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Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019
To evaluate the efficacy of childhood obesity interventions and conduct a taxonomy of intervention components that are most effective in changing obesity-related health outcomes in children 2-5 years of age. Comprehensive searches located 51 studies from 18,335 unique records. Eligible studies: (1)...
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| Published in: | Childhood obesity 2020-09, Vol.16 (S2), p.S221-S2-48 |
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| Main Authors: | , , , , , , , , , , , , , , , , |
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| container_end_page | S2-48 |
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| container_start_page | S221 |
| container_title | Childhood obesity |
| container_volume | 16 |
| creator | Scott-Sheldon, Lori A J Hedges, Larry V Cyr, Chris Young-Hyman, Deborah Khan, Laura Kettel Magnus, Mackenzie King, Heather Arteaga, Sonia Cawley, John Economos, Christina D Haire-Joshu, Debra Hunter, Christine M Lee, Bruce Y Kumanyika, Shiriki K Ritchie, Lorrene D Robinson, Thomas N Schwartz, Marlene B |
| description | To evaluate the efficacy of childhood obesity interventions and conduct a taxonomy of intervention components that are most effective in changing obesity-related health outcomes in children 2-5 years of age.
Comprehensive searches located 51 studies from 18,335 unique records. Eligible studies: (1) assessed children aged 2-5, living in the United States; (2) evaluated an intervention to improve weight status; (3) identified a same-aged comparison group; (4) measured BMI; and (5) were available between January 2005 and August 2019. Coders extracted study, sample, and intervention characteristics. Effect sizes [ESs; and 95% confidence intervals (CIs)] were calculated by using random-effects models. Meta-regression was used to determine which intervention components explain variability in ESs.
Included were 51 studies evaluating 58 interventions (
= 29,085; mean age = 4 years; 50% girls). Relative to controls, children receiving an intervention had a lower BMI at the end of the intervention (
= 0.10, 95% CI = 0.02-0.18;
= 55) and at the last follow-up (
= 0.17, 95% CI = 0.04-0.30;
= 14; range = 18-143 weeks). Three intervention components moderated efficacy: engage caregivers in praise/encouragement for positive health-related behavior; provide education about the importance of screen time reduction to caregivers; and engage pediatricians/health care providers.
Early childhood obesity interventions are effective in reducing BMI in preschool children. Our findings suggest that facilitating caregiver education about the importance of screen time reduction may be an important strategy in reducing early childhood obesity. |
| doi_str_mv | 10.1089/chi.2020.0139 |
| format | article |
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Comprehensive searches located 51 studies from 18,335 unique records. Eligible studies: (1) assessed children aged 2-5, living in the United States; (2) evaluated an intervention to improve weight status; (3) identified a same-aged comparison group; (4) measured BMI; and (5) were available between January 2005 and August 2019. Coders extracted study, sample, and intervention characteristics. Effect sizes [ESs; and 95% confidence intervals (CIs)] were calculated by using random-effects models. Meta-regression was used to determine which intervention components explain variability in ESs.
Included were 51 studies evaluating 58 interventions (
= 29,085; mean age = 4 years; 50% girls). Relative to controls, children receiving an intervention had a lower BMI at the end of the intervention (
= 0.10, 95% CI = 0.02-0.18;
= 55) and at the last follow-up (
= 0.17, 95% CI = 0.04-0.30;
= 14; range = 18-143 weeks). Three intervention components moderated efficacy: engage caregivers in praise/encouragement for positive health-related behavior; provide education about the importance of screen time reduction to caregivers; and engage pediatricians/health care providers.
Early childhood obesity interventions are effective in reducing BMI in preschool children. Our findings suggest that facilitating caregiver education about the importance of screen time reduction may be an important strategy in reducing early childhood obesity.</description><identifier>ISSN: 2153-2168</identifier><identifier>EISSN: 2153-2176</identifier><identifier>DOI: 10.1089/chi.2020.0139</identifier><identifier>PMID: 32936038</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Age ; Bias ; Bibliographic data bases ; Caregivers ; Child ; Child, Preschool ; Citation management software ; Clinical trials ; Data collection ; Educational Status ; Ethnicity ; Female ; Health Behavior ; Health care ; Health Education ; Humans ; Intervention ; Male ; Meta-analysis ; Nutrition ; Obesity ; Original ; Overweight ; Pediatric Obesity - epidemiology ; Pediatric Obesity - prevention & control ; Prevention ; Socioeconomic factors ; Systematic review ; Taxonomy</subject><ispartof>Childhood obesity, 2020-09, Vol.16 (S2), p.S221-S2-48</ispartof><rights>Copyright Mary Ann Liebert, Inc. Sep 2020</rights><rights>Copyright 2020, Mary Ann Liebert, Inc., publishers 2020 Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-f98b33fd0625ceedabaa8fe17c80d469297b88d5f50e128016f6364c50b63b9b3</citedby><cites>FETCH-LOGICAL-c415t-f98b33fd0625ceedabaa8fe17c80d469297b88d5f50e128016f6364c50b63b9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,3061,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32936038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scott-Sheldon, Lori A J</creatorcontrib><creatorcontrib>Hedges, Larry V</creatorcontrib><creatorcontrib>Cyr, Chris</creatorcontrib><creatorcontrib>Young-Hyman, Deborah</creatorcontrib><creatorcontrib>Khan, Laura Kettel</creatorcontrib><creatorcontrib>Magnus, Mackenzie</creatorcontrib><creatorcontrib>King, Heather</creatorcontrib><creatorcontrib>Arteaga, Sonia</creatorcontrib><creatorcontrib>Cawley, John</creatorcontrib><creatorcontrib>Economos, Christina D</creatorcontrib><creatorcontrib>Haire-Joshu, Debra</creatorcontrib><creatorcontrib>Hunter, Christine M</creatorcontrib><creatorcontrib>Lee, Bruce Y</creatorcontrib><creatorcontrib>Kumanyika, Shiriki K</creatorcontrib><creatorcontrib>Ritchie, Lorrene D</creatorcontrib><creatorcontrib>Robinson, Thomas N</creatorcontrib><creatorcontrib>Schwartz, Marlene B</creatorcontrib><title>Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019</title><title>Childhood obesity</title><addtitle>Child Obes</addtitle><description>To evaluate the efficacy of childhood obesity interventions and conduct a taxonomy of intervention components that are most effective in changing obesity-related health outcomes in children 2-5 years of age.
Comprehensive searches located 51 studies from 18,335 unique records. Eligible studies: (1) assessed children aged 2-5, living in the United States; (2) evaluated an intervention to improve weight status; (3) identified a same-aged comparison group; (4) measured BMI; and (5) were available between January 2005 and August 2019. Coders extracted study, sample, and intervention characteristics. Effect sizes [ESs; and 95% confidence intervals (CIs)] were calculated by using random-effects models. Meta-regression was used to determine which intervention components explain variability in ESs.
Included were 51 studies evaluating 58 interventions (
= 29,085; mean age = 4 years; 50% girls). Relative to controls, children receiving an intervention had a lower BMI at the end of the intervention (
= 0.10, 95% CI = 0.02-0.18;
= 55) and at the last follow-up (
= 0.17, 95% CI = 0.04-0.30;
= 14; range = 18-143 weeks). Three intervention components moderated efficacy: engage caregivers in praise/encouragement for positive health-related behavior; provide education about the importance of screen time reduction to caregivers; and engage pediatricians/health care providers.
Early childhood obesity interventions are effective in reducing BMI in preschool children. Our findings suggest that facilitating caregiver education about the importance of screen time reduction may be an important strategy in reducing early childhood obesity.</description><subject>Age</subject><subject>Bias</subject><subject>Bibliographic data bases</subject><subject>Caregivers</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Citation management software</subject><subject>Clinical trials</subject><subject>Data collection</subject><subject>Educational Status</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Health care</subject><subject>Health Education</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Meta-analysis</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Original</subject><subject>Overweight</subject><subject>Pediatric Obesity - epidemiology</subject><subject>Pediatric Obesity - prevention & control</subject><subject>Prevention</subject><subject>Socioeconomic factors</subject><subject>Systematic review</subject><subject>Taxonomy</subject><issn>2153-2168</issn><issn>2153-2176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpdkk9vEzEQxVcIRKvSI1c0EhcObPCf3Y3NASlEBSIVimgR4mR5vbOJq107tZ1AvhsfDqctETAXz3h-enq2XlE8pWRCiZCvzMpOGGFkQiiXD4pjRmteMjptHh76RhwVpzFek1xcckrk4-KIM8kbwsVx8Wu-skO38r6DixajTTs429oOnUF4qyPC5-Cv0aTXMIPLXUw46mQNfMGtxR-gXQcfMely5vSwizaC70HDp7y60j-98-Nuf7NwCcMWXbLewdyPa-_yECF5WIzr4LcI39AuVwkuk06bCDZje18BHbCyhu-ow632bIkvgRFSl4xQ-aR41Osh4un9eVJ8fXd2Nf9Qnl-8X8xn56WpaJ3KXoqW874jDasNYqdbrUWPdGoE6apGMjlthejqviZImSC06RveVKYmbcNb2fKT4s2d7nrTjtiZbD7oQa2DHXXYKa-t-nfj7Eot_VZNK8Eoa7LAi3uB4G82GJMabTQ4DNqh30TFqorXdMokyejz_9Brvwn5e28pJngGq0yVd5QJPsaA_cEMJWofDZWjofbRUPtoZP7Z3y840H-CwH8D4Im0qA</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Scott-Sheldon, Lori A J</creator><creator>Hedges, Larry V</creator><creator>Cyr, Chris</creator><creator>Young-Hyman, Deborah</creator><creator>Khan, Laura Kettel</creator><creator>Magnus, Mackenzie</creator><creator>King, Heather</creator><creator>Arteaga, Sonia</creator><creator>Cawley, John</creator><creator>Economos, Christina D</creator><creator>Haire-Joshu, Debra</creator><creator>Hunter, Christine M</creator><creator>Lee, Bruce Y</creator><creator>Kumanyika, Shiriki K</creator><creator>Ritchie, Lorrene D</creator><creator>Robinson, Thomas N</creator><creator>Schwartz, Marlene B</creator><general>Mary Ann Liebert, Inc</general><general>Mary Ann Liebert, Inc., publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202009</creationdate><title>Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019</title><author>Scott-Sheldon, Lori A J ; Hedges, Larry V ; Cyr, Chris ; Young-Hyman, Deborah ; Khan, Laura Kettel ; Magnus, Mackenzie ; King, Heather ; Arteaga, Sonia ; Cawley, John ; Economos, Christina D ; Haire-Joshu, Debra ; Hunter, Christine M ; Lee, Bruce Y ; Kumanyika, Shiriki K ; Ritchie, Lorrene D ; Robinson, Thomas N ; Schwartz, Marlene B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-f98b33fd0625ceedabaa8fe17c80d469297b88d5f50e128016f6364c50b63b9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age</topic><topic>Bias</topic><topic>Bibliographic data bases</topic><topic>Caregivers</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Citation management software</topic><topic>Clinical trials</topic><topic>Data collection</topic><topic>Educational Status</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Health care</topic><topic>Health Education</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Meta-analysis</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Original</topic><topic>Overweight</topic><topic>Pediatric Obesity - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Childhood obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scott-Sheldon, Lori A J</au><au>Hedges, Larry V</au><au>Cyr, Chris</au><au>Young-Hyman, Deborah</au><au>Khan, Laura Kettel</au><au>Magnus, Mackenzie</au><au>King, Heather</au><au>Arteaga, Sonia</au><au>Cawley, John</au><au>Economos, Christina D</au><au>Haire-Joshu, Debra</au><au>Hunter, Christine M</au><au>Lee, Bruce Y</au><au>Kumanyika, Shiriki K</au><au>Ritchie, Lorrene D</au><au>Robinson, Thomas N</au><au>Schwartz, Marlene B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019</atitle><jtitle>Childhood obesity</jtitle><addtitle>Child Obes</addtitle><date>2020-09</date><risdate>2020</risdate><volume>16</volume><issue>S2</issue><spage>S221</spage><epage>S2-48</epage><pages>S221-S2-48</pages><issn>2153-2168</issn><eissn>2153-2176</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>ObjectType-Undefined-3</notes><abstract>To evaluate the efficacy of childhood obesity interventions and conduct a taxonomy of intervention components that are most effective in changing obesity-related health outcomes in children 2-5 years of age.
Comprehensive searches located 51 studies from 18,335 unique records. Eligible studies: (1) assessed children aged 2-5, living in the United States; (2) evaluated an intervention to improve weight status; (3) identified a same-aged comparison group; (4) measured BMI; and (5) were available between January 2005 and August 2019. Coders extracted study, sample, and intervention characteristics. Effect sizes [ESs; and 95% confidence intervals (CIs)] were calculated by using random-effects models. Meta-regression was used to determine which intervention components explain variability in ESs.
Included were 51 studies evaluating 58 interventions (
= 29,085; mean age = 4 years; 50% girls). Relative to controls, children receiving an intervention had a lower BMI at the end of the intervention (
= 0.10, 95% CI = 0.02-0.18;
= 55) and at the last follow-up (
= 0.17, 95% CI = 0.04-0.30;
= 14; range = 18-143 weeks). Three intervention components moderated efficacy: engage caregivers in praise/encouragement for positive health-related behavior; provide education about the importance of screen time reduction to caregivers; and engage pediatricians/health care providers.
Early childhood obesity interventions are effective in reducing BMI in preschool children. Our findings suggest that facilitating caregiver education about the importance of screen time reduction may be an important strategy in reducing early childhood obesity.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>32936038</pmid><doi>10.1089/chi.2020.0139</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2153-2168 |
| ispartof | Childhood obesity, 2020-09, Vol.16 (S2), p.S221-S2-48 |
| issn | 2153-2168 2153-2176 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7482126 |
| source | Mary Ann Liebert Online |
| subjects | Age Bias Bibliographic data bases Caregivers Child Child, Preschool Citation management software Clinical trials Data collection Educational Status Ethnicity Female Health Behavior Health care Health Education Humans Intervention Male Meta-analysis Nutrition Obesity Original Overweight Pediatric Obesity - epidemiology Pediatric Obesity - prevention & control Prevention Socioeconomic factors Systematic review Taxonomy |
| title | Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019 |
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