Universal childhood and adolescent obesity prevention programs: Review and critical analysis

Haynos, Ann F.; O’Donohue, William

doi:10.1016/j.cpr.2011.09.006

Cited by 69 publications

(72 citation statements)

References 67 publications

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“…The intrinsic motivation of adolescents also is of great importance, much more than in the younger age groups, where motivation is largely external and driven by parents and teachers [38]. Recommendations for this age group are compiled in table 4.…”

Section: Behavior-based Preventionmentioning

confidence: 99%

Current Guidelines for Obesity Prevention in Childhood and Adolescence

et al. 2018

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Objective: Current guidelines for prevention of obesity in childhood and adolescence are discussed. Methods: A literature search was performed in Medline via PubMed, and appropriate studies were analyzed. Results: Programs to prevent childhood obesity have so far remained mainly school-based and effects have been limited. Analyses by age group show that prevention programs have the best results in younger children (<12 years). Evidence-based recommendations for pre-school- and early school-aged children indicate the need for interventions that address parents and teachers alike. During adolescence, school-based interventions proved most effective when adolescents were addressed directly. To date, obesity prevention programs have mainly focused on behavior-oriented prevention. Recommendations for community- or environment-based prevention have been suggested by the German Alliance of Noncommunicable Diseases and include a minimum of 1 h of physical activity at school, promotion of healthy food choices by taxing unhealthy foods, mandatory standards for meals at kindergartens and schools as well as a ban on unhealthy food advertisement aimed at children. Conclusion: Behavior-oriented prevention programs showed only limited long-term effects. Certain groups at risk for the development of obesity are not reached effectively by current programs. Although universally valid conclusions cannot be drawn given the heterogeneity of available studies, clearly combining behavior-based programs with community-based prevention to counteract an ‘obesogenic environment' is crucial for sustainable success of future obesity prevention programs.

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Section: Behavior-based Preventionmentioning

confidence: 99%

Current Guidelines for Obesity Prevention in Childhood and Adolescence

et al. 2018

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“…A la vista de los resultados alcanzados, y de acuerdo con lo planteado por estudios anteriores (25,26), se observa la efecti- …”

Section: Discussionunclassified

“…A la luz de todo ello, no cabe duda de que la obesidad representa un grave problema de salud entre los más jóvenes y una prioridad que se debe abordar a edades cada vez más precoces para prevenir los factores de riesgo mencionados (10,11). En este sentido, su prevención ha de iniciarse desde la más temprana edad y tomando como base el sistema educativo, fomentando en este el desarrollo y la implantación de programas de educación nutricional (12,13).…”

Section: Introductionunclassified

Efectividad de una intervención educativa sobre nutrición y actividad física en una población de adolescentes. Prevención de factores de riesgo endocrino-metabólicos y cardiovasculares

et al. 2015

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Objetivo: verificar una mejora del estado nutricional y la adopción de hábitos alimentarios y de actividad física saludables en una población de estudiantes tras una intervención educativa en salud. Materiales y métodos: población compuesta por 90 adolescentes entre 15 y 17 años de edad, 46 hombres (51,1 %) y 44 mujeres (48,9 %), pertenecientes a un centro educativo público de la ciudad de Almería (España). El estudio se realizó en tres fases. La primera fase contempló valoración del estado nutricional; la segunda, intervención educativa sobre alimentación saludable y actividad física; la tercera, evaluación de la eficacia de dicha intervención. Resultados: estadísticamente hubo mejoría (p < 0,000) en el estado nutricional de los alumnos valorados con independencia de su sexo. Respecto de la adopción de hábitos saludables, se observaron diferencias significativas en las puntuaciones del test Kreceplus (p < 0,000), aunque no para la actividad física tras la intervención (p = 0,568). Conclusiones: los resultados muestran la efectividad de los procedimientos aplicados en esta intervención para modificar hábitos alimentarios. Con todo ello, la práctica de ejercicio físico continúa siendo una asignatura pendiente entre los adolescentes.

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“…Furthermore, when parents do correctly identify their child's weight status as a problem, they fail to identify weight as being a significant health issue for the child . Parents may feel concerned that identification of their child as being overweight will result in adverse effects on the child's self-esteem (Haynos & O'Donohue, 2012). There is little information in the literature identifying effective ways to engage parents in lifestyle interventions.…”

Section: Limitations Of Current Interventionsmentioning

confidence: 98%

The Lifestyle Triple P multilevel system of parenting and family support for the prevention and treatment of childhood obesity

Bartlett¹

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Childhood obesity rates are on the rise worldwide. The myriad of physical and psychological health consequences associated with childhood obesity is staggering. Emphasis must be placed on addressing this public health dilemma from both a preventative and treatment perspective.Evidence-based parent-centered interventions are a potentially effective way to target childhood obesity. Parents play a key role in a child's lifestyle habits, and research has demonstrated that interventions involving parents are more effective than interventions exclusively targeting the child.Despite this, recruitment of parents into obesity-specific programs has been problematic. This challenge must be addressed from a population health framework if improvements in childhood obesity rates are to be achieved.This thesis provides a framework for the prevention and management of childhood obesity from a public health perspective. Two randomised controlled trials are presented. First, a trial of a brief universal parenting program for the prevention of childhood obesity (Lifestyle Triple P Seminar Series); and second, a trial of an intensive 14-session parenting program for children who are already overweight or obese (Group Lifestyle Triple P). Support will be provided for a public health multilevel model of parenting support that blends a targeted intervention for overweight and obese children, with a universal brief preventative intervention for all children regardless of weight status.Chapter 1 discusses the increased prevalence rates and considerable health risks associated with childhood obesity. The complex aetiology of obesity development will be described within a socioecological perspective. The research evidence supporting a multicomponent parent-centered approach to childhood obesity management will be presented. The shortage of well-controlled research trials evaluating such programs will be highlighted.Chapter 2 details the rationale for a public health approach to preventing and treating childhood obesity. It describes the Lifestyle Triple P multilevel system, and reviews the existing evidenceiii base for these interventions. Future research needs and challenges associated with a public health approach to parenting support will be discussed.Chapter 3 evaluates the effectiveness of a new universal parenting program for obesity prevention in a randomised controlled trial (RCT) with a 12-month follow up. The Lifestyle Triple P Seminar Series targets all parents regardless of child weight status. It is designed as a health promotion tool to engage parents on a population level, and increase healthy parenting practices in general and lifestyle-specific domains. A combination of self-report and objective assessment measures was used to investigate intervention outcomes from pre-intervention, post-intervention, 6-months and 12-months follow-up. Following the intervention, there were significant improvements in overall dysfunctional parenting style, laxness, verbosity and overreactivity, both lifestyle-specific and general p...

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Universal childhood and adolescent obesity prevention programs: Review and critical analysis

Cited by 69 publications

References 67 publications

Current Guidelines for Obesity Prevention in Childhood and Adolescence

Current Guidelines for Obesity Prevention in Childhood and Adolescence

Efectividad de una intervención educativa sobre nutrición y actividad física en una población de adolescentes. Prevención de factores de riesgo endocrino-metabólicos y cardiovasculares

The Lifestyle Triple P multilevel system of parenting and family support for the prevention and treatment of childhood obesity

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