Evaluating the impact of community interventions on childhood obesity in populations living in low-income households in Los Angeles: A simulation study.
Pediatr Obes
; 17(11): e12954, 2022 11.
Article
em En
| MEDLINE
| ID: mdl-35762192
ABSTRACT
BACKGROUND:
The complex multifactorial nature of childhood obesity makes community interventions difficult to evaluate using traditional approaches; innovative methods are needed.OBJECTIVE:
To evaluate the impact of various interventions targeting childhood obesity-related behaviours, and classified as using a micro-level (e.g., home visitation programs) or macro-level (e.g., business practices) strategy, on obesity among children enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).METHODS:
We simulated a population of 1500 children enrolled in WIC, with specific diet, physical activity, breastfeeding behaviours and body mass index z-scores (BMIz), following them from age 2 to 5 years.RESULTS:
Combined interventions targeting breastfeeding appeared to be moderately effective, reducing BMIz by 0.03 (95% CI -005, -0.01). Two strategy-specific interventions, home visitation programs and business practices targeting obesity-related behaviours, appeared to be moderately effective at reducing BMIz by 0.04 (95% CI -0.06, -0.02) and 0.02 (95% CI -0.04, 0.00), respectively. Contrary to expectation, combining all micro and macro interventions appeared to have no impact or moderately increased the proportion of obesity/overweight among children.CONCLUSION:
Interventions targeting breastfeeding behaviour were most effective when both micro and macro strategies were implemented. Interventions targeting obesity-related behaviours in general were effective for two strategies, home visitation and business practices.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Obesidade Infantil
Aspecto:
Determinantes_sociais_saude
Limite:
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Pediatr Obes
Ano de publicação:
2022
Tipo de documento:
Article