Related Experiment Video
Updated: Jul 7, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Tackling toddler obesity through a pilot community-based family intervention
Julia Wolman1, Eleanor Skelly, Maria Kolotourou
1Lambeth PCT. nutrition@juliawolman.co.uk
Insights
Childhood obesity prevention is crucial in early years. The Fighting Fit Tots pilot program showed promise, with broader family outreach improving toddler participation and attendance.
Area of Science:
- Public Health
- Pediatrics
- Behavioral Science
Background:
- Childhood obesity is a significant public health concern requiring early intervention.
- Healthy eating and physical activity habits are established in early childhood.
- Existing interventions often target older children, leaving a gap in early years programming.
Purpose of the Study:
- To pilot the Fighting Fit Tots program, an early years obesity intervention for parents and toddlers.
- To assess the feasibility and effectiveness of a community-based approach modeled on The MEND Programme.
- To identify barriers and facilitators to program uptake and attendance in a Sure Start setting.
Main Methods:
- A 11-week program combining parent and toddler physical activity sessions with healthy lifestyle workshops.
- Recruitment initially based on child BMI and parental obesity, later expanded to all families with toddlers.
- Program adapted from The MEND Programme, a successful intervention for school-aged children.
Main Results:
- Initial recruitment and attendance were unsatisfactory due to parental perception of child weight, commitment, and limited outreach.
- Expanding the program to all families with toddlers significantly improved uptake and attendance.
- The pilot demonstrated the potential of community-based early years obesity prevention.
Conclusions:
- Early years interventions are vital for addressing the childhood obesity epidemic.
- Community-based programs like Fighting Fit Tots can be effective with appropriate adaptations.
- Broader outreach strategies and addressing parental perceptions are key to successful early intervention programs.
Abstract:
The lack of effective child obesity intervention and intervention prevention programmes is an increasing concern for public health professionals. Since eating and physical activity habits become established in the early years, these efforts should start as early as possible. A pilot programme, Fighting Fit Tots, was developed within a local Sure Start area. It consiste, of 11 weekly parent and toddler physical activity sessions, followed by a parent/carer healthy lifestyle workshop. Fighting Fit Tots was modelled on The MEND Programme, a successful community-based obesity intervention for school-aged children. Toddle recruitment criteria were based on the children's age, body mass index and parental obesity status. It was noticed that uptake and attendance were unsatisfac tory due to poor parental perception of child weight status, commitment issues, and limited staff capacity for outreach work. Therefore, the group was extended to all families with a toddler and this proved more successful. The pilot was a promising experience, an more community practitioners should be encourager to adopt and improve a public health approach to obesity prevention in the early years.
Related Concept Videos
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Obesity
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results from...
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Family Therapy
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
