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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
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