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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Assessing childhood obesity programs in low-socioeconomic and diverse communities
1Department of Pediatrics, University of Toledo Health Science Campus, Toledo, Ohio 43614-5811, USA. joan.griffith@utoledo.edu
Insights
Identifying best practices for childhood obesity prevention in underserved communities proved challenging. While key informants recommended combining lifestyle changes, family focus, prevention, and community involvement, no single program fully integrated these elements.
Area of Science:
- Public Health
- Pediatric Health
- Community Health Interventions
Background:
- Childhood obesity disproportionately impacts low-socioeconomic and diverse populations.
- A national call for programs yielded 80 submissions for childhood obesity prevention and treatment.
- This study aimed to identify best practices for this demographic.
Purpose of the Study:
- To identify a best practice for childhood obesity prevention and treatment in low-socioeconomic and diverse communities.
- To analyze existing programs based on expert recommendations.
Main Methods:
- Secondary analysis of 80 childhood obesity programs.
- Framework development through literature review (PubMed, Google) and expert committee recommendations.
- Incorporated insights from 5 key informant interviews.
Main Results:
- Key informants unanimously recommended combining lifestyle changes, family-centeredness, prevention, and early community involvement.
- These four themes were present in 50% of the evaluated programs.
Conclusions:
- An evidence-based best practice was not identified using the recommended themes.
- Preliminary findings suggest one academic program shows promise for addressing childhood obesity in these communities.
- Improved data collection is recommended for future research.
Background:
Childhood obesity disproportionately affects low-socioeconomic and diverse communities. After a national children's health care quality organization announced a request for programs addressing the prevention and treatment of childhood obesity, 80 programs were received. The objective of this study was to identify a best practice for addressing childhood obesity in low-socioeconomic and diverse communities.
Methods:
A secondary analysis of the 80 programs was conducted in spring 2007 using a framework developed after a mini literature review using PubMed and Google, a review of the recommendations from the 1998 national childhood obesity expert committee, and 5 semistructured interviews with childhood obesity key informants.
Results:
The key informants unanimously recommended that obesity reduction programs in low-socioeconomic and diverse communities should combine 4 themes: lifestyle changes, family-centeredness, prevention, and early community involvement. These 4 themes were combined in 50% of the 80 programs.
Conclusions:
An evidence-based best practice for reducing childhood obesity in low-socioeconomic and diverse communities could not be identified utilizing the 4 themes recommended by the key informants. Preliminary data suggest that 1 academic program may offer promise for addressing childhood obesity in low-socioeconomic and diverse communities and improved data collection.
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