The first 1,000 days – conception through age 2 – represents an important period for the development and prevention of childhood obesity. This study reviews existing evidence from interventions occurring in the first 1,000 days that included prevention of childhood overweight or obesity as an outcome, identifies gaps in current research, and discusses conceptual frameworks and opportunities for future interventions. The results of this study are based on 34 articles representing 26 unique completed interventions, published between January 1, 1980 and December 12, 2014, as well as 46 identified ongoing trials. Nine of the completed interventions were found to be effective. Across both completed and ongoing interventions, the majority targeted individual-level behaviors and many were confined to clinical settings; few targeted early-life systems and policies that may impact childhood obesity. Obesity interventions may have the greatest preventive effect if begun early in life, yet few effective interventions in the first 1,000 days exist, and many target individual-level behaviors of parents and infants.
Interventions for Childhood Obesity in the First 1,000 Days: A Systematic Review
The first 1,000 days, or the period from conception through age 2, is increasingly recognized as a critical period for the development of childhood obesity and its adverse consequences. This issue brief is based on two review papers that examined evidence on risk factors for developing childhood obesity and interventions … More
This study reviews existing evidence for modifiable childhood obesity risk factors that are present from conception to age 2. This period, described as the first 1,000 days, is a critical period for development of childhood obesity and its adverse consequences. The results of this study are based on 282 studies … More
Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach
Bottle-fed infants are at greater risk for overfeeding and rapid weight gain (RWG), so evidence-based strategies for promoting healthy bottle-feeding practices are needed. The aim of this study was to assess whether policy, systems, and environmental (PSE) strategies for promoting responsive bottle-feeding practices within the Special Supplemental Nutrition Program for … More