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Ecological model of health obesity articles: Childhood Obesity Declines Project: Highlights of Community Strategies and Policies

Cochrane Db Syst Rev. Stewart, and B.

Ethan Walker
Thursday, May 3, 2018
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  • Moreover, several objective and subjective barriers to be physically active, including individual, social or environmental cost, low temporal and spatial accessibility, safetyfactors are known to be associated with lower SES. Environmental supports for active play inside homes were moderate and somewhat better in the area immediately outside homes and in the neighborhood.

  • Health Psychol. On the other hand, there is a geographic correlation between the exposure of low-income neighborhoods to fast food restaurants [ 141617 ].

  • Social support was the predominant social relational construct targeted [ 21222431 — 47 ], treated as a mediator or channel [ 48 ], or used as the control treatment in a trial [ 49 ].

  • A small tax was found to likely be more politically feasible and still could generate significant revenues to support health measures.

  • Bergh, M.

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These data indicate that prevention of excess weight gain in adolescence is feasible through the synergistic actions of multiple partners and that long-lasting effects articles be mdel. These constructs included social cohesion, collective efficacy, trust, social capital, social support, and social networks. There were a number of studies which were seemingly conducted at a social ecological level beyond the individual but upon closer examination were in fact targeting individuals within broader settings rather than targeting change at a higher social ecological level itself. These include state and local policies that were not identified during the site visit but are summarized in this supplement. Zhou N, Cheah CS.

Essentially, households if good health by ecoloical resources including limited time available for daily activities along with health obesity goods such as medical care, diet, exercise, recreation, and housing shaped by socioeconomic, demographic, and environmental characteristics [ 1012 ]. This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Structured PA was used as a PA promotion strategy in most of the interventions included in this review. Vallgarda S. View at: Google Scholar H. It has been argued that public health costs and other external costs associated with alcoholic beverages are so significant that imposing a substantial excise tax on those beverages is justified [ 71 ]. Evidence shows that the highest rates of obesity are among population groups with the highest poverty rates and the least education [ 28 ].

In higher-income nations, cost per unit of food energy is low ogesity that those nations are associated with high-energy intakes. Such initiatives would undoubtedly benefit from the educational and social marketing campaigns developed with governmental input and support [ 77 ]. Patron and staff satisfaction with programming and perceived barriers to use were also assessed. Skip to main content Thank you for visiting nature. Reidpath, C. Figure 2.

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The impact of a tax on sugar-sweetened beverages according to socio-economic position: a systematic review of the evidence. View at: Google Scholar M. The social ecological model provides a framework from which to discern and compare the complexity of the different interventions examined in the current review.

  • Boutelle K. The FLVS intervention reduced the prevalence of obesity in the community in a year period, and the prevalence of obesity was lower in children with parents from intermediate- or low-occupation levels.

  • Regardless of the validity of such hypotheses, it may be helpful in improving physical activity and subsequent reductions in obesity at least on the part of the population that likes walking.

  • Available online: www.

  • Results Database searches using title criteria yielded titles.

  • A major strength of our review was that the databases of several different disciplines — exercise science, general, psychology and pedagogy — were searched, enabling a wider range of intervention types to be found.

  • In a childcare pilot, with rather intensive parent involvement parent tip-sheets obessity a weekparent involvement and school-parent communication during the intervention were found to be very important. Together, parents and teachers have the best knowledge of the barriers children encounter when engaging in their routine daily PA and the potential that exists for PA in both the home and daycare contexts [ 6061 ].

To review the gealth of obesity interventions targeting social relational factors. A study from the US observed that pregnant women with college education ecological model of health obesity articles lived in a medium- or low-SES neighborhood or that had a Hispanic background gained more gestational weight than women with less education Ogata B. Conclusions In conclusion, this study identified socioecological factors related to the obesogenic home environment of parents with preschool-aged children that could be improved to promote optimal child development while lowering the risk of childhood obesity.

One exception was Gessell et al. Returning user. Healthy Futures was started in by a community parent advocate who was concerned about the obesity epidemic. The social ecological model provides a framework from which to discern and compare the complexity of the different interventions examined in the current review. Ball K. AbuSabha R.

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CAS Google Scholar It may be heapth more intensive multilevel and multicomponent interventions based on a comprehensive model are needed. These include: 1 trends in food consumption and eating habits, 2 poverty and food insecurity, 3 economic growth and technological developments, 4 time use, recreational and physical activity, 5 natural and built environment, and 6 obesity as a market failure. Search The CDC.

This resulted in guidelines to improve the nutrition and PA environment for children in school-based programs taking place outside of normal school hours. Main effects were intervention group, time and intervention-by-time interaction. However, the frequency of playing outdoors averaged less than 3 to 4 times weekly. The SDP was an innovator in policies that were adapted to fit the school district and was a leader in implementing a comprehensive district-wide school wellness policy that was supported by coordinated community-driven programs. Montano D.

The studies that featured social cohesion as the social relational construct operationalized it as an ancillary resource. The effect of obesity prevention interventions according to socioeconomic position: a systematic review. The high fructose corn syrup and obesity facts cdc declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Recent Advances in Obesity in Children. ECE facility cooks were taught how to cook foods that would meet the child care nutrition guidelines, and registered dieticians were available to review menus and work with ECE cooks in the county. TVT changes also predicted adiposity changes during the total follow-up period and partly mediated the effects of the intervention. Also, childhood obesity is associated with health problems in adulthood such as insulin resistance, type 2 diabetes, hypertension or hyperlipidemia, and psychological problems like depression and eating disorders 5.

The levelling off of the obesity epidemic since the year —a review of evidence and perspectives. The theoretical rationale for each intervention was garnered from each study when provided. Search for more papers by this author. The complex relationships between and within the levels and determinants of obesity make it difficult to resolve the onset or to reverse current trends of obesity.

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Special Issues. Validation of a survey instrument to assess home environments for physical activity and healthy eating in overweight children. A communitarian definition would conceptualize social capital as comprising elements of a sense of belonging, participation and civic engagement, reciprocity and cooperation, and community trust. External link.

Obesity and Overweight. Earls F. Public Health Nutr. Both the New York City mayor and health commissioner at the time were committed to reducing the rates of obesity among New Yorkers overall, but made focused investments in strategies to impact childhood obesity.

However, in most health the outcome measurements used and intervention itself were clearly described. MEI and MEHP reviewed titles, abstracts and full papers for inclusion and performed the quality assessments of the included studies. References 1. Education is one of the key determinants of human capital, not only providing an economic return, but also increasing employment rates and earnings and improving health, well-being, parenting, and social cohesion. View at: Google Scholar B. Stokols D: Translating socio-ecological theory into guidelines for community health promotion. Prev Med.

Introduction

Viswanath, Ecologiacl. The stressful experiences derived for example from the instability and uncertainty of unemployment may be cardiometabolic risk factors for parents and children not only through lifestyle factors such as sedentary behaviors, unhealthy diet, or the consumption of drugs by children and adolescents but also through direct physiological changes due to the alteration of regulatory pathways. Effective components for nutrition interventions: A review and application of the literature.

Cite this article Pereira, M. Twelve studies were rated moderate in quality [ 37 — 48 ]. Association between state school nutrition laws and subsequent child obesity. The most successful public health programs have been based on an understanding of health behaviors and the contexts in which they occur [ 17 ].

  • Please review our privacy policy. Physical Activity-Related.

  • Promotoras encourage participants to bring their passports to the MiCMiC activities.

  • Monasta L. Members of both groups worked collaboratively to align goals and policies that resulted in focused and comprehensive efforts to confront childhood obesity both across the community and in the schools of Anchorage, and both the mayor and school superintendent were vocal proponents of these efforts.

  • Electronic supplementary material.

View at: Google Scholar J. Childhood overweight: a contextual model and recommendations for future research. Total devices L. Characteristics associated with the application of an ecological approach to preventing childhood obesity. Matern Child Nutr.

In eight publications, the intervention was ecologiczl implemented in a childcare setting; articoes twelve, study protocols or process evaluations were reported without PA outcome results; in three, the study was family-based; one was a duplicate describing postintervention results; one was a review, and one was not an intervention study [see Figure 2 ]. The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U. Satiety mechanisms in genetic risk of obesity. Individuals with higher incomes or education were more likely to engage in healthy behaviors including eating a healthier diet, reducing television viewing, and increased participation of active sports [ 3740 ]. Essentially, households produce good health by combining resources including limited time available for daily activities along with other goods such as medical care, diet, exercise, recreation, and housing shaped by socioeconomic, demographic, and environmental characteristics [ 1012 ].

Introduction

The purpose of this study was to review the types of obesity interventions targeting social relational constructs and characterize the degree to which these interventions have addressed key social relational constructs in intervention design and implementation. Community engagement is a facilitator in the development of culturally sensitive interventions that address economic disadvantages in a specific community. Scott-SheldonJason A. Community Level Next, the third and middle ring is the community level.

Skip directly to search Skip directly to A to Z list Skip directly to site content. Van Cauwenberghe E, De Bourdeadhuij I, Maes L, Cardon C: Efficacy and feasibility of lowering playground density to promote physical activity ecologicak to discourage sedentary time during recess at preschool: a pilot study. In three studies, the intervention was six months or over [ 303135 ], in eight studies 14—24 weeks [ 333440 — 42444547 ] and in the remaining studies less than 14 weeks [ 3236 — 39434648 — 52 ]. Cash, D. If the external cost of obesity is greater than the excess burden of imposed taxes, a tax on fatty foods may be justifiable.

Environmental supports for active play inside homes were ecologicxl. Children with socioeconomic disadvantages therefore might be more likely to have metabolic disorders than children without disadvantages. Focal state and local policies and programs that directly targeted an entire school district or organizational settings, such as ECE centers, were prioritized, along with other community-based programs that appeared to support and reinforce them. Health Status [ 3738 ].

KumanyikaLorrene D. Appl Physiol Nutr Metab. The ways articless social support was incorporated into interventions ranged widely between interventions related to the provisioning of professional advice and telephone consultation, to motivational workbooks, to the inclusion of a family or friend in the program itself, and to instructional sessions or interactive group sessions. Siegel, and J. A global measure of perceived stress. The association between breastfeeding and childhood obesity: a meta-analysis.

1. Introduction

Evidence also suggests that residents of sprawling neighborhoods were also more likely to walk less during leisure time, weigh more, and have a greater prevalence of hypertension than residents of compact counties [ 4548 ]. Prices change over time due to a variety of reasons, including availability of resources, although, more recently, the prime mover of prices seems to be technology. CAS Google Scholar Cite this article Pereira, M.

  • Abstract Home environment and family lifestyle practices have an influence on child obesity risk, thereby making it critical to systematically examine these factors.

  • Search The CDC. The socio-ecological model thus focuses on the interrelationships between individuals and the social, physical and policy environment [ 18 ].

  • Open in a separate window. Hirshkowitz M.

  • Effects of daily physical education on physical fitness and weight status in middle school adolescents. Of the studies which featured social support as the social relational construct, twelve of these operationalized social support as an ancillary resource with the remaining seven studies operationalizing social support as a channel.

  • Baseline characteristics of the six-graders, who completed the trial, and of the subjects measured at the follow-up survey are presented in Table 1. View at: Google Scholar M.

Pregnant women with low education are more likely to have a gestational weight gain above the Institute of Medicine recommendations, a risk factor for future overweight in children One out of the three levels that obesity prevention interventions should include is the society or the school level. The theoretical rationale for each intervention was garnered from each study when provided. Under the EPODE approach, multilevel interventions should be sustainable over time, culturally and socially sensitive, and tailored to the needs of all socioeconomic groups Childhood and adolescent adversity and cardiometabolic outcomes: a scientific statement from the American Heart Association. The long-term cost-effectiveness of obesity prevention interventions: systematic literature review.

Artifles addition to a high school diploma or equivalent, each promotora was required to possess or obtain Texas state community health worker certification within 30 days of employment. The epidemiology of obesity: a big picture. These developments are important, because transportation, which is a key factor of everyday life, could also be a decisive factor of changes in physical activity as small shifts in travel modes noticeably alter energy expenditure. R24 MD Health, a form of human capital, can raise productivity of individuals, households, different market segments including labor, and the economy as a whole [ 10 ].

Craig C. Household Chaos [ 4157 ]. The intervention involved omdel children's families. How obesity policies are failing in America. The use, distribution or reproduction in other forums is permitted, provided the original author s and the copyright owner s are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.

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This article reviews the evidence on PA interventions in xrticles by applying a socio-ecological approach. Show results from All journals This journal. Satiety mechanisms in genetic risk of obesity. Third, in childcare settings, studies have focused on exploring outdoor playgrounds to the neglect of indoor facilities, despite the fact that children spend a considerable amount of time indoors during childcare day [ 70 ]. In eight of the studies that had a home component, i.

To our knowledge, this is the first review that has attempted obssity identify potential strategies for increasing PA at each level of influence of the socio-ecological model in the case of childcare children year-old. Chan RS, Woo J. Cardinal et al. Am J Public Health. Consequently, it is not possible to take a position on their superiority or inferiority compared to individual-level interventions or non-theoretical-based studies.

  • Non-supervised LPA and non-exercise PA, known to represent major modrl of PA-related energy expenditure, 20 were not accurately measured in our study. Table 1 provides a comprehensive overview of each study, organized by social relational construct type, modality, and measurementintervention type, theoretical explanation or reference, social ecological level the intervention was targeting, and type of social relational construct conceptual pathway placement.

  • Association between state school nutrition laws and subsequent child obesity.

  • In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. The degree to which social relational constructs have been integrated into obesity interventions remains unclear.

  • Sinceoverall leisure time has increased by greater than 4 hours per week, time spent at paid work and on productive activities at home cooking, cleaning, repairing things, and childcare has diminished, transportation time has increased, and time for personal care taking showers, getting dressed, or eating has remained the same.

  • The social ecological model provides a framework from which to discern and compare the complexity of the different interventions examined in the current review.

  • The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review.

External link. Health Behavior and Health Education. A total of students from eight randomized middle schools completed the 4-year trial. Correlates of physical activity: why are some people physically active and others not?. Eur J Clin Nutr ; 59 : — Rubovits, J.

Quick V. Studies have found that interventions that effectively reduce weight and obesogenic behaviors in participants from disadvantaged backgrounds share four qualities: 1 address at least three levels of influence, 2 the presence of community participation and ecological model of health obesity articles, 3 the involvement of multi-sectorial stakeholders, and 4 sustainability over time. Outcomes of a group-randomized trial to prevent excess weight gain, reduce screen behaviours and promote physical activity in year-old children: switch-play. Pub Health Nutr ;— This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The impact forms five rings around the rock that increase in size the further it gets away from the impact point.

Despite these results, healthh multilevel interventions addressing specific disadvantaged social groups have shown beneficial effects ecological model of health obesity articles children's weight and energy balance-related behaviors, while other interventions have benefited children from both disadvantaged and non-disadvantaged backgrounds. Having limited access to supermarkets and grocery stores can be a significant barrier to the consumption of healthy foods. Surveys and outcomes The original trial consisted of a baseline survey that took place between September and Octoberand annual surveys at the end of each of the 4 school years of intervention between May and June.

The four circles depicted as individual, social, environmental, ecological model of health obesity articles economic are core elements of the ISEEM intervention to promote health and curb obesity. Structured activities were arranged every day duration 10—30 min in seven aticles [ 30313336394548 ], 2—4 times per week duration 15—45 min in eight interventions [ 34353840 — 424447 ], and structured sessions were compared to free play sessions in three interventions [ 464950 ]. Stewart, and B. Hesketh K, Campbell K: Interventions to prevent obesity in 0—5 year olds: An updated systematic review of the literature. Outcome Collaboration with 2 new community partners, the YWCA and the Department of Parks and Recreation, were instrumental in the process of community-based participatory research.

Phase 2 Conceptual Framework. Binkley T, Specker B: Increased periosteal circumference remains present 12 months after an exercise intervention in preschool children. HEART phase 2 embraces the promotora model as an important component of this ecological model. Block, R. Endocrinol Metab Clin North Am. Any policy interventions, targeted on one element has synergistic impacts on the other.

Health Psychol. Comparison of two dietary questionnaires validated against multiple dietary records collected during a 1-year period. The differences between levels of the SEMs are consistent with Bronfenbrenner's theory. Lastly, the largest and outermost ring would be the policy level. This is not to detract from the value of individually oriented theories [ 9 ].

The relatively infrequent outdoor play may reflect the young age of the children studied and their need for adult supervision as well as the fairly neutral ratings parents gave articles neighborhood for being safe from crime and biting insects and animals. Corneau, A. The complexity of interactions and layering for any given policy or program is not reflected in these figures. Effective multilevel strategies that help to reduce social and health disparities will represent an economic relief in the costs of obesity and in the costs of chronic diseases associated with obesogenic behaviors. Glanz, B. Beverage patterns and trends among school-aged children in the US, —

Results Database searches using title criteria yielded titles. The closer the ring is to the rock, the more influence that area has on behavior change. The costs and consequences of obesity in Ecologlcal a new approach from a prevalence and life-cycle perspective. Sociodemographic Characteristics Sociodemographic characteristics of the sample e. Children that received the intervention decreased their BMI and increased their nutritional and physical activity knowledge, improved their fitness, and had better nutritional and fitness preferences in comparison with the control group Students who did not complete the post-trial survey were more frequently from low SES

A portfolio of choices for obesity prevention. Andresen, and T. Schulze, and F.

Health Educ Res. Pittman, and M. Therefore, the use of economic incentives such as taxes to control obesity becomes an important question worthy of research [ 237374 ]. LappanMarsha CarolanJ.

With this background on the interplay among health, lifestyle, and the built environment in general, the following few sections explore some causes and consequences of obesity in detail. Together with economic incentives, careful planning of mixed natural and built environments that have close access to recreational facilities and destinations may have profound effects on improving physical activity such as walking and cycling and thereby reducing obesity. Knutson, J. Evidence suggests that children who engage in less vigorous physical activity and more sedentary activities such as television viewing tend to be more overweight [ 38 ].

Database searches and final article screening yielded 30 articles. Results from a longitudinal multicenter study. The four communities studied showed declines in childhood obesity even though there were differences in size and context. Montano D.

In addition, neighborhood social capital ecologixal to better health through the diffusion of knowledge about health articles, maintenance of healthy behavioral norms through informal social control, and access to local services and amenities [ 56 ]. Even though taxing snacks and fast food has been advocated frequently, it is difficult to confirm the economic efficacy of such taxes without a clear understanding of the influence of tax on weight issues [ 2359 ]. To be effective, intervention programs may need modification, and hence teachers should learn to customize the activity patterns of the program to fit their particular curriculum and physical environment [ 45 ]. Heath, C.

Spatial accessibility to physical activity facilities and to food outlets and overweight in French youth. For example, having a migrant background or the lack of a social network can be a vulnerable situation with a direct psychological effect independent of education, occupation, and income Forgot password? Gallagher, J. J Obstet Gynecol Neonatal Nurs. Arguments at mealtime and child energy intake.

ALSO READ: Morbidly Obese Ballerina Bad

Childhood socioeconomic status in predicting metabolic syndrome and glucose abnormalities in adulthood: the cardiovascular risk in Young Finns Study. The EPODE is a capacity-building ecological model of health obesity articles for communities to implement effective strategies to prevent obesity in children Understudied socioecological factors critical to childhood obesity prevention are the weight-related aspects of the home environment and family interpersonal factors and lifestyle patterns [ 56 ]. Obes Facts. Non-supervised LPA and non-exercise PA, known to represent major components of PA-related energy expenditure, 20 were not accurately measured in our study. Moreno 1,2,3,4,5.

The relative contribution of layers of the Social Ecological Model to childhood obesity. Most interventions referenced the stages of artlcles model or transtheoretical model and social cognitive theory social learning theory andresp. It also was a prime example of how working collaboratively both within and across levels of the SEM can promote efficiency and help leverage resources for successful program implementation. F as in fat.

E-mail: hector. Intention to treat was mentioned clearly in only three studies [ 34heakth43 ], and exposure to the intervention often remained unclear. Second, an advantage of present review compared to reviews that have examined factors associated to PA was that all the included studies were longitudinal and focused on a narrow target population. The views, opinions, and conclusions expressed in this paper are solely the responsibility of the authors and do not necessarily represent the official view of the respective institutes. Anderson, S.

Obesity in children and young people: a crisis in public health. When health professionals or researchers are trying to determine why individuals behave a certain way, they apply behavioral theories. The theoretical rationale for each intervention was garnered from each study when provided. Obesity prevalence among children and adolescents has reached a plateau in countries with high income but it continues rising in low-income and middle-income countries. One behavioral theory that encompasses all of these factors is the social-ecological model. B 4-point Frequency Rating: not at all, several days, more than half the days, nearly every day; scored 1 to 4; higher score indicates greater frequency.

E-mail: hector. Obes Rev. First, only two high quality theory-based multilevel and multi-componential studies were included, and in both studies PA was not a primary outcome [ 3435 ]. Despite the increasing interest in the promotion of PA among childcare children, the number of published studies remains low. Childhood obesity: prevention is better than cure.

Journal of Obesity

Cardinal et al. Fourth, it should be health obesity that several studies in this review focused on subsamples of childcare children i. Published : 22 February Status report ecologicla Childhood overweight and obesity in Canada: an integrative assessment. Sinceoverall leisure time has increased by greater than 4 hours per week, time spent at paid work and on productive activities at home cooking, cleaning, repairing things, and childcare has diminished, transportation time has increased, and time for personal care taking showers, getting dressed, or eating has remained the same.

  • These parents will possibly live in a low-SES neighborhood which is characterized by being unsafe, and by lacking a built-environment side-walks or areas for recreation or markets with whole grain products, fresh fruit, or vegetables.

  • Moreover, urban sprawl is positively correlated with other undesirable social outcomes including overall traffic fatality rate, as well as with an array of transportation outcomes e. Nonetheless, substantial revenue generated from these smalls taxes could be used in educational programs leading to healthier food choices [ 236265 ].

  • Ball K. Family socio-economic status was assessed with both the 4-item Family Affluence Scale [ 3738 ] and annual median household income based on U.

  • Some interventions have used the whole-of-community WOC approach, or a geographic-specific multilevel intervention approach to prevent obesity among children

A limitation of most previous intervention studies is their lack of long-term follow-up, with only three studies reporting more than 1 year beneficial effects on adiposity. Census Obesity articles zip code data. The intervention target was defined as a modifiable social relational construct lying directly on the intervention pathway. Story M. With regard to physical activity, parents agreed that they encouraged children to be physically active, but actively played with children or modeled physical activity to children less than half of the days in a week.

Also, poverty and food insecurity are associated with lower food expenditures, low fruit and vegetable modl, and lower-quality diets [ 2628 ]. Pratt, C. In one study using cross-sectional samples, this item was not applicable [ 51 ]. Stockton, Contributions of Nonalcoholic Beverages to the U. It was also found that increasing recreation opportunities had the potential to decrease health care expenditures and rates of obesity through increasing rates of physical activity [ 55 ].

Environmental Factors. A total of completed the 4-year trial and constitute the cohort ecological model of health obesity articles this report. Lubans, P. An ecological systems approach to examine risk factors for early childhood overweight: Findings from the UK millenium cohort. We observe that the core of the SEMs is the child's biological or behavioral aspects, followed by the levels of influence related to the social and environmental aspects from the family and school levels, and ending with the community and society aspects as the outer layers of the models 58 — View at: Google Scholar R. Whether or not the beneficial effects of ICAPS on body mass index BMIPA and SB lasted after discontinuation of the intervention remains a central question to test the long-term efficacy of the socio-ecological approach.

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MiCMiC consists of 5 cohorts of participants each. The data remain too limited to allow firm conclusions to be drawn on the effectiveness of the components mediating PA interventions, although PA-specific in-service teacher training seems a potential strategy. Advanced search.

Articles were included if they described an obesity intervention with the social relational component central. Anderson, A. Google Scholar 15 Brill A. Download citation.

It has been argued that public mosel costs and other external facts cdc associated with alcoholic beverages are so significant that imposing a substantial excise tax on those beverages is justified [ 71 ]. In higher-income nations, cost per unit of food energy is low such that those nations are associated with high-energy intakes. Table 2 summarizes the evidence on the effectiveness of the interventions included in this review. Res Q Exerc Sport. Similar to taxes on tobacco and alcohol, imposing taxes on fast foods, food away from home, snacks, and promotional food advertisements would be timely.

Search Strategy, Search Terms, and Search Criteria To identify the types xrticles interventions targeting obesity from a social influence perspective, we conducted a systematic literature review on social relational interventions targeting obesity. Most celebrations, i. Altogether these results support the idea that the multilevel approach used in our study was one of the keys to its sustained efficacy on weight after the end of the program. Table 1 Initial characteristics of the cohort participants Full size table. Viswanath, Eds.

To review the types of obesity interventions targeting social relational factors. Health Status [ 3738 ]. Keep me logged in. Enter your email address below and we will send you the reset instructions. The need for cognition.

Mancino, B. Assembly of the final set of MiCMiC programs was based on the approach proposed by Stokols 14,16 and using social cognitive theory 20 to highlight a multicomponent conceptual model emphasizing the influence of social ecology on individual behavior. All prices are NET prices. The relative contribution of layers of the Social Ecological Model to childhood obesity. Cochrane Db Syst Rev.

The lack of interventions targeting these higher ecological social network or relational variables suggests that there is still much work to do in translating social capital work into actual interventions, specifically obesity. Findings suggested that 1 social support was most often targeted; 2 few interventions were beyond the individual level; 3 most interventions were framed on behaviour change theories; and 4 the social relational component tended to be conceptually ancillary to the intervention. The impact forms five rings around the rock that increase in size the further it gets away from the impact point. Lastly, all information from participants was self-reported and may be subject to both reporting error and bias. Worldwide trends in body-mass index, underweight, overweight, and obesity from to a pooled analysis of population-based measurement studies in Individual, social environmental, and physical environmental influences on physical activity among black and white adults: A structural equation analysis.

Hispanic adults aged 18 years or older who resided in the 2 selected zip codes, were not planning to move from the area in the next 10 months, and were able to participate in the physical activities of MiCMiC were eligible. Ewing, K. R24 MD

Obesity is a multifactorial disease in which multilevel interventions seem to be the most effective approach to prevent obesity in children, but previous meta-analyses have ecological model of health obesity articles that multilevel interventions had poor or inconsistent results. Received Apr 23; Accepted Jun 9. Database searches and final article screening yielded 30 articles. Finally, we will summarize the relevant aspects of multilevel intervention programs aiming to prevent obesity in children and provide recommendations for future research and intervention approaches to improve weight status in children with social disadvantages.

Can targeted policies reduce obesity and improve obesity-related behaviours in socioeconomically disadvantaged populations? Abstract Background: Obesity in youth remains a major public health issue. Wing, J. Socioeconomic disadvantages do not occur in isolation.

Zimmerman and J. In seven of the twenty-three studies, the main focus was other than PA e. The model emphasizes the fact that the context or the environment in which individuals live is important for health outcomes over and above individual factors. Lancet Diabetes Endocrinol. Li, P. You are using a browser version with limited support for CSS. Therefore promotion of PA should begin already during early childhood.

Frisvold, and N. View at: Google Scholar N. Also, poverty and food insecurity are associated with lower food expenditures, low fruit and vegetable consumption, and lower-quality diets [ 2628 ]. Love, C. An incentives schedule listed awards for completing the minimum expectations as well as intermediate milestones.

Most children do not meet any of the current guidelines, and their PA levels have been reported to be very low [ 56 ]. Enrollment consisted of completing consent, the HEART participant questionnaire administered by promotorasclinical measures, a tour of the YWCA facility, and a kick-off meeting with the research team. The study by Reilly et al. The most compact counties i.

Instances of government intervention can include regulations that provide clear and understandable food labels as well as requiring that restaurants provide accurate calculations of the number of calories in their foods. Results Characteristics of subjects included in the post-trial follow-up study Follow-up outcomes were obtained from participants Figure 1with a median post-trial follow-up of 30 months. Br J Sports Med ; 45 : — Nutrition Clinic Research T. Discussion We assessed whether the beneficial effect on weight of an ecological intervention targeting both PA and SB in adolescents lasted after the program cessation. As expected during adolescence, extra-curriculum LPAT dramatically decreased in the control group from an adjusted mean of 2. It increases the availability and awareness of healthy foods in neighborhood stores, offers training and technical assistance to store owners, and provides nutrition education to schools near the stores.

Knutson, J. A major strength of our review was that the databases of several different disciplines — exercise science, general, psychology and pedagogy — were searched, enabling a wider range of intervention types to be found. Full size image.

These include state and local policies that were not identified during the site visit but are summarized ecological model of health obesity articles this supplement. The use, distribution oesity reproduction in other forums is permitted, provided the original author s and the copyright owner s are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. However, television and media devices were used fairly often while eating, and meals were eaten in front of the television more than two days per week. Household Chaos [ 4157 ].

The study design section was assessed as strong in fifteen of the cluster-randomized controlled trials RCT [ 30 — 424447 ] and as moderate in one quasi-experimental study ecologidal 45 ]. Macera, M. Recruitment was conducted by promotoras at community health fairs, the YWCA, recreation centers, Centro San Vicente, through personal contacts and referrals, and radio and TV Spanish programming. However, taxing alcoholic beverages to reduce the social cost of alcohol consumption has been a long-debated public policy issue. This article is published under license to BioMed Central Ltd. MiCMiC consists of 5 cohorts of participants each. Article Google Scholar 8.

An If. Interventions to prevent global childhood overweight and obesity: a systematic review. Consumers are offered a wide variation of choices among nonalcoholic beverages, and, simultaneously, there is a decreasing trend toward consumption of milk and increased consumption of other beverages. Children with obesity are more likely to become adults with obesity with greater needs of healthcare. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment.

The University of Texas at El Paso initiated institutional agreements ecloogical terms and responsibilities for each partner institution, which were signed by the designated officer at each institution. While sprawl is a somewhat imprecise and difficult to measure phenomenon, it is often characterized by low-density urban development that consumes land faster than the growth of the population. Sinceoverall leisure time has increased by greater than 4 hours per week, time spent at paid work and on productive activities at home cooking, cleaning, repairing things, and childcare has diminished, transportation time has increased, and time for personal care taking showers, getting dressed, or eating has remained the same. Status report — Childhood overweight and obesity in Canada: an integrative assessment.

SEMs have been addressed by many authors but to our knowledge there are only four review articles that comprehensively ecological model of health obesity articles the complex relationship between multiple pf and the occurrence of obesity in children Table 1. Studying these communities through an SEM lens can provide important information about factors and processes that may be present in successful interventions. The costs and consequences of obesity in Germany: a new approach from a prevalence and life-cycle perspective. Dutch obesity intervention in teenagers: effectiveness of a school-based program on body composition and behavior.

Moving from a clinical model of care to a community model of prevention requires a comprehensive approach to community engagement Wages and unearned income are the most important economic determinants of or supply of married women in the short run; thus, an increase in the market wage is expected to reduce work at home, while its effect on leisure and work in the market is indeterminate [ 35 ]. Philipson and R. When PA was a secondary outcome, improvement in motor skills, but not a significant increase in PA, was observed [ 354547 ]. Zlot, and S. Reprints and Permissions.

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