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.
Strength of Obesity Prevention Interventions in Early Care and Education Settings: A Systematic Review
Engaging Fathers in Early Obesity Prevention During the First 1,000 Days: Policy, Systems, and Environmental Change Strategies
Fathers are critical stakeholders in childhood obesity prevention but are difficult to engage. This review presents a new approach to engaging fathers in obesity prevention during the first 1,000 days. The review focuses on five existing health and social service programs, including prenatal care, pediatric care, the Special Supplemental Nutrition … More
Parental and Provider Perceptions of Sugar-Sweetened Beverage Interventions in the First 1,000 Days: A Qualitative Study
Novel approaches to reduce sugar-sweetened beverage (SSB) consumption during the first 1,000 days – pregnancy through age 2 years – are urgently needed. This study examined perceptions of SSB consumption and acceptability of potential intervention strategies to promote SSB avoidance in low income families in the first 1,000 days. Themes … More
The Cost-Effectiveness of Interventions for Reducing Obesity among Young Children through Healthy Eating, Physical Activity, and Screen Time
Early childhood is an important period for interventions to prevent obesity, before poor diet and physical activity behaviors become entrenched and related chronic diseases develop. To date there are still few programs that have been evaluated using experimental study designs that demonstrate impacts on young children’s weight. As a result, … More