The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes

Doak, C. M.; Visscher, T. L. S.; Renders, C. M.; Seidell, J. C.

doi:10.1111/j.1467-789x.2006.00234.x

Cited by 691Obesity, Physical Activity, DietPhysical Activity and HealthSchool Health and Nursing Education

The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes

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Doak, C. M., Visscher, T. L. S., Renders, C. M., Seidell, J. C.·2006·Obesity Reviews

DOI 10.1111/j.1467-789x.2006.00234.x

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Abstract

Summary: Overweight and obesity are serious, large‐scale, global, public health concerns requiring population‐based childhood overweight and obesity prevention. The overall objective of this review is to identify aspects of successful childhood overweight prevention programmes. This objective will be met by assessing existing interventions quantitatively as well as qualitatively, identifying efficacy, effectiveness and implementation, and evaluating potential adverse effects of previous studies. This review was limited to school‐based studies with a quantitative evaluation using anthropometric outcomes and that intervene on diet or activity‐related behaviours. Quantitative and qualitative approaches are used to identify factors related to successful interventions as well as adverse consequences. Sixty‐eight per cent of the interventions, or 17 of the 25, were ‘effective’ based on a statistically significant reduction in body mass index (BMI) or skin‐folds for the intervention group. Four interventions were effective by BMI as well as skin‐fold measures. Of these, two targeted reductions in television viewing. The remaining two studies targeted direct physical activity intervention through the physical education programme combined with nutrition education. Of the interventions reported here, one was effective in reducing childhood overweight but was also associated with an increase in underweight prevalence. Few other studies reported outcomes for underweight. The majority of overweight/obesity prevention programmes included in this review were effective. Physical education in schools and reducing television viewing are two examples of interventions that have been successful. Because few studies report on underweight prevalence, this review recommends giving more attention to preventing adverse outcomes by reporting the intervention impact on the frequency distribution for both BMI and adiposity measures.

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Many school-based interventions have been criticized for lack of attention to the role of the wider school environment.
“A general criticism directed at many school‐based interventions is the lack of attention paid to the role of the wider school environment 8.”
From The school environment and adolescent physical activity and sedentary behaviour: a mixed-studies systematic review (2016) · cites this paper as [8]

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Authors: Doak, C. M., Visscher, T. L. S., Renders, C. M., & Seidell, J. C.
Affiliations: Vrije Universiteit Amsterdam (NL)
Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
ORCID: Doak, C. M.
Visscher, T. L. S.
Renders, C. M.
Seidell, J. C.
Venue: Obesity Reviews
Publisher: Wiley
Published: 2006-01-24
Volume: 7
Issue: 1
Pages: 111-136
ISSN: 1467-7881 (ISSN-L)
1467-789X
DOI: 10.1111/j.1467-789x.2006.00234.x
OpenAlex: W2096077704
Cited by: 691
References: 142
Citations by year: 2026: 5 · 2025: 11 · 2024: 6 · 2023: 11 · 2022: 14 · 2021: 9 · 2020: 25 · 2019: 15 · 2018: 15 · 2017: 30 · 2016: 33 · 2015: 55 · 2014: 47 · 2013: 51 · 2012: 67
FWCI: 8.05
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Obesity Reviews (publishedVersion)
PubMed (publishedVersion)
VU Research Portal (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords: childhood obesity, childhood overweight, obesity prevention, school-based intervention, physical activity, television viewing, nutrition education, physical education, body mass index, skinfold thickness, underweight, intervention effectiveness
MeSH terms: Adolescent, Adult, Child, Female, Humans, Male, Obesity, Health Behavior, Body Mass Index, Overweight

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The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes

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