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Research papers on Childhood obesity interventions

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  1. Using School Staff Members to Implement a Childhood Obesity Prevention Intervention in Low-Income School Districts: the Massachusetts Childhood Obesity Research Demonstration (MA-CORD Project), 2012–2014

    Rachel E. Blaine, R. Franckle, C. Ganter, et al. · 2017 · Preventing Chronic Disease · 49 citations

    Introduction Although evidence-based interventions to prevent childhood obesity in school settings exist, few studies have identified factors that enhance school districts’ capacity to undertake such efforts. We describe the implementation of a school-based intervention using classroom lessons based on existing “Eat Well and Keep Moving” and “Planet Health” behavior change interventions and schoolwide activities to target 5,144 children in 4th through 7th grade in 2 low-income school districts. Methods The intervention was part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project, a multisector community-based intervention implemented from 2012 through 2014. Using

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  2. The Impact of a Multi-Level Multi-Component Childhood Obesity Prevention Intervention on Healthy Food Availability, Sales, and Purchasing in a Low-Income Urban Area

    J. Gittelsohn, A. Trude, Lisa Poirier, et al. · 2017 · International Journal of Environmental Research and Public Health · 43 citations

    The multifactorial causes of obesity require multilevel and multicomponent solutions, but such combined strategies have not been tested to improve the community food environment. We evaluated the impact of a multilevel (operating at different levels of the food environment) multicomponent (interventions occurring at the same level) community intervention. The B’more Healthy Communities for Kids (BHCK) intervention worked at the wholesaler (n = 3), corner store (n = 50), carryout (n = 30), recreation center (n = 28), household (n = 365) levels to improve availability, purchasing, and consumption of healthier foods and beverages (low-sugar, low-fat) in low-income food desert predominantly Afri

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  3. Childhood Obesity Prevention in Africa: A Systematic Review of Intervention Effectiveness and Implementation

    S. Klingberg, C. Draper, L. Micklesfield, et al. · 2019 · International Journal of Environmental Research and Public Health · 40 citations

    Childhood obesity is of increasing concern in many parts of Africa. We conducted a systematic search and review of published literature on behavioural childhood obesity prevention interventions. A literature search identified peer-reviewed literature from seven databases, and unindexed African journals, including experimental studies targeting children age 2–18 years in African countries, published in any language since 1990. All experimental designs were eligible; outcomes of interest were both behavioural (physical activity, dietary behaviours) and anthropometric (weight, body mass index, body composition). We also searched for process evaluations or other implementation observations. Meth

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  4. A Health-Literacy Intervention for Early Childhood Obesity Prevention: A Cluster-Randomized Controlled Trial

    Lee M. Sanders, Eliana M. Perrin, H. S. Yin, et al. · 2021 · Pediatrics · 39 citations

    We conducted a cluster-randomized, controlled trial to assess efficacy of a low-literacy, primary care–based intervention to reduce obesity risk in early childhood. BACKGROUND AND OBJECTIVES: Children who become overweight by age 2 have greater risk of long-term obesity and health problems. The study aim was to assess the effectiveness of a primary care–based intervention on the prevalence of overweight at age 24 months. METHODS: In a cluster-randomized trial, sites were randomly assigned to the Greenlight intervention or an attention-control arm. Across 4 pediatric residency clinics, we enrolled infant–caregiver dyads at the 2-month well-child visit. Inclusion criteria included parent Engli

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  6. Implementation of Text-Messaging and Social Media Strategies in a Multilevel Childhood Obesity Prevention Intervention: Process Evaluation Results

    Ivory H. Loh, Teresa Schwendler, A. Trude, et al. · 2018 · Inquiry: A Journal of Medical Care Organization, Provision and Financing · 35 citations

    Social media and text messaging show promise as public health interventions, but little evaluation of implementation exists. The B’more Healthy Communities for Kids (BHCK) was a multilevel, multicomponent (wholesalers, food stores, recreation centers) childhood obesity prevention trial that included social media and text-messaging components. The BHCK was implemented in 28 low-income areas of Baltimore City, Maryland, in 2 waves. The texting intervention targeted 241 low-income African American caregivers (of 283), who received 3 texts/week reinforcing key messages, providing nutrition information, and weekly goals. Regular posting on social media platforms (Facebook, Instagram, Twitter) tar

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  7. Delivering a childhood obesity prevention intervention using Islamic religious settings in the UK: What is most important to the stakeholders?

    S. Dogra, K. Rai, S. Barber, et al. · 2021 · Preventive Medicine Reports · 32 citations

    Highlights • Obesity prevention interventions could be delivered through Islamic religious settings.• Co-production with target communities is essential to ensure cultural sensitivity and relevance.• Integrating Islamic narrative on healthy behaviours could enhance uptake and adherence.• Interventions should be adequately resourced, considering the cost of staff, space and materials.• Collaborating with external organisations can support scalability.

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  8. Feasibility and Acceptability of an Early Childhood Obesity Prevention Intervention: Results from the Healthy Homes, Healthy Families Pilot Study

    A. Dulin-Keita, P. Risica, Kelli L Drenner, et al. · 2014 · Journal of Obesity · 32 citations

    Background. This study examined the feasibility and acceptability of a home-based early childhood obesity prevention intervention designed to empower low-income racially/ethnically diverse parents to modify their children's health behaviors. Methods. We used a prospective design with pre-/posttest evaluation of 50 parent-child pairs (children aged 2 to 5 years) to examine potential changes in dietary, physical activity, and sedentary behaviors among children at baseline and four-month follow-up. Results. 39 (78%) parent-child pairs completed evaluation data at 4-month follow-up. Vegetable intake among children significantly increased at follow-up (0.54 cups at 4 months compared to 0.28 cups

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  9. The cost of a primary care-based childhood obesity prevention intervention

    D. Wright, E. Taveras, M. Gillman, et al. · 2014 · BMC Health Services Research · 29 citations

    BackgroundUnited States pediatric guidelines recommend that childhood obesity counseling be conducted in the primary care setting. Primary care-based interventions can be effective in improving health behaviors, but also costly. The purpose of this study was to evaluate the cost of a primary care-based obesity prevention intervention targeting children between the ages of two and six years who are at elevated risk for obesity, measured against usual care.MethodsHigh Five for Kids was a cluster-randomized controlled clinical trial that aimed to modify children’s nutrition and TV viewing habits through a motivational interviewing intervention. We assessed visit-related costs from a societal pe

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  10. Community-based childhood obesity prevention intervention for parents improves health behaviors and food parenting practices among Hispanic, low-income parents

    Laura E. Otterbach, Noereem Z. Mena, G. Greene, et al. · 2018 · BMC obesity · 27 citations

    BackgroundGiven the current prevalence of childhood obesity among Hispanic populations, and the importance of parental feeding behaviors, we aimed to assess the impact of the evidence-based Healthy Children, Healthy Families (HCHF) intervention on responsive food parenting practices (FPPs) in a low-income Hispanic population.MethodsThis community-based pilot study used a non-experimental pre/post within-subjects design. Parents (n = 94) of children aged 3–11 years old were recruited to participate in an 8-week, weekly group-based intervention. The intervention was delivered to nine groups of parents by trained paraprofessional educators over a two-year period. Children participated in a sepa

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  11. Comprehending the Epidemiology and Aetiology of Childhood Obesity: Integrating Life Course Approaches for Prevention and Intervention

    M. Verma, Nitin Kapoor, Sabyasachi Senapati, et al. · 2025 · Diabetes Therapy · 23 citations

    Childhood obesity is defined as a medical condition characterised by abnormally high amounts of body fat relative to lean body mass, which increases the risk of adverse health outcomes among children and adolescents from birth to 18 years. The prevalence of childhood obesity, which has serious healthcare implications, is surging, together with its healthcare burden. In this review we explore the intricate interplay of hereditary, environmental, behavioural, cultural and metabolic factors contributing to the global increase in childhood obesity rates. We examine the influence of prenatal factors, genetic predispositions and epigenetic mechanisms on obesity susceptibility and treatment strateg

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  12. Unpacking the behavioural components and delivery features of early childhood obesity prevention interventions in the TOPCHILD Collaboration: a systematic review and intervention coding protocol

    Brittany J. Johnson, Kylie E. Hunter, Rebecca K. Golley, et al. · 2020 · BMJ Open · 21 citations

    Introduction Little is known about how early (eg, commencing antenatally or in the first 12 months after birth) obesity prevention interventions seek to change behaviour and which components are or are not effective. This study aims to (1) characterise early obesity prevention interventions in terms of target behaviours, delivery features and behaviour change techniques (BCTs), (2) explore similarities and differences in BCTs used to target behaviours and (3) explore effectiveness of intervention components in preventing childhood obesity. Methods and analysis Annual comprehensive systematic searches will be performed in Epub Ahead of Print/MEDLINE, Embase, Cochrane (CENTRAL), CINAHL, PsycIN

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  15. Evaluating dose delivered of a behavioral intervention for childhood obesity prevention: a secondary analysis

    W. Heerman, Evan C. Sommer, Ally Qi, et al. · 2020 · BMC Public Health · 16 citations

    Background Current recommendations for intensive behavioral interventions for childhood obesity treatment do not account for variable participant attendance, optimal duration of the intervention, mode of delivery (phone vs. face-to-face), or address obesity prevention among young children. A secondary analysis of an active one-year behavioral intervention for childhood obesity prevention was conducted to test how “dose delivered” was associated with body mass index z-score (BMI-Z) across 3 years of follow-up. Methods Parent-child pairs were eligible if they qualified for government assistance and spoke English or Spanish. Children were between three and 5 years old and were at risk for but n

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  16. TESTING AN INTEGRATED MODEL OF PROGRAM IMPLEMENTATION: THE FOOD, HEALTH & CHOICES SCHOOL-BASED CHILDHOOD OBESITY PREVENTION INTERVENTION PROCESS EVALUATION

    Marissa Burgermaster, H. Gray, E. Tipton, et al. · 2017 · Prevention science : the official journal of the Society for Prevention Research · 15 citations

    Childhood obesity is a complex, worldwide problem. Significant resources are invested in its prevention, and high-quality evaluations of these efforts are important. Conducting trials in school settings is complicated, making process evaluations useful for explaining results. Intervention fidelity has been demonstrated to influence outcomes, but others have suggested that other aspects of implementation, including participant responsiveness, should be examined more systematically. During Food, Health & Choices (FHC), a school-based childhood obesity prevention trial designed to test a curriculum and wellness policy taught by trained FHC instructors to fifth grade students in 20 schools durin

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  17. Parent-focused behavioural interventions for the prevention of early childhood obesity (TOPCHILD): a systematic review and individual participant data meta-analysis

    Kylie E. Hunter, David Nguyen, S. Libesman, et al. · 2025 · Lancet (London, England) · 15 citations

    Summary Background Childhood obesity is a global public health issue, which has prompted governments to invest in prevention programmes. We aimed to investigate the effectiveness of parent-focused early childhood obesity prevention interventions globally. Methods We did a systematic review and individual participant data meta-analysis. We searched databases and trial registries (MEDLINE, Embase, CENTRAL, CINAHL, PsycInfo, ClinicalTrials.gov, and WHO International Clinical Trials Registry Platform) from inception until Sept 30, 2024, for randomised controlled trials commencing before 12 months of age examining parent-focused behavioural interventions to prevent obesity in children, compared w

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  18. Racial/Ethnic Differences in the Effectiveness of a Multisector Childhood Obesity Prevention Intervention

    C. Nelson, R. Colchamiro, M. Perkins, et al. · 2018 · American Journal of Public Health · 13 citations

    Objectives To investigate racial/ethnic and language differences in the effectiveness of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study among children aged 2 to 4 years enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Methods We performed a multisector quasiexperimental study in 2 MA-CORD intervention communities and 1 comparison community. Using WIC data from 2010 to 2015, we examined intervention effect on child weight and behavior outcomes by child race/ethnicity and parental primary language using multilevel linear regression models with an interaction term. Results Non-Hispanic Black children exposed to the interv

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  19. The role of maternal social networks on the outcomes of a home-based childhood obesity prevention pilot intervention

    K. de la Haye, B. Bell, S. Salvy · 2019 · Journal of social structure : JOSS · 13 citations

    Abstract Background. Despite evidence that obesity and related behaviors are influenced by social networks and social systems, few childhood obesity initiatives have focused on social network factors as moderators of intervention outcomes, or targets for intervention strategies. Objectives. This pilot study examines associations between maternal social network characteristics hypothesized to influence health behaviors and the target outcomes of a family-centered childhood obesity prevention initiative. The pilot intervention entailed the provision of healthy eating and activity components as part of an existing home visiting program (HVP) delivered to mothers and infants, to test the feasibi

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  21. Tracing coalition changes in knowledge in and engagement with childhood obesity prevention to improve intervention implementation

    Travis R. Moore, Mark C. Pachucki, Erin Hennessy, et al. · 2022 · BMC Public Health · 12 citations

    Background While most coalition research focuses on studying the effects of peer relationship structure, this study examines the coevolution of coalition structure and behavior across three communities in the U.S. with the goal of identifying coalition dynamics that impact a childhood obesity prevention intervention.  Methods Over two years (2018–2020), three communities within the U.S. participated in a childhood obesity prevention intervention at different times. This intervention was guided by the Stakeholder-Driven Community Diffusion theory, which describes an empirically testable mechanism for promoting community change. Measures are part of the Stakeholder-driven Community Diffusion (

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