Evolution of a Coalition Network during a Whole-of-Community Intervention to Prevent Early Childhood Obesity

2021 ◽  
Author(s):  
Ariella R. Korn ◽  
Ross A. Hammond ◽  
Erin Hennessy ◽  
Aviva Must ◽  
Mark C. Pachucki ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Community Intervention ◽  
Early Childhood Obesity

scholarly journals Sustainability of Effects of an Early Childhood Obesity Prevention Trial Over Time

2015 ◽  
Vol 169 (6) ◽  
pp. 543 ◽  
Author(s):  
Li Ming Wen ◽  
Louise A. Baur ◽  
Judy M. Simpson ◽  
Huilan Xu ◽  
Alison J. Hayes ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Prevention Trial ◽  
Childhood Obesity Prevention ◽  
Early Childhood Obesity ◽  
Over Time

scholarly journals Transforming Obesity Prevention for CHILDren (TOPCHILD) Collaboration: protocol for a systematic review with individual participant data meta-analysis of behavioural interventions for the prevention of early childhood obesity

2020 ◽  
Author(s):  
Kylie E Hunter ◽  
Brittany J Johnson ◽  
Lisa Askie ◽  
Rebecca K Golley ◽  
Louise A Baur ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Meta Analysis ◽  
Individual Participant Data ◽  
Behavioural Interventions ◽  
Analysis Methodology ◽  
Individual Participant ◽  
Early Childhood Obesity ◽  
Overall Effectiveness

ABSTRACTIntroductionBehavioural interventions in early life appear to show some effect in reducing childhood overweight and obesity. However, uncertainty remains regarding their overall effectiveness, and whether effectiveness differs among key subgroups. These evidence gaps have prompted an increase in very early childhood obesity prevention trials worldwide. Combining the individual participant data (IPD) from these trials will enhance statistical power to determine overall effectiveness and enable examination of intervention-covariate interactions. We present a protocol for a systematic review with IPD meta-analysis to evaluate the effectiveness of obesity prevention interventions commencing antenatally or in the first year after birth, and to explore whether there are differential effects among key subgroups.Methods and analysisSystematic searches of Medline, Embase, CENTRAL, CINAHL, PsycInfo, and trial registries for all ongoing and completed randomised controlled trials evaluating behavioural interventions for the prevention of early childhood obesity have been completed up to March 2020 and will be updated annually to include additional trials. Eligible trialists will be asked to share their IPD; if unavailable, aggregate data will be used where possible. An IPD meta-analysis and a nested prospective meta-analysis (PMA) will be performed using methodologies recommended by the Cochrane Collaboration. The primary outcome will be body mass index (BMI) z-score at age 24 +/- 6 months using World Health Organisation Growth Standards, and effect differences will be explored among pre-specified individual and trial-level subgroups. Secondary outcomes include other child weight-related measures, infant feeding, dietary intake, physical activity, sedentary behaviours, sleep, parenting measures and adverse events.Ethics and disseminationApproved by The University of Sydney Human Research Ethics Committee (2020/273) and Flinders University Social and Behavioural Research Ethics Committee (project no. HREC CIA2133-1). Results will be relevant to clinicians, child health services, researchers, policy-makers and families, and will be disseminated via publications, presentations, and media releases.RegistrationProspectively registered on PROSPERO: CRD42020177408STRENGTHS AND LIMITATIONS OF THIS STUDYThis will be the largest individual participant data (IPD) meta-analysis evaluating behavioural interventions for the prevention of early childhood obesity to date, and will provide the most reliable and precise estimates of early intervention effects to inform future decision-making.IPD meta-analysis methodology will enable unprecedented exploration of important individual and trial-level characteristics that may be associated with childhood obesity or that may be effect modifiers.The proposed innovative methodologies are feasible and have been successfully piloted by members of our group.It may not be possible to obtain IPD from all eligible trials; in this instance, aggregate data will be used where available, and sensitivity analyses will be conducted to assess inclusion bias.Outcome measures may be collected and reported differently across included trials, potentially increasing imprecision; however, we will harmonise available data where possible, and encourage those planning or conducting ongoing trials to collect common core outcomes following prospective meta-analysis methodology.

scholarly journals Convenience Stores are Associated with Early Childhood Obesity in Low‐Income Households

2010 ◽  
Vol 24 (S1) ◽  
Author(s):  
Maria Koleilat ◽  
Gail Harrison ◽  
Shannon Whaley ◽  
Judy Gomez ◽  
Eloise Jenks
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Low Income ◽  
Convenience Stores ◽  
Early Childhood Obesity ◽  
Low Income Households

scholarly journals Rapid infant weight gain and early childhood obesity in low-income Latinos and non-Latinos

2015 ◽  
Vol 19 (10) ◽  
pp. 1777-1784 ◽  
Author(s):  
Sarah Polk ◽  
Rachel Johnson Thornton ◽  
Laura Caulfield ◽  
Alvaro Muñoz
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Low Income ◽  
Overweight And Obesity ◽  
Latino Children ◽  
High Incidence ◽  
Early Childhood Obesity ◽  
Paediatric Practice ◽  
Infant Weight Gain ◽  
Rapid Infant Weight Gain

AbstractObjectiveTo examine the growth of infants and toddlers in a population that is both under-represented in the literature and at high risk for childhood obesity.DesignWeight and height measurements were extracted from all visits for a sample of 0–4-year-old, low-income, Latino and non-Latino patients of an urban, academic general paediatric practice. Early growth was characterized as change in weight-for-length Z-score (WLZ) from birth to 3 years. The outcome of interest was BMI Z-score (BMIZ) at age 3 years. Mixed-effects models and multivariate linear regression were used to analyse the association between infant growth and early childhood obesity.SettingBaltimore, MD, USA.SubjectsLatino (n 210) and non-Latino (n 253) children, born in 2003–2004.ResultsAn increase in WLZ from birth to 2 years was observed for this cohort as well as a high incidence of overweight and obesity. WLZ at birth and change in WLZ from birth to 2 years were both significantly and positively associated with increases in BMIZ at 3 years of age. The effect of the change in WLZ was twofold higher than the effect of WLZ at birth.ConclusionsAn increase in WLZ during the first 2 years of life increased the risk of early childhood obesity. Latino children had a higher incidence of early childhood obesity than non-Latino children in this low-income sample.

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