Trends of overweight and obesity among preschool children from 2013 to 2018: A cross-sectional study in Rhine-Neckar County and the City of Heidelberg, Germany

Abstract BackgroundEarly childhood overweight and obesity is a growing public health concern worldwide. Few recent studies have addressed how time trends varied by sociodemographic characteristics at the regional level using large and high-quality data. This study aims to determine how time trends vary in the prevalence of early childhood overweight and obesity by age, gender, and migration background at the regional level.MethodsWe described the distribution change in the BMI with a Kernel-density curve, and evaluated the trends of overweight and obesity by age, gender, and migration background using logistic regression.ResultsMean BMI and the prevalence of overweight and obesity increased among preschool children aged 4-6 years in the Rhine-Neckar County and the City of Heidelberg. After adjusting for age, gender, and migration background, trends in the prevelance of overweight significantly increased only among male children in the age 5 year group with migration background (P < 0.05), and an upward trend of obesity was observed only among male children in the age 5 year group and female children in the age 6 year group with migration background (P < 0.05).ConclusionsBMI distribution as well as general prevalence of overweight and obesity are still increasing among preschool children. Children with migration backgrounds, particularly male children in the age 5 year groups and female children in the age 6 year group should be prioritized. More prevention policies should be targeted towards vulnerable groups.

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Time trends in prevalence and incidence rates of childhood overweight and obesity in Portugal: Generation XXI birth cohort

International Journal of Obesity ◽

10.1038/s41366-018-0286-8 ◽

2018 ◽

Vol 43 (2) ◽

pp. 424-427 ◽

Cited By ~ 3

Author(s):

Ana Isabel Freitas ◽

Carla Moreira ◽

Ana Cristina Santos

Keyword(s):

Birth Cohort ◽

Time Trends ◽

Childhood Overweight ◽

Incidence Rates ◽

Overweight And Obesity ◽

Childhood Overweight And Obesity

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Effectiveness of parent-centred interventions for the prevention and treatment of childhood overweight and obesity in community settings: A Systematic Review.

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/01938924-201008161-00003 ◽

2010 ◽

Vol 8 (Supplement) ◽

pp. 1-12

Author(s):

James Bray ◽

Clare Collins ◽

Philip Morgan ◽

Tracy Burrows

Keyword(s):

Systematic Review ◽

Childhood Overweight ◽

Overweight And Obesity ◽

Community Settings ◽

Childhood Overweight And Obesity ◽

Prevention And Treatment

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OP55 Childhood overweight and obesity at the start of primary school: external validation of pregnancy and early-life prediction models

10.1136/jech-2020-ssmabstracts.54 ◽

2020 ◽

Author(s):

N Ziauddeen ◽

PJ Roderick ◽

G Santorelli ◽

J Wright ◽

NA Alwan

Keyword(s):

Primary School ◽

Early Life ◽

Life Prediction ◽

Prediction Models ◽

External Validation ◽

Childhood Overweight ◽

Overweight And Obesity ◽

Childhood Overweight And Obesity

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

BMC Public Health ◽

10.1186/s12889-021-11288-5 ◽

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.

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