Obesity Prevention: A Systematic Review of Setting-Based Interventions from Nordic Countries and the Netherlands

Panter, Jacqueline Claire; Andersen, Pernille Tanggaard; Aro, Arja R.; Samara, Anastasia

doi:10.1155/2018/7093260

Cited by 16 publications

(9 citation statements)

References 79 publications

(395 reference statements)

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“…Over half of the included studies in this review did not specify the use of a behaviour change model or theory, and subgroup analyses inferred a significant effect on BMI z-score for interventions that were not underpinned by behaviour change theory; however, the effect size was small but statistically significant. In most of the included studies that included a behaviour change model or theory, often a theoretical framework was only stated, rather than something that was used specifically in the intervention formulation which is highlighted in previous research [111]. Our review found no clear trend regarding a theory-based approach being more effective than interventions that were not based on a specific theory framework.…”

Section: Discussionmentioning

confidence: 72%

The Effectiveness of School-Based Interventions on Obesity-Related Behaviours in Primary School Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

et al. 2021

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School-based interventions are promising for targeting a change in obesity-related behaviours in children. However, the efficacy of school-based interventions to prevent obesity remains unclear. This review examined the effectiveness of school-based interventions at changing obesity-related behaviours (increased physical activity, decreased sedentary behaviour and improved nutrition behaviour) and/or a change in BMI/BMI z-score. Following PRISMA guidelines, seven databases were systematically searched from 1 January 2009 to 31 December 2020. Two review authors independently screened studies for eligibility, completed data extraction and assessed the risk of bias of each of the included studies. Forty-eight studies met the inclusion criteria and were included in a narrative synthesis. Thirty-eight studies were eligible for inclusion in a meta-analysis. The findings demonstrate that interventions in children when compared to controls resulted in a small positive treatment effect in the control group (2.14; 95% CI = 0.77, 3.50). There was no significant effect on sedentary behaviour, energy intake and fruit and vegetable intake. Significant reductions were found between groups in BMI kg/m2 (−0.39; 95% CI = −0.47, −0.30) and BMI z-score (−0.05; 95% CI = −0.08, −0.02) in favour of the intervention. The findings have important implications for future intervention research in terms of the effectiveness of intervention components and characteristics.

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Section: Discussionmentioning

confidence: 72%

The Effectiveness of School-Based Interventions on Obesity-Related Behaviours in Primary School Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

et al. 2021

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“…Evidence synthesis indicates that the effectiveness of workplace interventions aiming to prevent type 2 diabetes can be increased by using the structured, evidence-based Diabetes Prevention Program (DPP) curriculum with only minor modifications [58]. However, obesity prevention studies in worksite-based interventions are scarce and the success of such programmes has been mixed [77]. By supporting guidelines for workplace-based interventions, governments may contribute to an improved evidence base in this setting.…”

Section: Working-age Populationsmentioning

confidence: 99%

What should governments be doing to prevent diabetes throughout the life course?

et al. 2019

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Health systems and governments are increasingly required to implement measures that target at-risk populations to prevent noncommunicable diseases. In this review we lay out what governments should be doing to prevent diabetes throughout the life course. The following four target groups were used to structure the specific recommendations: (1) pregnant women and young families, (2) children and adolescents, (3) working age population, and (4) the elderly. The evidence to date supports the effectiveness of some known government policy measures, such as sugar taxes and regulatory measures in the (pre-)school setting for children and adolescents. Many of these appear to be more effective if they are part of a bundle of strategies and if they are supplemented by communication strategies. Although there is a current focus on strategies that target the individual, governments can make use of evidence-based population-level prevention strategies. More research and continuous evaluation of the overall and subgroup-specific effectiveness of policy strategies using high-quality longitudinal studies are needed.

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“…The national policies rely heavily on self-regulation by stakeholders such as supermarkets, restaurants, and the food industry. They lack for the most part regulatory policies targeting the food environment in public spaces (schools, hospitals, sports facilities) and marketing of unhealthy foods and drinks to children as proposed by the WHO [37]. Local policies and actions such as the whole-systems approach in Amsterdam are promising.…”

Section: Resultsmentioning

confidence: 99%

National and Local Strategies in the Netherlands for Obesity Prevention and Management in Children and Adolescents

Seidell

Halberstadt

2020

Obes Facts

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Background: As in many other countries around the world, the Netherlands has a high prevalence of overweight and obesity in children. About 1 in 7 of children aged 2–19 years has either overweight or obesity. Summary: In this paper the national and local activities aimed at the prevention and management of obesity in children and adolescents in the Netherlands are reviewed. It is recommended to, nationally as well as locally, take an integrated-systems approach that tackles the obesogenic food environment as well as upstream and downstream determinants of obesity. Efforts should take a life course approach and be focused on promoting obesity prevention as well as improving the management of children who already have obesity. The national policies in the Netherlands rely heavily on self-regulation by stakeholders such as supermarkets, restaurants, and the food industry. Local policies and actions such as the whole-systems approach in Amsterdam are promising. Future directions include development of tools for the operationalization and evaluation of local systems approaches. Regulation by national and local governments is necessary to ensure a healthy food environment for children and their families, but health policies require intersectoral action. Key Messages: In the Netherlands many policies are in place or under development, especially at the municipal level (e.g., in Amsterdam), but more substantial action is urgently required.

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Obesity Prevention: A Systematic Review of Setting-Based Interventions from Nordic Countries and the Netherlands

Cited by 16 publications

References 79 publications

The Effectiveness of School-Based Interventions on Obesity-Related Behaviours in Primary School Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

The Effectiveness of School-Based Interventions on Obesity-Related Behaviours in Primary School Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

What should governments be doing to prevent diabetes throughout the life course?

National and Local Strategies in the Netherlands for Obesity Prevention and Management in Children and Adolescents

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