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VOLUME 2 , ISSUE 2 ( April-June, 2019 ) > List of Articles

REVIEW ARTICLE

Childhood Obesity: Role of Population-based Preventive Approaches

Tahmina A Keya, Anthony Leela, Nasrin Habib, Mamunur Rashid

Keywords : Childhood obesity, Community participation, Population-based prevention, Public–private partnership,Body mass index

Citation Information : Keya T A, Leela A, Habib N, Rashid M. Childhood Obesity: Role of Population-based Preventive Approaches. 2019; 2 (2):54-60.

DOI: 10.5005/jp-journals-10082-02202

License: CC BY-NC 4.0

Published Online: 00-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background and objectives: The number of obese children worldwide is rising very rapidly in the past 4 decades so that childhood obesity is now considered as one of the serious public health challenges. The objective of this study is to provide an overview of the literature focused on the burden of childhood obesity and the ways to overcome it. Materials and methods: Peer-reviewed studies published between 1991 and 2018 were considered for the review. Studies meeting eligibility criteria were published in English, targeted children aged 3–18 years. Seventy-six studies were considered for inclusion. Eighteen studies were excluded due to poor methodological quality. Sixty-four studies were included in the review. Data were extracted independently. Results: This review identified the evidence-based intervention of childhood obesity prevention. The results indicate six key issues of emphasis in the literature: population-based preventive approach as the best option; preschool and primary school population as the major target group; behavioral changes are crucial; development of the structures to support policies and interventions at the level of government to prevent childhood obesity; population-wide policies and interventions and community-based interventions to combat childhood obesity prevention. Multisectoral collaboration and strong community participations are essential in building evidence-based well-constructed programs, policies and strategies for the prevention of childhood obesity. Conclusion: Childhood obesity is associated with significant reduction in quality of life as well as related to bullying and social isolation. World Health Organization (WHO) recommended a population-based approach for childhood obesity prevention. The key components include structures to support policies and interventions, population-wide policies and initiatives and community-based interventions. Population-based preventive approach is one of the cost-effective ways and very much crucial to control the rising tide of childhood obesity.


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  1. Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention. Nutr J 2005;4:24. DOI: 10.1186/1475- 2891-4-24.
  2. Pandita A, Sharma D, Pandita D, Pawar S, Tariq M, Kaul A. Childhood obesity: prevention is better than cure. Diabetes Metab Syndr Obes 2016;9:83–89. DOI: 10.2147/DMSO.S90783.
  3. World Health Organization report. Commission on Ending Childhood Obesity. Taking action on childhood obesity report; 2018. WHO/NMH/PND/ECHO/18.1-eng.pdf.
  4. Himes JH, Dietz WH. Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. Am J Clin Nutr 1994;59:307–316. DOI: 10.1093/ajcn/59.2.307.
  5. Himes JH. Challenges of accurately measuring and using BMI and other indicators of obesity in children. Pediatrics 2009;124(Suppl 1): S3–S22. DOI: 10.1542/peds.2008-3586D.
  6. Freedman DS, Ogden CL, Berenson GS, Horlick M. Body mass index and body fatness in childhood. Curr Opin Clin Nutr Metab Care 2005;8:618–623. DOI: 10.1097/01.mco.0000171128.21655.93.
  7. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320:1240–1243. DOI: 10.1136/bmj.320.7244.1240.
  8. Daniels SR, Arnett DK, Eckel RH, Gidding SS, Hayman LL, Kumanyika S, et al. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation 2005;111:1999–2012. DOI: 10.1161/01.CIR.0000161369.71722.10.
  9. Willett W. Food Frequency Methods. Nutritional Epidemiology, 2nd ed. Oxford University Press; vol. 5, 1998. p. 74.
  10. Joint WHO/FAO Expert Consultation on Diet, Nutrition and the Prevention of Chronic Diseases (28 January–1 February 2002: Geneva, Switzerland).
  11. Beccuti G, Pannain S. Sleep and obesity. Curr Opin Clin Nutr Metab Care 2011;14:402–412. DOI: 10.1097/MCO.0b013e3283479109.
  12. Bouchard C, Tremblay A, Després JP, Nadeau A, Lupien PJ, Thériault G, et al. The response to long-term overfeeding in identical twins. N Engl J Med 1990;322:1477–1482. DOI: 10.1056/NEJM199005243222101.
  13. Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 1998;101:518–525.
  14. Morrison JA, Sprecher DL, Barton BA, Waclawiw MA, Daniels SR. Overweight, fat patterning, and cardiovascular disease risk factors in black and white girls: The National Heart, Lung, and Blood Institute Growth and Health Study. J Pediatr 1999;135:458–464. DOI: 10.1016/S0022-3476(99)70168-X.
  15. Hassink S. Problems in childhood obesity. Prim Care 2003;30:357–374. DOI: 10.1016/S0095-4543(03)00014-9.
  16. Vajro P, Fontanella A, Perna C, Orso G, Tedesco M, De Vincenzo A. Persistent hyperaminotransferasemia resolving after weight reduction in obese children. J Pediatr 1994;125:239–241. DOI: 10.1016/S0022-3476(94)70202-0.
  17. Willi SM, Oexmann MJ, Wright NM, Collop NA, Key LL Jr. The effects of a high-protein, low-fat, ketogenic diet on adolescents with morbid obesity: body composition, blood chemistries, and sleep abnormalities. Pediatrics 1998;101:61–67. DOI: 10.1542/peds. 101.1.61.
  18. Guo SS, Roche AF, Chumlea WC, Gardner JD, Siervogel RM. The predictive value of childhood body mass index values for overweight at age 35 year. Am J Clin Nutr 1994;59:810–819. DOI: 10.1093/ajcn/59.4.810.
  19. Power C, Lake JK, Cole TJ. Body mass index and height from childhood to adulthood in the 1958 British born cohort. Am J Clin Nutr 1997;66:1094–1101. DOI: 10.1093/ajcn/66.5.1094.
  20. Parsons TJ, Power C, Logan S, Summerbell CD. Childhood predictors of adult obesity: a systematic review. Int J Obes Relat Metab Disord 1999;23(Suppl 8):S1–S107.
  21. Sacks G, Swinburn B, Xuereb G. Population-based approaches to childhood obesity prevention. World Health Organization; 2012.
  22. World Health Organization, Global school-based student health survey (GSHS); 2011.
  23. World Health Organization, 2008–2013 Action plan for the global strategy for the prevention and control of non-communicable diseases. Geneva; 2008.
  24. Sacks G, Swinburn B, Lawrence M. Obesity policy action framework and analysis grids for a comprehensive policy approach to reducing obesity. Obes Rev 2009;10:76–86. DOI: 10.1111/j.1467-789X.2008.00524.x.
  25. Cairns G, Angus K, Hastings G. The extent, nature and effects of food promotion to children: a review of the evidence to December 2008. Geneva: World Health Organization; 2009.
  26. Haby MM, Vos T, Carter R, Moodie M, Markwick A, Magnus A, et al. A new approach to assessing the health benefit from obesity interventions in children and adolescents: the assessing cost-effectiveness in obesity project. Int J Obes (Lond) 2006;30:1463–1475. DOI: 10.1038/sj.ijo.0803469.
  27. Council on Communications and Media, Strasburger VC. Children, adolescents, obesity, and the media. Pediatrics 2011 Jul;128(1): 201–208. DOI: 10.1542/peds.2011-1066.
  28. World Health Organization, Scaling up action against non-communicable diseases: how much will it cost? Geneva; 2011.
  29. World Health Organization, Global status report on non-communicable diseases 2010. Geneva; 2011.
  30. World Health Organization, Nutrition labels and health claims: the global regulatory environment. Geneva; 2004.
  31. Kelly B, Hughes C, Chapman K, Louie JC, Dixon H, Crawford J, et al. Consumer testing of the acceptability and effectiveness of front-of-pack food labelling systems for the Australian grocery market. Health Promot Int 2009;24(2):120–129. DOI: 10.1093/heapro/dap012.
  32. Gorton D, Mhurchu CN, Chen MH, Dixon R. Nutrition labels: a survey of use, understanding and preferences among ethnically diverse shoppers in New Zealand. Public Health Nutr 2009;12:1359–1365. DOI: 10.1017/S1368980008004059.
  33. Sacks G, Veerman JL, Moodie M, Swinburn B. ‘Traffic-light’ nutrition labelling and ‘junk-food’ tax: a modelled comparison of cost-effectiveness for obesity prevention. Int J Obes (Lond) 2011;35: 1001–1009. DOI: 10.1038/ijo.2010.228.
  34. Esther's Life Adventure. My Guide to Food Labelling. Cited 2013, Sep 19; Access on 2019. Available at https://ezyesta.wordpress.com/2013/09/19/my-guide-to-food-labelling/.
  35. Lester W. Traffic light labelling measure set for packaged foods in India under new FSSAI regulations. Food navigator-asia.com. News & Analysis on Food & Beverage Development & Technology – Cited on 2018 Arr 18; accessed on 2019; Available on. https://www.foodnavigator-asia.com/Article/2018/04/18/Traffic-light-labelling-measure-set-for-packaged-foods-in-India-under-new-FSSAI-regulations.
  36. Wall J, Mhurchu CN, Blakely T, Rodgers A, Wilton J. Effectiveness of monetary incentives in modifying dietary behavior: a review of randomized, controlled trials. Nutr Rev 2006;64:518–531. DOI: 10.1111/j.1753-4887.2006.tb00185.x.
  37. French SA, Jeffery RW, Story M, Breitlow KK, Baxter JS, Hannan P, et al. Pricing and promotion effects on low-fat vending snack purchases: the CHIPS Study. Am J Public Health 2001;91:112–117.
  38. Mytton O, Gray A, Rayner M, Rutter H. Could targeted food taxes improve health? J Epidemiol Community Health 2007;61:689–694. DOI: 10.1136/jech.2006.047746.
  39. Nnoaham KE, Sacks G, Rayner M, Mytton O, Gray A. Modelling income group differences in the health and economic impacts of targeted food taxes and subsidies. Int J Epidemiol 2009;38:1324–1333. DOI: 10.1093/ije/dyp214.
  40. Danish Academy of Technical Sciences. Economic nutrition policy tools – useful in the challenge to combat obesity and poor nutrition? Danish Academy of Technical Sciences, ATV, 2007.
  41. World Health Organization, Global strategy on diet, physical activity and health. Geneva, 2004.
  42. Pomerleau J, Lock K, Knai C, Mckee M. Effectiveness of interventions and programmes promoting fruit and vegetable intake. Geneva: World Health Organization; 2005.
  43. Astrup A. The trans fatty acid story in Denmark. Atheroscler Suppl 2006;7:43–46. DOI: 10.1016/j.atherosclerosissup.2006.04.010.
  44. Stender S, Dyerberg J. Influence of trans fatty acids on health. Ann Nutr Metab 2004;48:61–66. DOI: 10.1159/000075591.
  45. A Better Choice Strategy. Queensland Health, Australia; 2010.
  46. A Better Choice – healthy food and drink supply strategy for Queensland health facilities: evaluation report. Queensland Health, Australia; 2010.
  47. World Health Organization, Global recommendations on physical activity for health. Geneva; 2010.
  48. Cecchini M, Sassi F, Lauer JA, Lee YY, Guajardo-Barron V, Chisholm D. Tackling of unhealthy diets, physical inactivity, and obesity: health effects and cost-effectiveness. Lancet 2010;376:1775–1784. DOI: 10.1016/S0140-6736(10)61514-0.
  49. World Health Organization, Interventions on diet and physical activity: what works: summary report. Geneva; 2009.
  50. King L, Gill T, Allender S, Swinburn B. Best practice principles for community-based obesity prevention: development, content and application. Obes Rev 2011;12:329–338. DOI: 10.1111/j.1467-789X.2010.00798.x.
  51. Swinburn BA, Millar L, Utter J, Kremer P, Moodie M, Mavoa H, et al. The Pacific Obesity Prevention in Communities project: project overview and methods. Obes Rev 2011;12:3–11. DOI: 10.1111/j.1467-789X.2011.00921.x.
  52. de Silva-Sanigorski AM, Bell AC, Kremer P, Nichols M, Crellin M, Smith M, et al. Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program. Am J Clin Nutr 2010;91:831–840.
  53. Waters E, de Silva-Sanigorski A, Burford BJ, Brown T, Campbell KJ, Gao Y, et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2011;12:CD001871. DOI: 10.1002/14651858.CD001871.pub3.
  54. Guo X, Popkin BM, Mroz TA, Zhai F. Food price policy can favorably alter macronutrient intake in China. J Nutr 1999;129:994–1001. DOI: 10.1093/jn/129.5.994.
  55. Suhrcke M, Nugent RA, Stuckler D, Rocco L. Chronic Disease: An Economic Perspective. London: Oxford Health Alliance; 2006.
  56. Jeffery RW, French SA, Raether C, Baxter JE. An environmental intervention to increase fruit and salad purchases in a cafeteria. Prev Med 1994;23:788–792. DOI: 10.1006/pmed.1994.1135.
  57. Jeffery RW. Public health strategies for obesity treatment and prevention. Am J Health Behav 2001;25:252–259. DOI: 10.5993/AJHB.25.3.12.
  58. Khan LK, Sobush K, Keener D, Goodman K, Lowry A, Kakietek J, et al. Centers for Disease, C Prevention Recommended community strategies and measurements to prevent obesity in the United States. MMWR Recomm Rep 2009;58:1–26.
  59. Sallis JF, Glanz K. Physical Activity and Food Environments: Solutions to the Obesity Epidemic. Milbank Q 2009;87:123–154. DOI: 10.1111/j.1468-0009.2009.00550.x.
  60. Foster GD, Sherman S, Borradaile KE, Grundy KM, Vander Veur SS, Nachmani J, et al. A Policy-Based School Intervention to Prevent Overweight and Obesity. Pediatrics 2008;121:e794–e802. DOI: 10.1542/peds.2007-1365.
  61. Katz DL, O'Connell M, Njike VY, Yeh M-C, Nawaz H. Strategies for the prevention and control of obesity in the school setting: systematic review and meta-analysis. Int J Obes (Lond) 2008;32:1780–1789. DOI: 10.1038/ijo.2008.158.
  62. Pate RR, Davis MG, Robinson TN, Stone EJ, McKenzie TL, Young JC. Promoting physical activity in children and youth: a leadership role for schools: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Physical Activity Committee) in collaboration with the Councils on Cardiovascular Disease in the Young and Cardiovascular Nursing. Circulation 2006;114:1214–1224. DOI: 10.1161/CIRCULATIONAHA.106.177052.
  63. World Health Organization, Resolution WHA63.14. Marketing of food and non-alcoholic beverages to children. In: Sixty-third World Health Assembly, Geneva, 17–21 May 2010. Geneva; 2010.
  64. World Health Organization, A framework for implementing the set of recommendations on the marketing of foods and non-alcoholic beverages to children. Geneva; 2012.
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