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Research papers on Childhood obesity interventions

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  1. Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis

    Tayla von Ash, Alen Agaronov, Ta’Loria Young, et al. · 2017 · International Journal of Behavioral Nutrition and Physical Activity · 285 citations

    BACKGROUND: A wide range of interventions has been implemented and tested to prevent obesity in children. Given parents' influence and control over children's energy-balance behaviors, including diet, physical activity, media use, and sleep, family interventions are a key strategy in this effort. The objective of this study was to profile the field of recent family-based childhood obesity prevention interventions by employing systematic review and quantitative content analysis methods to identify gaps in the knowledge base. METHODS: Using a comprehensive search strategy, we searched the PubMed, PsycIFO, and CINAHL databases to identify eligible interventions aimed at preventing childhood obe

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  3. Evaluation of complex community‐based childhood obesity prevention interventions

    Derin Karacabeyli, Steven E. Allender, Susan Pinkney, et al. · 2018 · Obesity Reviews · 52 citations

    BACKGROUND: Multi-setting, multi-component community-based interventions have shown promise in preventing childhood obesity; however, evaluation of these complex interventions remains a challenge. OBJECTIVE: The objective of the study is to systematically review published methodological approaches to outcome evaluation for multi-setting community-based childhood obesity prevention interventions and synthesize a set of pragmatic recommendations. METHODS: MEDLINE, CINAHL and PsycINFO were searched from inception to 6 July 2017. Papers were included if the intervention targeted children ≤18 years, engaged at least two community sectors and described their outcome evaluation methodology. A singl

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  4. Engaging Coalitions in Community-Based Childhood Obesity Prevention Interventions: A Mixed Methods Assessment

    Ariella R. Korn, Erin Hennessy, Alison Tovar, et al. · 2018 · Childhood Obesity · 49 citations

    BACKGROUND: Childhood obesity prevention interventions have engaged coalitions in study design, implementation, and/or evaluation to improve research outcomes; yet, no systematic reviews have been conducted on this topic. This mixed methods review aims to characterize the processes and dynamics of coalition engagement in community-based childhood obesity prevention interventions. METHODS: Data Sources: Studies extracted from Ovid MEDLINE, PubMed, and Web of Science; complementary original survey and interview data among researchers of included studies. Eligible Studies: Multisetting community-based obesity prevention interventions in high-income countries targeting children 0-12 years with a

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  5. Using School Staff Members to Implement a Childhood Obesity Prevention Intervention in Low-Income School Districts: the Massachusetts Childhood Obesity Research Demonstration (MA-CORD Project), 2012–2014

    Rachel E. Blaine, R. Franckle, C. Ganter, et al. · 2017 · Preventing Chronic Disease · 47 citations

    Introduction Although evidence-based interventions to prevent childhood obesity in school settings exist, few studies have identified factors that enhance school districts’ capacity to undertake such efforts. We describe the implementation of a school-based intervention using classroom lessons based on existing “Eat Well and Keep Moving” and “Planet Health” behavior change interventions and schoolwide activities to target 5,144 children in 4th through 7th grade in 2 low-income school districts. Methods The intervention was part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project, a multisector community-based intervention implemented from 2012 through 2014. Using

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  6. The Impact of a Multi-Level Multi-Component Childhood Obesity Prevention Intervention on Healthy Food Availability, Sales, and Purchasing in a Low-Income Urban Area

    J. Gittelsohn, A. Trude, Lisa Poirier, et al. · 2017 · International Journal of Environmental Research and Public Health · 43 citations

    The multifactorial causes of obesity require multilevel and multicomponent solutions, but such combined strategies have not been tested to improve the community food environment. We evaluated the impact of a multilevel (operating at different levels of the food environment) multicomponent (interventions occurring at the same level) community intervention. The B’more Healthy Communities for Kids (BHCK) intervention worked at the wholesaler (n = 3), corner store (n = 50), carryout (n = 30), recreation center (n = 28), household (n = 365) levels to improve availability, purchasing, and consumption of healthier foods and beverages (low-sugar, low-fat) in low-income food desert predominantly Afri

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  7. Environmental components of childhood obesity prevention interventions: an overview of systematic reviews

    Daniel Cauchi, Ketevan Glonti, Mark Patrick Petticrew, et al. · 2016 · Obesity Reviews · 41 citations

    Childhood obesity has a complex multi-factorial aetiology grounded in environmental and individual level factors that affect behaviour and outcomes. An ecological, systems-based approach to addressing childhood obesity is increasingly being advocated. The primary aim of this review is to summarize the evidence reported in systematic reviews on the effectiveness of population-level childhood obesity prevention interventions that have an environmental component. We conducted a systematic review of reviews published since 1995, employing a standardized search strategy in nine databases. Inclusion criteria required that reviews be systematic and evaluated at least one population-level, environme

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  8. Childhood Obesity Prevention in Africa: A Systematic Review of Intervention Effectiveness and Implementation

    S. Klingberg, C. Draper, L. Micklesfield, et al. · 2019 · International Journal of Environmental Research and Public Health · 40 citations

    Childhood obesity is of increasing concern in many parts of Africa. We conducted a systematic search and review of published literature on behavioural childhood obesity prevention interventions. A literature search identified peer-reviewed literature from seven databases, and unindexed African journals, including experimental studies targeting children age 2–18 years in African countries, published in any language since 1990. All experimental designs were eligible; outcomes of interest were both behavioural (physical activity, dietary behaviours) and anthropometric (weight, body mass index, body composition). We also searched for process evaluations or other implementation observations. Meth

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  9. A Health-Literacy Intervention for Early Childhood Obesity Prevention: A Cluster-Randomized Controlled Trial

    Lee M. Sanders, Eliana M. Perrin, H. S. Yin, et al. · 2021 · Pediatrics · 39 citations

    We conducted a cluster-randomized, controlled trial to assess efficacy of a low-literacy, primary care–based intervention to reduce obesity risk in early childhood. BACKGROUND AND OBJECTIVES: Children who become overweight by age 2 have greater risk of long-term obesity and health problems. The study aim was to assess the effectiveness of a primary care–based intervention on the prevalence of overweight at age 24 months. METHODS: In a cluster-randomized trial, sites were randomly assigned to the Greenlight intervention or an attention-control arm. Across 4 pediatric residency clinics, we enrolled infant–caregiver dyads at the 2-month well-child visit. Inclusion criteria included parent Engli

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  10. Implementation of Text-Messaging and Social Media Strategies in a Multilevel Childhood Obesity Prevention Intervention: Process Evaluation Results

    Ivory H. Loh, Teresa Schwendler, A. Trude, et al. · 2018 · Inquiry: A Journal of Medical Care Organization, Provision and Financing · 35 citations

    Social media and text messaging show promise as public health interventions, but little evaluation of implementation exists. The B’more Healthy Communities for Kids (BHCK) was a multilevel, multicomponent (wholesalers, food stores, recreation centers) childhood obesity prevention trial that included social media and text-messaging components. The BHCK was implemented in 28 low-income areas of Baltimore City, Maryland, in 2 waves. The texting intervention targeted 241 low-income African American caregivers (of 283), who received 3 texts/week reinforcing key messages, providing nutrition information, and weekly goals. Regular posting on social media platforms (Facebook, Instagram, Twitter) tar

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  11. Delivering a childhood obesity prevention intervention using Islamic religious settings in the UK: What is most important to the stakeholders?

    S. Dogra, K. Rai, S. Barber, et al. · 2021 · Preventive Medicine Reports · 32 citations

    Highlights • Obesity prevention interventions could be delivered through Islamic religious settings.• Co-production with target communities is essential to ensure cultural sensitivity and relevance.• Integrating Islamic narrative on healthy behaviours could enhance uptake and adherence.• Interventions should be adequately resourced, considering the cost of staff, space and materials.• Collaborating with external organisations can support scalability.

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  12. Feasibility and Acceptability of an Early Childhood Obesity Prevention Intervention: Results from the Healthy Homes, Healthy Families Pilot Study

    Akilah Dulin Keita, P. Risica, Kelli L Drenner, et al. · 2014 · Journal of Obesity · 32 citations

    Background. This study examined the feasibility and acceptability of a home-based early childhood obesity prevention intervention designed to empower low-income racially/ethnically diverse parents to modify their children's health behaviors. Methods. We used a prospective design with pre-/posttest evaluation of 50 parent-child pairs (children aged 2 to 5 years) to examine potential changes in dietary, physical activity, and sedentary behaviors among children at baseline and four-month follow-up. Results. 39 (78%) parent-child pairs completed evaluation data at 4-month follow-up. Vegetable intake among children significantly increased at follow-up (0.54 cups at 4 months compared to 0.28 cups

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  13. The cost of a primary care-based childhood obesity prevention intervention

    Davene R. Wright, Elsie M. Taveras, Matthew W. Gillman, et al. · 2014 · BMC Health Services Research · 29 citations

    BACKGROUND: United States pediatric guidelines recommend that childhood obesity counseling be conducted in the primary care setting. Primary care-based interventions can be effective in improving health behaviors, but also costly. The purpose of this study was to evaluate the cost of a primary care-based obesity prevention intervention targeting children between the ages of two and six years who are at elevated risk for obesity, measured against usual care. METHODS: High Five for Kids was a cluster-randomized controlled clinical trial that aimed to modify children's nutrition and TV viewing habits through a motivational interviewing intervention. We assessed visit-related costs from a societ

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  14. Community-based childhood obesity prevention intervention for parents improves health behaviors and food parenting practices among Hispanic, low-income parents

    Laura E. Otterbach, Noereem Z. Mena, G. Greene, et al. · 2018 · BMC obesity · 27 citations

    BackgroundGiven the current prevalence of childhood obesity among Hispanic populations, and the importance of parental feeding behaviors, we aimed to assess the impact of the evidence-based Healthy Children, Healthy Families (HCHF) intervention on responsive food parenting practices (FPPs) in a low-income Hispanic population.MethodsThis community-based pilot study used a non-experimental pre/post within-subjects design. Parents (n = 94) of children aged 3–11 years old were recruited to participate in an 8-week, weekly group-based intervention. The intervention was delivered to nine groups of parents by trained paraprofessional educators over a two-year period. Children participated in a sepa

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  15. Comprehending the Epidemiology and Aetiology of Childhood Obesity: Integrating Life Course Approaches for Prevention and Intervention

    M. Verma, Nitin Kapoor, Sabyasachi Senapati, et al. · 2025 · Diabetes Therapy · 23 citations

    Childhood obesity is defined as a medical condition characterised by abnormally high amounts of body fat relative to lean body mass, which increases the risk of adverse health outcomes among children and adolescents from birth to 18 years. The prevalence of childhood obesity, which has serious healthcare implications, is surging, together with its healthcare burden. In this review we explore the intricate interplay of hereditary, environmental, behavioural, cultural and metabolic factors contributing to the global increase in childhood obesity rates. We examine the influence of prenatal factors, genetic predispositions and epigenetic mechanisms on obesity susceptibility and treatment strateg

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  16. Unpacking the behavioural components and delivery features of early childhood obesity prevention interventions in the TOPCHILD Collaboration: a systematic review and intervention coding protocol

    Brittany J. Johnson, Kylie E. Hunter, Rebecca K. Golley, et al. · 2020 · BMJ Open · 21 citations

    Introduction Little is known about how early (eg, commencing antenatally or in the first 12 months after birth) obesity prevention interventions seek to change behaviour and which components are or are not effective. This study aims to (1) characterise early obesity prevention interventions in terms of target behaviours, delivery features and behaviour change techniques (BCTs), (2) explore similarities and differences in BCTs used to target behaviours and (3) explore effectiveness of intervention components in preventing childhood obesity. Methods and analysis Annual comprehensive systematic searches will be performed in Epub Ahead of Print/MEDLINE, Embase, Cochrane (CENTRAL), CINAHL, PsycIN

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  18. A Process Evaluation of a Social Cognitive Theory–Based Childhood Obesity Prevention Intervention

    Paul Branscum, Manoj Sharma, Lihshing Leigh Wang, et al. · 2012 · Health Promotion Practice · 19 citations

    Process evaluations are an often overlooked yet essential component of health promotion interventions. This study reports the results of a comprehensive process evaluation for the "Comics for Health" program, a childhood obesity prevention intervention implemented at 12 after-school programs. Qualitative and quantitative process data were collected using surveys, field notes, and open-item questionnaires, which assessed program fidelity, dose delivered, dose received, reach, recruitment, and context. Triangulation of methods was also employed to better understand how the program was implemented and received by the facilitator, staff members, and children in the program. Results indicated tha

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  19. Evaluating dose delivered of a behavioral intervention for childhood obesity prevention: a secondary analysis

    W. Heerman, Evan C. Sommer, Ally Qi, et al. · 2020 · BMC Public Health · 16 citations

    Background Current recommendations for intensive behavioral interventions for childhood obesity treatment do not account for variable participant attendance, optimal duration of the intervention, mode of delivery (phone vs. face-to-face), or address obesity prevention among young children. A secondary analysis of an active one-year behavioral intervention for childhood obesity prevention was conducted to test how “dose delivered” was associated with body mass index z-score (BMI-Z) across 3 years of follow-up. Methods Parent-child pairs were eligible if they qualified for government assistance and spoke English or Spanish. Children were between three and 5 years old and were at risk for but n

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  20. TESTING AN INTEGRATED MODEL OF PROGRAM IMPLEMENTATION: THE FOOD, HEALTH & CHOICES SCHOOL-BASED CHILDHOOD OBESITY PREVENTION INTERVENTION PROCESS EVALUATION

    Marissa Burgermaster, H. Gray, E. Tipton, et al. · 2017 · Prevention science : the official journal of the Society for Prevention Research · 15 citations

    Childhood obesity is a complex, worldwide problem. Significant resources are invested in its prevention, and high-quality evaluations of these efforts are important. Conducting trials in school settings is complicated, making process evaluations useful for explaining results. Intervention fidelity has been demonstrated to influence outcomes, but others have suggested that other aspects of implementation, including participant responsiveness, should be examined more systematically. During Food, Health & Choices (FHC), a school-based childhood obesity prevention trial designed to test a curriculum and wellness policy taught by trained FHC instructors to fifth grade students in 20 schools durin

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  21. Parent-focused behavioural interventions for the prevention of early childhood obesity (TOPCHILD): a systematic review and individual participant data meta-analysis

    Kylie E. Hunter, David Nguyen, S. Libesman, et al. · 2025 · Lancet (London, England) · 15 citations

    Summary Background Childhood obesity is a global public health issue, which has prompted governments to invest in prevention programmes. We aimed to investigate the effectiveness of parent-focused early childhood obesity prevention interventions globally. Methods We did a systematic review and individual participant data meta-analysis. We searched databases and trial registries (MEDLINE, Embase, CENTRAL, CINAHL, PsycInfo, ClinicalTrials.gov, and WHO International Clinical Trials Registry Platform) from inception until Sept 30, 2024, for randomised controlled trials commencing before 12 months of age examining parent-focused behavioural interventions to prevent obesity in children, compared w

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  22. Spillover effects of childhood obesity prevention interventions: A systematic review

    Vicki Brown, Huong Ngoc Quynh Tran, Jane Jacobs, et al. · 2023 · Obesity Reviews · 15 citations

    BACKGROUND: Childhood obesity prevention initiatives are complex interventions that aim to improve children's obesity-related behaviors and provide health promoting environments. These interventions often impact individuals, communities, and outcomes not primarily targeted by the intervention or policy. To accurately capture the effectiveness and cost-effectiveness of childhood obesity prevention interventions, an understanding of the broader impacts (or spillover effects) is required. This systematic review aims to assess the spillover effects of childhood obesity prevention interventions. METHODS: Six academic databases and two trial registries were searched (2007-2023) to identify studies

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  23. A review of childhood obesity prevention interventions targeting African American children

    Melinda J. Ickes, Manoj Sharma · 2011 · Vulnerable Children and Youth Studies · 13 citations

    Obesity is a significant public health concern. Unfortunately, obesity affects minority youth populations disproportionately, with African Americans (AAs) 1.4 times as likely to be obese as non-Hispanic whites. There are a variety of reasons for the disparity of the obesogenic risk in AA children. In addition to genetic factors, cultural differences related to the nutritional habits, level of physical activity and acceptance of surplus weight among AAs play a major role in the development of obesity in this population. Considering these high-risk behaviors, and the associated barriers, the Institute of Medicine has expressed an urgent need to initiate childhood obesity interventions among di

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  24. Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic review

    Brittany J. Johnson, Paul M. Chadwick, Samantha Pryde, et al. · 2025 · The International Journal of Behavioral Nutrition and Physical Activity · 12 citations

    Early childhood obesity prevention interventions that aim to change parent/caregiver practices related to infant (milk) feeding, food provision and parent feeding, movement (including activity, sedentary behaviour) and/or sleep health (i.e. target parental behaviour domains) are diverse and heterogeneously reported. We aimed to 1) systematically characterise the target behaviours, delivery features, and Behaviour Change Techniques (BCTs) used in interventions in the international Transforming Obesity Prevention for CHILDren (TOPCHILD) Collaboration, and 2) explore similarities and differences in BCTs used in interventions by target behaviour domains. Annual systematic searches were performed

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