Physical activity in the treatment of childhood overweight and obesity: current evidence and research issues

1999 ◽  
Vol 31 (Supplement 1) ◽  
pp. S553 ◽  
Author(s):  
LEONARD H. EPSTEIN ◽  
GARY S. GOLDFIELD
Keyword(s):  
Physical Activity ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Current Evidence ◽  
Research Issues ◽  
Childhood Overweight And Obesity

scholarly journals Parental Adherence to Ideal Cardiovascular Health Status Was Associated With a Substantially Lower Prevalence of Overweight and Obesity in Their Offspring Aged 6–18 Years

2021 ◽  
Vol 8 ◽  
Author(s):  
Yanhui Li ◽  
Di Gao ◽  
Zhaogeng Yang ◽  
Ying Ma ◽  
Manman Chen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Status ◽  
Cardiovascular Health ◽  
Intervention Strategy ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Lower Prevalence ◽  
Ideal Cardiovascular Health ◽  
Childhood Overweight And Obesity ◽  
Pediatric Overweight

Background: Parental health status had a potential influence on offspring health. This study aimed to investigate the separate associations between paternal and maternal cardiovascular health statuses and the prevalence of childhood overweight and obesity in the offspring.Methods: Data were from a cross-sectional study conducted in seven provinces or cities of China in 2013. A total of 29,317 children aged 6–18 years old and their parents, making up 9,585 father-offspring pairs and 19,732 mother-offspring pairs, were included in the final analysis. Information on parental cardiovascular health status factors (dietary behaviors, body mass index (BMI), smoking, physical activity, hypertension, and diabetes mellitus) was obtained from the structured self-administrated questionnaires. Based on the health status factors, we then generated an ideal cardiovascular health (iCVH) score. The overweight and obesity of children were defined using age- and sex-specific cutoffs based on the International Obesity Task Force criteria. A multilevel log-binomial regression model was used to assess the association between parental cardiovascular health status and prevalence of childhood overweight and obesity in the offspring.Results: The prevalence of pediatric overweight and obesity was 22.0% in the father-offspring subset and 23.8% in the mother-offspring subset, respectively. Fathers with ideal BMI, non-smoking, and absence of hypertension and diabetes, and mothers with ideal BMI, ideal physical activity, and absence of hypertension and diabetes were found to be associated with lower prevalence of overweight and obesity in the offspring. The prevalence of offspring overweight and obesity was significantly decreased with the parental iCVH scores increased. Each additional increase in paternal and maternal iCVH factor was associated with a 30% and 27% lower prevalence of overweight and obesity in the offspring. Compared with children whose parental iCVH scores ≤ 3, offspring whose fathers or mothers met all six iCVH factors had 67% [prevalence ratio (PR): 0.33, 95%CI: 0.25–0.42] and 58% (PR: 0.42, 95%CI: 0.29–0.62) lower prevalence of overweight and obesity, respectively.Conclusions: Parental adherence to iCVH status was associated with a lower prevalence of pediatric overweight and obesity in offspring. Our findings support the intervention strategy that parents should involve in the obesity intervention program for children.

scholarly journals Determinants of childhood overweight and obesity in China

2007 ◽  
Vol 97 (1) ◽  
pp. 210-215 ◽  
Author(s):  
Y. Li ◽  
F. Zhai ◽  
X. Yang ◽  
E. G. Schouten ◽  
X. Hu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Weight ◽  
Weight Status ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Overweight Children ◽  
Cooking Oil ◽  
Low Intensity ◽  
Childhood Overweight And Obesity ◽  
Body Weight Status

In order to investigate the determinants of childhood overweight and obesity in China, the prevalence of overweight (including obesity) was compared according to different dietary and physical activity patterns and parental body weight status. A total of 6826 children aged 7–17 years from the 2002 China National Nutrition and Health Survey were included in the study. Information for dietary intake was collected using three consecutive 24-h recalls by trained interviewers. The amounts of cooking oil and condiments consumed were weighed. An interview-administered 1-year physical activity questionnaire was used to collect physical activity information. The results showed that the heavier the parental body weight, the higher the overweight prevalence in children. The prevalence ratio increased if parent(s) were overweight and/or obese, up to 12·2 if both parents were obese. Overweight children consumed significantly more dietary energy, protein and fat, but less carbohydrate than their normal weight counterparts. On average, overweight children spent 0·5 h less on moderate/vigorous activities and 2·3 h more on low intensity activities per week. The following prevalence ratios were statistically significant: walking to and from school (0·6); moderate/vigorous activities ≥ 45 min/d (0·8); low intensity physical activities >2 h/d (1·3); the consumption of ≥ 25 g/d cooking oil (1·4); ≥ 200 g/d meat and meat products consumption (1·5); ≥ 100 g/d dairy products (1·8). After adjustment for parental body weight status and socioeconomic status, only cooking oil consumption and walking to and from school remained significantly related to child overweight. In conclusion, parental weight status is an important determinant. Fat intake, low intensity activities and active transport to/from school may be suitable entry points for overweight prevention among Chinese school children.

scholarly journals Characteristics of Multicomponent Interventions to Treat Childhood Overweight and Obesity in Extremely Cold Climates: A Systematic Review of a Randomized Controlled Trial

2021 ◽  
Vol 18 (6) ◽  
pp. 3098
Author(s):  
Javier Albornoz-Guerrero ◽  
Sonia García ◽  
Guillermo García Pérez de Sevilla ◽  
Igor Cigarroa ◽  
Rafael Zapata-Lamana
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Childhood Obesity ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Cold Climate ◽  
Cold Climates ◽  
Childhood Overweight And Obesity ◽  
Effective Interventions ◽  
Multicomponent Interventions

Aim: To analyze the characteristics of multicomponent interventions to reduce childhood overweight and obesity in territories with an extremely cold climate. Methods: A systematic review was conducted following the PRISMA statement. MEDLINE, PsycNet, SciELO, and grey literature databases were reviewed in the period between 2010 and 2020. Results: 29 articles were included (n = 4434 participants; 9.3 years; 56% women) with an average adherence of 86%, 100% being the highest adherence, for the physical activity and nutrition interventions. The primary variables studied were BMI, BMI Z-score BMI-SDS and, additionally, the secondary variables studied were nutritional status and physical and mental health. In 72% of the interventions presented, positive effects were seen on the reduction of BMI, including in parents and their children. The interventions were carried out mainly by nutritionists in health centers. The duration of the 29 interventions was ≤6 months and ≥12 months, in 59% and 41% of the studies, respectively. 57% of the studies reported post-intervention results. 86% of the interventions included a physical activity component, 80% included a nutrition component, 66% included a behavioral therapy component and 55% included an education component. Concerning the effects of the intervention on the primary outcome, in interventions with a duration equal to or less than six months, the most effective interventions included recreational activities, education, and nutritional programs. In interventions lasting 12 months or more, the most effective interventions included physical activity recommendations, nutritional and physical exercise programs, and cooking classes. Conclusions: This systematic review analyzed the effectiveness of, and characterized, multicomponent interventions lasting for 6 and 12 months, aiming to treat childhood obesity in extremely cold climates. The most frequently used units of measurement were also analyzed and summarized. Evidence derived from RCT. These results can be useful for designing future interventions to treat childhood obesity in territories with an extremely cold climate.

scholarly journals Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicola Maitland ◽  
Karen Wardle ◽  
Jill Whelan ◽  
Bin Jalaludin ◽  
Doug Creighton ◽  
...  
Keyword(s):  
Stakeholder Engagement ◽  
System Approach ◽  
Action Plan ◽  
Complex Interventions ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Community Members ◽  
Childhood Overweight And Obesity ◽  
Working Groups ◽  
Implementation Data

Abstract Background Obesity is a chronic disease that contributes to additional comorbidities including diabetes, kidney disease and several cancers. Change4Campbelltown implemented a ‘whole of system’ approach to address childhood overweight and obesity. We present methods to track implementation and stakeholder engagement in Change4Campbelltown. Methods Change4Campbelltown aimed to build capacity among key leaders and the broader community to apply techniques from systems thinking to develop community-led actions that address childhood obesity. Change4Campbelltown comprised development of a stakeholder-informed Causal Loop Diagram (CLD) and locally-tailored action plan, formation of key stakeholder and community working groups to prioritise and implement actions, and continuous monitoring of intervention actions. Implementation data included an action register, stakeholder engagement database and key engagement activities and were collected quarterly by the project management team over 2 years of reporting. Results Engagement activities increased level of community engagement amongst key leaders, the school-sector and community members. Community-led action increased as engagement increased and this action is mapped directly to the primary point of influence on the CLD. As action spread diversified across the CLD, the geographical spread of action within the community increased. Conclusions This paper provides a pragmatic example of the methods used to track implementation of complex interventions that are addressing childhood overweight and obesity.

scholarly journals Patterns of early life body mass index and childhood overweight and obesity status at eight years of age

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Joseph M. Braun ◽  
Heidi J. Kalkwarf ◽  
George D. Papandonatos ◽  
Aimin Chen ◽  
Bruce P. Lanphear
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Early Life ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Childhood Overweight And Obesity ◽  
Obesity Status
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