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Do childhood obesity prevention interventions work in low- and middle-income countries?

Roosmarijn Verstraeten UGent, Dominique Roberfroid, Carl Lachat UGent, Lea Maes UGent and Patrick Kolsteren UGent (2012) Behaviour and nutrition : new insights for better solutions? : proceedings of the third annual meeting of the Belgian Nutrition Society.
abstract
The prevalence of childhood obesity is increasing rapidly in low- and middle-income countries and informed policies to tackle the problem must be defined. We systematically reviewed the evidence on the effectiveness of school-based primary obesity prevention interventions in children and adolescents of 6 to 18 years targeting dietary behavior and/or physical activity in low- and middle-income countries. We searched MEDLINE, EMBASE, Web of Science, CENTRAL, ERIC, The Cochrane Library and CRD databases for peer-reviewed controlled studies published in English, Spanish, French, German or Dutch between January 1990 and July 2011. From a total of 7,218 unique references we retained 22 studies for which quality was appraised independently by two authors using the Effective Public Health Practice Project tool. The majority of the interventions (82%) had a positive effect on dietary behavior and physical activity behavior (effect size ranged from -0.48 to 1.61). BMI decreased in 8 studies (effect size ranged from -0.7 to 0.0). We conclude that school-based interventions have the potential to improve dietary and physical activity behavior and to prevent unhealthy weights in low- and middle-income countries. The most effective interventions are multi-component in nature and are integrated in the school curriculum. In order to reach their full potential, however, interventions should conduct process evaluations to document program implementation. The impact and the pathways through which the interventions have this impact need to be better documented through rigorous evaluation studies.
Please use this url to cite or link to this publication:
author
organization
year
type
conference
publication status
published
subject
in
Behaviour and nutrition : new insights for better solutions? : proceedings of the third annual meeting of the Belgian Nutrition Society
publisher
Belgian Nutrition Society
conference name
3rd Annual congress on Behaviour and Nutrition : New insights for better solutions
conference location
Brussels, Belgium
conference start
2012-04-20
conference end
2012-04-20
language
English
UGent publication?
yes
classification
C3
id
2913815
handle
http://hdl.handle.net/1854/LU-2913815
date created
2012-06-20 17:34:28
date last changed
2012-07-13 16:37:01
@inproceedings{2913815,
  abstract     = {The prevalence of childhood obesity is increasing rapidly in low- and middle-income countries and informed policies to tackle the problem must be defined. We systematically reviewed the evidence on the effectiveness of school-based primary obesity prevention interventions in children and adolescents of 6 to 18 years targeting dietary behavior and/or physical activity in low- and middle-income countries. We searched MEDLINE, EMBASE, Web of Science, CENTRAL, ERIC, The Cochrane Library and CRD databases for peer-reviewed controlled studies published in English, Spanish, French, German or Dutch between January 1990 and July 2011. From a total of 7,218 unique references we retained 22 studies for which quality was appraised independently by two authors using the Effective Public Health Practice Project tool. The majority of the interventions (82\%) had a positive effect on dietary behavior and physical activity behavior (effect size ranged from -0.48 to 1.61). BMI decreased in 8 studies (effect size ranged from -0.7 to 0.0). 
We conclude that school-based interventions have the potential to improve dietary and physical activity behavior and to prevent unhealthy weights in low- and middle-income countries. The most effective interventions are multi-component in nature and are integrated in the school curriculum. In order to reach their full potential, however, interventions should conduct process evaluations to document program implementation. The impact and the pathways through which the interventions have this impact need to be better documented through rigorous evaluation studies.},
  author       = {Verstraeten, Roosmarijn and Roberfroid, Dominique and Lachat, Carl and Maes, Lea and Kolsteren, Patrick},
  booktitle    = {Behaviour and nutrition : new insights for better solutions? : proceedings of the third annual meeting of the Belgian Nutrition Society},
  language     = {eng},
  location     = {Brussels, Belgium},
  publisher    = {Belgian Nutrition Society},
  title        = {Do childhood obesity prevention interventions work in low- and middle-income countries?},
  year         = {2012},
}

Chicago
Verstraeten, Roos, Dominique Roberfroid, Carl Lachat, Lea Maes, and Patrick Kolsteren. 2012. “Do Childhood Obesity Prevention Interventions Work in Low- and Middle-income Countries?” In Behaviour and Nutrition : New Insights for Better Solutions? : Proceedings of the Third Annual Meeting of the Belgian Nutrition Society. Belgian Nutrition Society.
APA
Verstraeten, Roos, Roberfroid, D., Lachat, C., Maes, L., & Kolsteren, P. (2012). Do childhood obesity prevention interventions work in low- and middle-income countries? Behaviour and nutrition : new insights for better solutions? : proceedings of the third annual meeting of the Belgian Nutrition Society. Presented at the 3rd Annual congress on Behaviour and Nutrition : New insights for better solutions, Belgian Nutrition Society.
Vancouver
1.
Verstraeten R, Roberfroid D, Lachat C, Maes L, Kolsteren P. Do childhood obesity prevention interventions work in low- and middle-income countries? Behaviour and nutrition : new insights for better solutions? : proceedings of the third annual meeting of the Belgian Nutrition Society. Belgian Nutrition Society; 2012.
MLA
Verstraeten, Roos, Dominique Roberfroid, Carl Lachat, et al. “Do Childhood Obesity Prevention Interventions Work in Low- and Middle-income Countries?” Behaviour and Nutrition : New Insights for Better Solutions? : Proceedings of the Third Annual Meeting of the Belgian Nutrition Society. Belgian Nutrition Society, 2012. Print.