A Developmental Cascade Perspective of Pediatric Obesity: A Systematic Review of Preventive Interventions from Infancy through Late Adolescence

Details

• Alternative Title:
  Obes Rev
• Personal Author:
  St. George, Sara M. ; Agosto, Yaray ; Rojas, Lourdes M. ; Soares, Mary ; Bahamon, Monica ; Prado, Guillermo ; Smith, Justin D.
• Description:
  The goals of this systematic review were to identify and describe paediatric obesity prevention interventions from infancy to late adolescence and to provide recommendations for future intervention research in light of a recently proposed developmental cascade (DC) model of paediatric obesity. We conducted an electronic search of randomized controlled trials with a minimum 6-month postintervention follow-up published between 1995 and 2019. We included 74 interventions: prenatal/infancy (n = 4), early childhood (n = 11), childhood (n = 38), early to mid-adolescence (n = 18), and late adolescence (n = 3). Infancy and early childhood trials targeted early feeding and positive parenting skills. Half of the childhood and adolescence trials were school based and used universal prevention strategies; those classified as selective or indicated prevention tended to involve the family for more intensive lifestyle modification. Less than 10% of studies followed participants over long periods of time (greater than or equal to 5 years), and only 16% and 31% of studies assessed intervention mediators and moderators, respectively. We recommend that future interventions focus on early prevention, assess long-term intervention effects, use a standardized taxonomy for defining intervention behavioural strategies, assess underlying mechanisms of action and intervention moderators, target parent and family management strategies across development, and increase scientific equity. We also provide specific recommendations regarding intervention targets for each developmental stage.
• Keywords:
  Adolescent Cascade Child Child, Preschool Development Health Behavior Humans Infant Life Style Pediatric Obesity Prevention Schools

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• Source:
  Obes Rev. 21(2):e12939
• Pubmed ID:
  31808277
• Pubmed Central ID:
  PMC6980892
• Document Type:
  Journal Article
• Funding:
  R01 MD007724/MD/NIMHD NIH HHSUnited States/ ; K01 HL133521/HL/NHLBI NIH HHSUnited States/ ; U18 DP006255/DP/NCCDPHP CDC HHSUnited States/ ; U18DP006255/ACL/ACL HHSUnited States/ ; P30 DA027828/DA/NIDA NIH HHSUnited States/
• Volume:
  21
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:92490df542eb9860e37f183e445697e902741609d3fd1b24242f5baf0ce02aed
• Download URL:
  https://stacks.cdc.gov/view/cdc/84516/cdc_84516_DS1.pdf
• File Type:
  [PDF - 885.57 KB ]