An Intervention to Reduce Television Viewing by Preschool Children

Dennison, Barbara A.; Russo, Theresa J.; Burdick, Patrick; Jenkins, Paul

doi:10.1001/archpedi.158.2.170

Cited by 230 publications

(291 citation statements)

References 20 publications

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“…[15][16][17]20,21 In the study (n ¼ 545) by Reilly et al 15 involving a 1-year intervention focused on reducing TV watching and increasing physical activity, no change in BMI z-score was observed in the intervention compared with the control group. In another small study, Dennisson et al 21 also did not find any significant effect of intervention targeting reduced television watching on BMI z-score compared with controls. However, in the study by Mo-Suwan et al 16 with 4 year olds, involving an intervention focused on increasing physical activity, a trend of reduction in prevalence of overweight was noted in the exercise versus control group.…”

Section: Discussionmentioning

confidence: 97%

“…Few randomized controlled studies aiming at reducing overweight have been carried out with children o7 years of age. [13][14][15][16][17][18][19][20][21] In recent years, preschool age has been identified as a critical period for targeting interventions against obesity prevention. 22 Our goal was to evaluate interventions with young children that could be incorporated into existing schools, community and health-care programs, with physicians and community involvement, to optimize effectiveness and resources.…”

Section: Introductionmentioning

confidence: 99%

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Prevention of overweight in preschool children: results of kindergarten-based interventions

et al. 2009

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Objective: Given the increasing prevalence of pediatric obesity, we evaluated two kindergarten-based strategies for reducing overweight in preschool children in the Haute-Garonne Department in France. Methods: Kindergartens (n ¼ 79) were randomly assigned to one of the two strategies and followed for 2 years. In the first group (Epidémiologie et prévention de l'obésité infantile, EPIPOI-1), parents and teachers received basic information on overweight and health, and children underwent screening to identify those with overweight (body mass index (BMI) X90th percentile) or at risk for overweight (BMI between 75 and 90th percentile), who were then followed up by their physicians. EPIPOI-2 children, in addition, received kindergarten-based education to promote healthy practices related to nutrition, physical activity and sedentary behaviors. Data on control children from non-intervention kindergartens (n ¼ 40) were retrieved from medical records at the Division of School Health. Results: At baseline, groups differed significantly on age and school area (underprivileged/ not). Owing to a significant interaction between school area and group, analyses were stratified by school area. At baseline, groups did not differ on overweight prevalence and BMI z-scores for any school area. After intervention, prevalence of overweight, BMI z-score and change in BMI z-score were significantly lower in intervention groups compared with controls in underprivileged areas. Using multilevel analysis adjusted for potential confounders, a significant effect on overweight prevalence at the end of the study was noted for EPIPOI-1 in underprivileged areas only (odds ratio and 95% confidence interval: 0.18 (0.07-0.51). In nonunderprivileged areas, the gain in BMI z-score was lower in EPIPOI-2 group compared with control and EPIPOI-1. Conclusion: Our results suggest that simple measures involving increasing awareness on overweight and health, and periodic monitoring of weight and height with follow-up care when indicated, could be useful to reduce overweight in young children from underprivileged areas. A reinforced strategy with an education component, in addition, may be indicated in children in non-underprivileged areas.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Prevention of overweight in preschool children: results of kindergarten-based interventions

et al. 2009

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“…164 The other trials failed to show intervention effects on body composition, although several trials reported improvements in physical activity measures. [165][166][167][168][169][170][171][172] Three other reviews of randomized trials have been published, including 9 studies not previously reviewed. 129,173,174 Most of those studies were published before 2000; 8 were conducted in schools and 1 exclusively in the community.…”

Section: Physical Activity and Obesitymentioning

confidence: 99%

Recommendations for Prevention of Childhood Obesity

Davis¹,

et al. 2007

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The majority of US youth are of healthy weight, but the majority of US adults are overweight or obese. Therefore, a major health challenge for most American children and adolescents is obesity prevention-today, and as they age into adulthood. In this report, we review the most recent evidence regarding many behavioral and practice interventions related to childhood obesity, and we present recommendations to health care providers. Because of the importance, we also suggest approaches that clinicians can use to encourage obesity prevention among children, including specific counseling strategies and practice-based, systems-level interventions. In addition, we suggest how clinicians may interact with and promote local and state policy initiatives designed to prevent obesity in their communities.www.pediatrics.org/cgi

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“…[9][10][11][12][13][14] Although some findings acknowledged only weak associations between sedentary behavior and obesity, limiting screen-related sedentary behaviors seems critical for preventing obesity. [15][16][17][18] Sedentary lifestyles are evident among young Canadian children; researchers have found that children aged 2 to 5 typically spend >3 hours each day watching television, exceeding the recommendation by up to 100%. 19,20 Early childhood interventions may promote lifelong healthy behaviors before the development of unhealthy behaviors.…”

Section: Introductionmentioning

confidence: 99%

Screen-Viewing Behaviors Among Preschoolers

Irwin

Bouck

et al. 2005

American Journal of Preventive Medicine

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Background-Childhood obesity has emerged as a public health concern in Canada. It has been suggested that excessive screen viewing (i.e., television, computer, video) is a major factor contributing to the increased risk of obesity in children. Exploring young children's experiences with this modifiable behavior may be beneficial to the creation of a multifaceted program aimed at the primary prevention of obesity.

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An Intervention to Reduce Television Viewing by Preschool Children

Abstract: This study is the first to show that a preschool-based intervention can lead to reductions in young children's television/video viewing. Further research is needed to determine the long-term effects associated with reductions in young children's television viewing.

Cited by 230 publications

References 20 publications

Prevention of overweight in preschool children: results of kindergarten-based interventions

Prevention of overweight in preschool children: results of kindergarten-based interventions

Recommendations for Prevention of Childhood Obesity

Screen-Viewing Behaviors Among Preschoolers

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