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Cited by 183Obesity, Physical Activity, DietObesity and Health PracticesNutrition, Health and Food Behavior

The DOI matches its Crossref record; 75 of the 76 references it cites were found in a registry or an index.

Interventions for preventing obesity in children

Open access
Campbell, K, Waters, E, O'Meara, S, Kelly, S, Summerbell, C·2002·The Cochrane Database of Systematic Reviews
DOI 10.1002/14651858.cd001871
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Abstract

BACKGROUND: The prevalence of obesity and overweight is increasing in both adult and child populations throughout the world. Obesity in children impacts on their health in both the short and longer term, and obesity prevention is an international public health priority. However, the efficacy of prevention strategies is poorly understood. OBJECTIVES: To assess the effectiveness of educational, health promotion and/or psychological/family/behavioural therapy/counselling/management interventions that focussed on diet, physical activity and/or lifestyle and social support, and were designed to prevent obesity in childhood. SEARCH STRATEGY: The following databases were searched: MEDLINE, Psyclit, EMBASE, Science Citation Index, Social Science Citation Index, CINAHL, Cochrane Controlled Trials Register (CCTR) and the Cochrane Heart Group's specialised register from 1985 to July 2001. Non English language papers were included. Experts were contacted to seek additional references or unpublished studies. SELECTION CRITERIA: RCTs and non-randomised trials with concurrent control group that observed participants for a minimum of three months were included DATA COLLECTION AND ANALYSIS: Two reviewers independently extracted data and assessed study quality. MAIN RESULTS: Ten studies were included; seven were long-term (children observed for at least one year), three were shorter term (at least 3 months). Eight were school/nursery-based interventions, one was a community-based intervention targeting low-income African-American families, and one was a family-based intervention that targeted non-obese children of obese parents. The studies included were diverse in terms of study design and quality, target population, theoretical underpinning of intervention approach, and outcome measures, so it was not possible to combine study findings using statistical methods. Three of the four long-term studies that combined dietary education and physical activity interventions resulted in no difference in overweight, whereas one study reported an improvement in favour of the intervention group. In two studies of dietary education alone, a multimedia action strategy appeared to be effective but other strategies did not. The one long term study that only focussed on physical activity resulted in a slightly greater reduction in overweight in favour of the intervention group, as did two short term studies of physical activity. REVIEWER'S CONCLUSIONS: There is limited high quality data on the effectiveness of obesity prevention programs and no generalisable conclusions can be drawn. However, concentration on strategies that encourage reduction in sedentary behaviours and increase in physical activity may be fruitful. The need for well-designed studies that examine a range of interventions remains a priority, although a number of important studies are underway.

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Crossref · 10.1002/14651858.cd001871

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Citations

Cites

Research works printed but not linked: 14

  1. Borys, 2000, Nutritional education of children to influence the dietary habits of all the family, Revue Medicale de la Suisse Romande, 120, 207
  2. Cairella, 1998, School oriented intervention on dietary education: results of phase 1, International Journal of Obesity, 22, S254 (Abstract)
  3. Professor Jeya Henry is Project Lead Family centred, school based intervention for the prevention of obesity in primary school aged children Based at Oxford Brookes University, UK. Funded by the Food Standards Agency (FSA), UK
  4. 1999, Obesity prevention in American Indian Schoolchildren, American Journal of Clinical Nutrition, 69, 745S
  5. Barlow, 1998, Obesity evaluation and treatment: Expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services, Pediatrics, 102, Available at: w
  6. Clarke, 2001, Formulating the Problem. Cochrane Reviewers' Handbook 4.1.3 [updated June 2001], Updated quarter
  7. Floodmark, 1993, Prevention of progression to severe obesity in a group of obese school children treated with family therapy, Pediatrics, 91, 880, 10.1542/peds.91.5.880 · DOI
  8. Harvey, 1993, The distribution of body mass index in Australian children aged 7-15 years, Australian Journal of Nutrition and Dietetics, 50, 151
  9. Health Development Agency A review of the effectiveness of interventions to promote healthy eating in pre-school children aged 1 - 5 years. Health Development Agency, London, UK. Details available at: http://www.hda-online.org.uk/html/research/effectiveness.html Health Development Agency, London, UK. Details available at: http://www.hda-online.org.uk/html/research/effectiveness.html 1997
  10. Health Development Agency Effectiveness of interventions to promote healthy feeding in infants under one year of age: a review Health Development Agency, London, UK. Details available at: http://www.hda-online.org.uk/html/research/effectiveness.html 1998
  11. Jeffery, 1987, Advances in eating disorders, 253
  12. 1997, Acting on Australia's Weight: a strategic plan for the prevention of overweight and obesity
  13. Reilly JJ Wilson M Summerbell CD Wilson D Obesity in childhood and adolescence: evidence based answers to common clinical questions (Results of a Systematic Review) Archives of Diseases in Childhood
  14. Schleimer, 1983, Dieting in teenage schoolgirls. A longitudinal prospective study, Acta Paediatrica Scandinavica Supplement, 312, 1

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Metadata

Authors
Campbell, K., Waters, E., O'Meara, S., Kelly, S., & Summerbell, C.
Affiliations
  • Deakin University (AU)
  • Teesside University (GB)
ORCID
Venue
The Cochrane Database of Systematic Reviews
Publisher
John Wiley & Sons, Ltd
Published
2002-04-22
Issue
1
Pages
CD001871-CD001871
DOI
10.1002/14651858.cd001871
OpenAlex
W4213060856
Cited by
183
References
76
Citations by year
2025: 3 · 2024: 5 · 2023: 3 · 2022: 9 · 2021: 3 · 2020: 5 · 2019: 1 · 2018: 6 · 2017: 8 · 2016: 4 · 2015: 6 · 2014: 6 · 2013: 4 · 2012: 7
Type
reference entry
Language
en
Open access
Locations
  • PubMed (publishedVersion)
  • Figshare (submittedVersion)
  • Newcastle University ePrints (Newcastle Univesity)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
childhood obesity prevention, overweight, nutrition education, physical activity, school-based intervention, family intervention, sedentary behavior, health promotion, lifestyle intervention, social support
MeSH terms
Adolescent, Child, Clinical Trials as Topic, Diet, Humans, Obesity, Exercise, Treatment Outcome

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