Persistent disparities in obesity risk among public schoolchildren from childhood through adolescence

Chen, Danhong; Thomsen, Michael R.; Nayga, Rodolfo M.; Bennett, Judy

doi:10.1016/j.ypmed.2016.06.010

Cited by 8 publications

(7 citation statements)

References 20 publications

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“…3, 9, 10], which may obscure important associations. Many papers also often interpret different metrics synonymously as indicating ‘access’ (Block, Christakis, O'Malley, & Subramanian, 2011; Bodor, Rice, Farley, Swalm, & Rose, 2010; Brown, Vargas, Ang, & Pebley, 2008; Chen, Thomsen, Nayga, & Bennett, 2016) or ‘availability’ (Baek et al, 2017; Bloodworth, Ward, Relyea, & Cashion, 2014; Casagrande et al, 2011). However, this may give rise to over-simplistic messages to policymakers.…”

Section: Discussionmentioning

confidence: 99%

Methods of measuring associations between the Retail Food Environment and weight status: Importance of classifications and metrics

Wilkins

Morris

Radley

et al. 2019

SSM - Population Health

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Despite considerable research, evidence supporting associations between the ‘Retail Food Environment’ (RFE) and obesity remains mixed. Differences in the methods used to measure the RFE may explain this heterogeneity. Using data on a large (n = 10,111) sample of adults from the Yorkshire Health Study (UK), we modelled cross-sectional associations between the RFE and weight status using (i) multiple definitions of ‘Fast Food’, ‘Convenience’ and ‘Supermarkets’ and (ii) multiple RFE metrics, identified in a prior systematic review to be common in the literature. Both the choice of outlet definition and the choice of RFE metric substantively impacted observed associations with weight status. Findings differed in relation to statistical significance, effect sizes, and directions of association. This study provides novel evidence that the diversity of RFE measurement methods is contributing to heterogeneous study findings and conflicting policy messages. Greater attention is needed when selecting and communicating RFE measures in research.

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Section: Discussionmentioning

confidence: 99%

Methods of measuring associations between the Retail Food Environment and weight status: Importance of classifications and metrics

Wilkins

Morris

Radley

et al. 2019

SSM - Population Health

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“…Obesity disparities by socioeconomic status persist from childhood throughout adolescence (Chen, Thomsen, Nayga, & Bennett, 2016). Of particular concern is the high prevalence of overweight and obesity (34.9%) among Head Start preschoolers (Aikens et al, 2011), which is 1.5 times the rate of U.S. preschoolers in general, aged 2 to 5 years (22.8%; Ogden, Carroll, Kit, & Flegal, 2014).…”

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confidence: 99%

Using Facebook in a Healthy Lifestyle Intervention: Feasibility and Preliminary Efficacy

et al. 2018

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The purpose of this pilot quasi-experimental study was to examine the feasibility and preliminary efficacy of using Facebook in a 10-week lifestyle intervention with Head Start caregiver-preschooler dyads to improve healthy behaviors and reduce body mass index. Sixty-nine dyads participated with 39 in the intervention group. Average preschooler attendance rate for the Head Start center-based program was 77%, and caregiver participation rate was 87%. About 94% of the caregivers were satisfied with the program, and 97% would recommend the program to others and/or participate again. The intervention decreased preschoolers' body mass index z score (Cohen's d = -.30) and screen time ( d = -.21), and increased their fruit and vegetable intake ( d = .40) and moderate-to-vigorous physical activity ( d = .42). The intervention increased caregivers' fruit and vegetable intake ( d = .40). The intervention is feasible, and preliminary efficacy is encouraging, but further investigation using a rigorous study design is warranted.

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“…The remaining 18 studies that examined the association between access to FSRs and children's weight‐related behaviours or outcomes were included in this systematic review (Figure 1). 6,13–29 …”

Section: Resultsmentioning

confidence: 99%

Association between access to full‐service restaurants and childhood obesity

et al. 2020

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Summary The lack of access to full‐service restaurants (FSRs) is generally thought to be a risk factor for childhood obesity, as it could discourage healthful eating‐out behaviours while increasing the exposure to unhealthful food venues as “compensatory” options. However, the association between FSR access and childhood obesity has not been comprehensively reviewed previously. A literature search was conducted on PubMed and Web of Science for articles published before 1 January 2019 that examined the association between FSR access and weight‐related behaviours and outcomes among children and adolescents. Eighteen studies conducted in three countries were identified, published from 2006 to 2018 with a median sample size of 2352 (ranging from 323 to 529 367). Findings were mixed among these 18 studies that reported on the association between access to FSRs and weight‐related outcomes. Our meta‐analyses showed that there were no significant associations of FSR access with the level of body mass index (BMI) and the BMI z‐score among children. Also, there was no apparent evidence on the association between FSR access and the risk of overweight/obesity. Our results need to be interpreted with caution, considering the menu quality of FSRs and heterogeneity of eligible studies in this meta‐analysis. Well‐designed epidemiologic studies are warranted to further elaborate on the potential association between FSR access and children's weight status.

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Persistent disparities in obesity risk among public schoolchildren from childhood through adolescence

Abstract: This analysis stresses the need for policies to narrow the socioeconomic gradient and identifies important time periods for preventative interventions in childhood obesity.

Cited by 8 publications

References 20 publications

Methods of measuring associations between the Retail Food Environment and weight status: Importance of classifications and metrics

Methods of measuring associations between the Retail Food Environment and weight status: Importance of classifications and metrics

Using Facebook in a Healthy Lifestyle Intervention: Feasibility and Preliminary Efficacy

Association between access to full‐service restaurants and childhood obesity

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