Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services

There is increasing recognition that community-based approaches may have merit in improving physical activity and healthy eating behaviors. The “Challenge for a Healthier Louisiana” program supported twelve projects that addressed the root causes of obesity through integrated community-level changes. Partnerships provided community-based obesity prevention by promoting healthier eating and/or physical activity through enhanced infrastructure, policy changes, and programming. To evaluate whether the program resulted in changes in healthy eating and/or physical activity among adults, surveys were conducted pre- and postintervention among participants. Participants who were exposed to physical activity programs were more likely to adopt the consumption of fruits (odds ratio = 2.0; 95% confidence interval [1.1, 3.6]), were more likely to eat vegetables once per day ( p = .028), and were more likely to participate in physical activity ( p = .053). Participants who were exposed to healthy eating programs were more likely to eat fruit once per day ( p = .035), were more likely to eat vegetables at least once per day ( p = .008), and were more likely to participate in physical activity ( p = .018). In conclusion, there is some indication that the Challenge for a Healthier Louisiana program produced changes in health behaviors among program participants; however, the sustainability of these changes will require further evaluation.

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Schools and Obesity Prevention: Creating School Environments and Policies to Promote Healthy Eating and Physical Activity

Milbank Quarterly ◽

10.1111/j.1468-0009.2009.00548.x ◽

2009 ◽

Vol 87 (1) ◽

pp. 71-100 ◽

Cited By ~ 404

Author(s):

MARY STORY ◽

MARILYN S. NANNEY ◽

MARLENE B. SCHWARTZ

Keyword(s):

Physical Activity ◽

Obesity Prevention ◽

Healthy Eating ◽

School Environments

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Obesity prevention in the family day care setting: impact of the Romp & Chomp intervention on opportunities for children's physical activity and healthy eating

Child Care Health and Development ◽

10.1111/j.1365-2214.2010.01205.x ◽

2011 ◽

Vol 37 (3) ◽

pp. 385-393 ◽

Cited By ~ 28

Author(s):

A. de Silva-Sanigorski ◽

D. Elea ◽

C. Bell ◽

P. Kremer ◽

L. Carpenter ◽

...

Keyword(s):

Physical Activity ◽

Obesity Prevention ◽

Healthy Eating ◽

Day Care ◽

Care Setting ◽

Family Day Care ◽

The Family ◽

Children’S Physical Activity

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The substance and sources of young children's healthy eating and physical activity knowledge: implications for obesity prevention efforts

Child Care Health and Development ◽

10.1111/j.1365-2214.2010.01191.x ◽

2011 ◽

Vol 37 (3) ◽

pp. 368-376 ◽

Cited By ~ 22

Author(s):

J. D. Lanigan

Keyword(s):

Physical Activity ◽

Obesity Prevention ◽

Healthy Eating

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The effectiveness of pediatric obesity prevention policies: a comprehensive systematic review and dose–response meta-analysis of controlled clinical trials

Journal of Translational Medicine ◽

10.1186/s12967-020-02640-1 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Shahnaz Taghizadeh ◽

Mahdieh Abbasalizad Farhangi

Keyword(s):

Physical Activity ◽

Childhood Obesity ◽

Obesity Prevention ◽

Dose Response ◽

Meta Analysis ◽

Public Health Problem ◽

Short Term ◽

Prevention Policies ◽

Diet And Physical Activity ◽

Registration Number

Abstract Background Childhood obesity persists as a serious public health problem. In the current meta-analysis, we summarized the results of controlled trials that evaluated the effect of obesity prevention policies in children and adolescents. Methods Three databases (SCOPUS, PubMed and Embase) were searched for studies published before the 6th April 2020, by reported outcome measures of body mass index (BMI) and BMI-Zscore. Forty-seven studies reported BMI, while 45 studies reported BMI-Zscore as final outcome. Results The results showed that the obesity-prevention policies had significant effect in reducing BMI (WMD: − 0.127; CI − 0.198, − 0.056; P < 0.001). These changes were not significant for BMI-Zscore (WMD: − 0.020; CI − 0.061, 0.021; P = 0.340). In dose–response meta-analysis, a non-linear association was reported between the duration of intervention and BMI (Pnonlinearity < 0.001) as well as BMI-Zscore (Pnonlinearity = 0.023). In subgroup analysis, the more favorite results were observed for 5–10 years old, with combination of physical activity and diet as intervention materials. Conclusion In conclusion, the obesity prevention policies in short-term periods of less than 2 years, in rather early age of school with approaches of change in both of diet and physical activity, could be more effective in prevention of childhood obesity. Trial registration PROSPERO registration number: CRD42019138359

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