Strength of Obesity Prevention Interventions in Early Care and Education Settings: A Systematic Review
Given the high levels of obesity in young children, number of children in out-of-home care, and data suggesting a link between early care and education (ECE) participation and overweight/obesity, obesity prevention in ECE settings is critical. This systematic review covered obesity prevention interventions in center-based ECE settings published between 2010 and 2015. The goal was to identify promising intervention characteristics associated with successful behavioral and anthropometric outcomes. The review used a quality assessment tool for the studies identified, and a coding strategy was developed to assess intervention strength based on the hypothesis that more intensive interventions should yield better outcomes. The review found that 72 percent of the studies with a dietary intake measure demonstrated at least one significant impact. For studies that measured change in physical activity, fitness, or motor skills, 77 percent demonstrated at least one significant impact. Ten of the 24 studies with an anthropometric measure demonstrated at least one successful intervention effect. Relationships between intervention strength and behavioral outcomes demonstrated negative relationships for all behavioral outcomes. The review provides tentative evidence that multi-component, multi-level ECE interventions with parental engagement are most likely to be effective with anthropometric outcomes.
This executive summary is based on a full report of guidelines developed by an expert panel convened by Healthy Eating Research, a national program of the Robert Wood Johnson Foundation. The guidelines are based on current scientific evidence related to responsive parenting practices. Early life diet and feeding behaviors play … More
Early life diet and feeding behaviors play an important role in establishing healthy food preferences and behaviors and are crucial for preventing childhood overweight and obesity. This report presents evidence-based recommendations for promoting healthy nutrition and feeding patterns for infants and toddlers from birth to 24 months, with an emphasis … More
Increasing access to water and other healthy beverages and reducing consumption of sugar-sweetened beverages are viable strategies to prevent childhood obesity. In 2014, Georgia (GA) added beverage provisions to child-care licensing regulation. This study will examine the extent to which beverage policies are implemented. The specific aims of this project … More