Cited by 301Obesity, Physical Activity, DietNutrition, Health and Food BehaviorPhysical Activity and Health

Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program

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de Silva-Sanigorski, Andrea M, Bell, A Colin, Kremer, Peter, Nichols, Melanie, Crellin, Maree, Smith, Michael, Sharp, Sharon, de Groot, Florentine +4 more·2010·The American Journal of Clinical Nutrition

Abstract

Background There is growing evidence that community-based interventions can reduce childhood obesity in older children.Objective We aimed to determine the effectiveness of the Romp & Chomp intervention in reducing obesity and promoting healthy eating and active play in children aged 0-5 y.Design Romp & Chomp was a community-wide, multisetting, multistrategy intervention conducted in Australia from 2004 to 2008. The intervention occurred in a large regional city (Geelong) with a target group of 12,000 children and focused on community capacity building and environmental (political, sociocultural, and physical) changes to increase healthy eating and active play in early-childhood care and educational settings. The evaluation was repeat cross-sectional with a quasiexperimental design and comparison sample. Main outcome measures were body mass index (BMI), standardized BMI (zBMI; according to the Centers for Disease Control and Prevention 2000 reference charts), and prevalence of overweight/obesity and obesity-related behaviors in children aged 2 and 3.5 y.Results After the intervention there was a significantly lower mean weight, BMI, and zBMI in the 3.5-y-old subsample and a significantly lower prevalence of overweight/obesity in both the 2- and 3.5-y-old subsamples (by 2.5 and 3.4 percentage points, respectively) than in the comparison sample (a difference of 0.7 percentage points; P < 0.05) compared with baseline values. Intervention child-behavioral data showed a significantly lower intake of packaged snacks (by 0.23 serving), fruit juice (0.52 serving), and cordial (0.43 serving) than that in the comparison sample (all P < 0.05).Conclusion A community-wide multisetting, multistrategy intervention in early-childhood settings can reduce childhood obesity and improve young children's diets. This trial was registered with the Australian Clinical Trials Registry at anzctr.org.au as ACTRN12607000374460.

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Crossref · 10.3945/ajcn.2009.28826

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  • Community- and school-based long-term media and education campaigns have been effective in improving dietary habits of adults, school-age children, and younger children, as well as reducing adiposity and cardiovascular risk factors in adults.

    “Community- and school-based long-term media and education campaigns have also been effective in improving dietary habits of adults, school-age children, and younger children,45–48 as well as reducing adiposity and cardiovascular risk factors in adults.49”

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Authors
de Silva-Sanigorski, A. M., Bell, A. C., Kremer, P., Nichols, M., Crellin, M., Smith, M., Sharp, S., de Groot, F., Carpenter, L., Boak, R., Robertson, N., & Swinburn, B. A.
Affiliations
Barwon Health (AU)
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
2010-04
Volume
91
Issue
4
Pages
831-840
ISSN
0002-9165 (ISSN-L)
OpenAlex
W1967286354
Cited by
300
References
49
Citations by year
2026: 7 · 2025: 12 · 2024: 9 · 2023: 7 · 2022: 21 · 2021: 20 · 2020: 20 · 2019: 18 · 2018: 25 · 2017: 11 · 2016: 22 · 2015: 28 · 2014: 20 · 2013: 28 · 2012: 26
FWCI
24.99
Type
journal article
Language
en
Open access
Locations
  • American Journal of Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
  • Deakin Research Online (Deakin University) (submittedVersion)
  • NOVA (University of Newcastle Australia) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
childhood obesity, early childhood, community-wide intervention, healthy eating, active play, body mass index, overweight prevalence, packaged snacks, fruit juice, cordials, early childhood care settings, community capacity building, environmental change
MeSH terms
Australia, Body Weight, Child Behavior, Child, Preschool, Community Health Services, Diet, Female, Health Promotion, Humans, Male, Obesity, Urban Health, Program Evaluation, Health Behavior, Exercise, Body Mass Index, Prevalence, Capacity Building

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