wellness program can be feasibly integrated into the HS curriculum and shows promising short-term results in improving BMI, but not to a statistically significant level when evaluated over 1 year.

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“…stress tolerance) demonstrated only weak and inconsistent linkages with physical inactivity throughout childhood. Given the significance of the decline in physical activity among middle school students, several school-based stroke education and physical health intervention programs have adopted traditional didactic health promotion strategies among elementary students (Saint-Maurice et al, 2017; Tarro et al, 2017; Toussaint et al, 2017) and middle school students (Brick et al, 2017; Frydman and Mayor, 2017; Jamerson et al, 2017) (Erfle and Gamble, 2015; Grydeland et al, 2013; Herscovici et al, 2013; Lazorick et al, 2015; Marcus et al, 2013). Whether these strategies successfully helped learners to increase or improve learned information in the short or long term is not fully understood.…”

Section: Introductionmentioning

confidence: 99%

A student-centered intervention program to educate and retain knowledge in stroke education and healthy habits

Wormack

Brechtel

Ubah

et al. 2019

Preventive Medicine Reports

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The goal of the stroke intervention programs was to increase knowledge in stroke awareness and healthy habits. Most of the existing school-based didactic stroke education intervention programs have not been very effective in improving learned information. We developed a student-centered or active learning educational pedagogy to improve the retention of learned knowledge on stroke issues and healthy habits. Middle school students, ages of 11 to 14 years attending a public school in the stroke belt were recruited to participate in an intervention program to raise stroke awareness and promote healthy habit. The impact of the intervention program on students' knowledge post-test and three weeks following the intervention was evaluated. Middle school students at all grade levels were aware of the cardinal symptoms of stroke, demonstrated basic knowledge of the salty foods in the post-test, and knowledge of learned information increased significantly after three weeks post intervention. The three weeks follow-up test revealed a significant increase in stroke knowledge among the 6th, 7th, and 8th grades [F (2,109) = 134.65, P = 0.001]. Post-hoc pair-wise comparisons analysis revealed a significant difference (P < 0.05) between the 6th, 7th, and 8th grades. In an active learning or a student-centered stroke and healthy life style educational program, middle school students perceived the intervention program as fun, instead of primarily educational and this allowed the learned information to be retained even three weeks after the intervention.

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Slowing BMI Growth Trajectories in Elementary School-Aged Children

Cited by 5 publications

References 32 publications

Early childhood obesity prevention efforts through a life course health development perspective: A scoping review

Early childhood obesity prevention efforts through a life course health development perspective: A scoping review

Monitoring BMI Trends in a Midwest Regional Head Start Population: The Results of a Healthy Lifestyle Intervention

A student-centered intervention program to educate and retain knowledge in stroke education and healthy habits

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