The impact of interventions to prevent obesity or improve obesity related behaviours in children (0–5 years) from socioeconomically disadvantaged and/or indigenous families: a systematic review
Identifieur interne : 000069 ( Main/Exploration ); précédent : 000068; suivant : 000070The impact of interventions to prevent obesity or improve obesity related behaviours in children (0–5 years) from socioeconomically disadvantaged and/or indigenous families: a systematic review
Auteurs : Rachel Laws [Australie] ; Karen J. Campbell [Australie] ; Paige Van Der Pligt ; Georgina Russell [Australie] ; Kylie Ball [Australie] ; John Lynch [Australie] ; David Crawford [Australie] ; Rachael Taylor [Nouvelle-Zélande, Australie] ; Deborah Askew [Australie] ; Elizabeth Denney-Wilson [Australie]Source :
- BMC Public Health [ 1471-2458 ] ; 2014.
Abstract
Children from disadvantaged families including those from low socioeconomic backgrounds and Indigenous families have higher rates of obesity, making early intervention a priority. The aim of this study was to systematically review the literature to examine the effectiveness of interventions to prevent obesity or improve obesity related behaviours in children 0-5 years from socioeconomically disadvantaged or Indigenous families.
Searches of major electronic databases identified articles published from 1993–2013 targeting feeding practices, anthropometric, diet, activity or sedentary behaviour outcomes. This was supplemented with snowballing from existing reviews and primary studies. Data extraction was undertaken by one author and cross checked by another. Quality assessments included both internal and external validity.
Thirty-two studies were identified, with only two (both low quality) in Indigenous groups. Fourteen studies had a primary aim to prevent obesity. Mean differences between intervention and control groups ranged from -0.29 kg/m2 to -0.54 kg/m2 for body mass index (BMI) and -2.9 to -25.6% for the prevalence of overweight/obesity. Interventions initiated in infancy (under two years) had a positive impact on obesity related behaviours (e.g. diet quality) but few measured the longer-term impact on healthy weight gain. Findings amongst pre-schoolers (3–5 years) were mixed, with the more successful interventions requiring high levels of parental engagement, use of behaviour change techniques, a focus on skill building and links to community resources. Less than 10% of studies were high quality. Future studies should focus on improving study quality, including follow-up of longer-term anthropometric outcomes, assessments of cost effectiveness, acceptability in target populations and potential for implementation in routine service delivery.
There is an urgent need for further research on effective obesity prevention interventions for Indigenous children. The findings from the growing body of intervention research focusing on obesity prevention amongst young children from socioeconomically disadvantaged families suggest intervention effects are modest but promising. Further high quality studies with longer term follow up are required.
PROSPERO Registration no:
Url:
DOI: 10.1186/1471-2458-14-779
PubMed: 25084804
PubMed Central: 4137086
Affiliations:
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xml:lang="en" level="a" type="main">The impact of interventions to prevent obesity or improve obesity related behaviours in children (0–5 years) from socioeconomically disadvantaged and/or indigenous families: a systematic review</title><author><name sortKey="Laws, Rachel" sort="Laws, Rachel" uniqKey="Laws R" first="Rachel" last="Laws">Rachel Laws</name><affiliation><nlm:aff id="Aff4">Centre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia</nlm:aff><wicri:noCountry code="subfield">VIC 3125 Australia</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff9">Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Campbell, Karen J" sort="Campbell, Karen J" uniqKey="Campbell K" first="Karen J" last="Campbell">Karen J. Campbell</name><affiliation><nlm:aff id="Aff4">Centre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia</nlm:aff><wicri:noCountry code="subfield">VIC 3125 Australia</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff9">Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Van Der Pligt, Paige" sort="Van Der Pligt, Paige" uniqKey="Van Der Pligt P" first="Paige" last="Van Der Pligt">Paige Van Der Pligt</name><affiliation><nlm:aff id="Aff4">Centre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia</nlm:aff><wicri:noCountry code="subfield">VIC 3125 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Russell, Georgina" sort="Russell, Georgina" uniqKey="Russell G" first="Georgina" last="Russell">Georgina Russell</name><affiliation><nlm:aff id="Aff5">Faculty of Health, University of Technology, Sydney, NSW Australia</nlm:aff><wicri:noCountry code="subfield">NSW Australia</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff9">Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Ball, Kylie" sort="Ball, Kylie" uniqKey="Ball K" first="Kylie" last="Ball">Kylie Ball</name><affiliation><nlm:aff id="Aff4">Centre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia</nlm:aff><wicri:noCountry code="subfield">VIC 3125 Australia</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff9">Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Lynch, John" sort="Lynch, John" uniqKey="Lynch J" first="John" last="Lynch">John Lynch</name><affiliation><nlm:aff id="Aff6">School of Population Health, University of Adelaide, Adelaide, SA Australia</nlm:aff><wicri:noCountry code="subfield">SA Australia</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff9">Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Crawford, David" sort="Crawford, David" uniqKey="Crawford D" first="David" last="Crawford">David Crawford</name><affiliation><nlm:aff id="Aff4">Centre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia</nlm:aff><wicri:noCountry code="subfield">VIC 3125 Australia</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff9">Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Taylor, Rachael" sort="Taylor, Rachael" uniqKey="Taylor R" first="Rachael" last="Taylor">Rachael Taylor</name><affiliation wicri:level="1"><nlm:aff id="Aff8">University of Otago, Dunedin, New Zealand</nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>University of Otago, Dunedin</wicri:regionArea><wicri:noRegion>Dunedin</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff9">Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Askew, Deborah" sort="Askew, Deborah" uniqKey="Askew D" first="Deborah" last="Askew">Deborah Askew</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Inala Indigenous Health Service, Inala, QLD, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Inala Indigenous Health Service, Inala, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff9">Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Denney Wilson, Elizabeth" sort="Denney Wilson, Elizabeth" uniqKey="Denney Wilson E" first="Elizabeth" last="Denney-Wilson">Elizabeth Denney-Wilson</name><affiliation><nlm:aff id="Aff5">Faculty of Health, University of Technology, Sydney, NSW Australia</nlm:aff><wicri:noCountry code="subfield">NSW Australia</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff9">Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Children from disadvantaged families including those from low socioeconomic backgrounds and Indigenous families have higher rates of obesity, making early intervention a priority. The aim of this study was to systematically review the literature to examine the effectiveness of interventions to prevent obesity or improve obesity related behaviours in children 0-5 years from socioeconomically disadvantaged or Indigenous families.</p></sec><sec><title>Methods</title><p>Searches of major electronic databases identified articles published from 1993–2013 targeting feeding practices, anthropometric, diet, activity or sedentary behaviour outcomes. This was supplemented with snowballing from existing reviews and primary studies. Data extraction was undertaken by one author and cross checked by another. Quality assessments included both internal and external validity.</p></sec><sec><title>Results</title><p>Thirty-two studies were identified, with only two (both low quality) in Indigenous groups. Fourteen studies had a primary aim to prevent obesity. Mean differences between intervention and control groups ranged from -0.29 kg/m<sup>2</sup> to -0.54 kg/m<sup>2</sup> for body mass index (BMI) and -2.9 to -25.6% for the prevalence of overweight/obesity. Interventions initiated in infancy (under two years) had a positive impact on obesity related behaviours (e.g. diet quality) but few measured the longer-term impact on healthy weight gain. Findings amongst pre-schoolers (3–5 years) were mixed, with the more successful interventions requiring high levels of parental engagement, use of behaviour change techniques, a focus on skill building and links to community resources. Less than 10% of studies were high quality. Future studies should focus on improving study quality, including follow-up of longer-term anthropometric outcomes, assessments of cost effectiveness, acceptability in target populations and potential for implementation in routine service delivery.</p></sec><sec><title>Conclusion</title><p>There is an urgent need for further research on effective obesity prevention interventions for Indigenous children. The findings from the growing body of intervention research focusing on obesity prevention amongst young children from socioeconomically disadvantaged families suggest intervention effects are modest but promising. Further high quality studies with longer term follow up are required.</p></sec><sec><title>Trial registration</title><p>PROSPERO Registration no: <ext-link ext-link-type="uri" xlink:href="http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42013006536#.U-AN211--70">CRD42013006536</ext-link>.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lobstein, T" uniqKey="Lobstein T">T Lobstein</name></author><author><name sortKey="Baur, L" uniqKey="Baur L">L Baur</name></author><author><name sortKey="Uauy, R" uniqKey="Uauy R">R Uauy</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Singh, As" uniqKey="Singh A">AS Singh</name></author><author><name sortKey="Mulder, C" uniqKey="Mulder C">C Mulder</name></author><author><name sortKey="Twisk, Jwr" uniqKey="Twisk J">JWR Twisk</name></author><author><name sortKey="Van Mechelen, W" uniqKey="Van 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sortKey="Van Der Pligt, Paige" sort="Van Der Pligt, Paige" uniqKey="Van Der Pligt P" first="Paige" last="Van Der Pligt">Paige Van Der Pligt</name></noCountry><country name="Australie"><noRegion><name sortKey="Laws, Rachel" sort="Laws, Rachel" uniqKey="Laws R" first="Rachel" last="Laws">Rachel Laws</name></noRegion><name sortKey="Askew, Deborah" sort="Askew, Deborah" uniqKey="Askew D" first="Deborah" last="Askew">Deborah Askew</name><name sortKey="Askew, Deborah" sort="Askew, Deborah" uniqKey="Askew D" first="Deborah" last="Askew">Deborah Askew</name><name sortKey="Ball, Kylie" sort="Ball, Kylie" uniqKey="Ball K" first="Kylie" last="Ball">Kylie Ball</name><name sortKey="Campbell, Karen J" sort="Campbell, Karen J" uniqKey="Campbell K" first="Karen J" last="Campbell">Karen J. Campbell</name><name sortKey="Crawford, David" sort="Crawford, David" uniqKey="Crawford D" first="David" last="Crawford">David Crawford</name><name sortKey="Denney Wilson, Elizabeth" sort="Denney Wilson, Elizabeth" uniqKey="Denney Wilson E" first="Elizabeth" last="Denney-Wilson">Elizabeth Denney-Wilson</name><name sortKey="Lynch, John" sort="Lynch, John" uniqKey="Lynch J" first="John" last="Lynch">John Lynch</name><name sortKey="Russell, Georgina" sort="Russell, Georgina" uniqKey="Russell G" first="Georgina" last="Russell">Georgina Russell</name><name sortKey="Taylor, Rachael" sort="Taylor, Rachael" uniqKey="Taylor R" first="Rachael" last="Taylor">Rachael Taylor</name></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Taylor, Rachael" sort="Taylor, Rachael" uniqKey="Taylor R" first="Rachael" last="Taylor">Rachael Taylor</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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