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Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program
Open accessAbstract
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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“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”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [48]
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Metadata
- 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)
- ORCID
- 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
- bronze
- doi.org
- Licence
- 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 › Public Health, Environmental and Occupational Health › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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