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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program
Andrea M de Silva-Sanigorski1, A Colin Bell, Peter Kremer
1WHO Collaborating Centre for Obesity Prevention Deakin University Geelong Australia. andrea.sanigorski@deakin.edu.au
Insights
The Romp & Chomp intervention successfully reduced childhood obesity in young children by promoting healthy eating and active play. This community-wide approach improved diets and lowered BMI in children aged 0-5 years.
Area of Science:
- Public Health
- Pediatrics
- Community Interventions
Background:
- Growing evidence supports community-based interventions for reducing childhood obesity in older children.
- The Romp & Chomp intervention targeted children aged 0-5 years to address obesity and promote healthy habits.
Purpose of the Study:
- To determine the effectiveness of the Romp & Chomp intervention in reducing obesity.
- To promote healthy eating and active play in children aged 0-5 years.
Main Methods:
- A community-wide, multisetting, multistrategy intervention (Romp & Chomp) was conducted in Australia (2004-2008).
- Focused on community capacity building and environmental changes in early-childhood settings.
- Utilized a repeat cross-sectional, quasiexperimental design with a comparison sample to measure BMI, zBMI, and obesity-related behaviors.
Main Results:
- Significantly lower mean weight, BMI, and zBMI observed in 3.5-year-olds post-intervention.
- Reduced prevalence of overweight/obesity in 2- and 3.5-year-olds (2.5% and 3.4% reduction, respectively).
- Lower intake of packaged snacks, fruit juice, and cordial in intervention children compared to the control group.
Conclusions:
- Community-wide, multistrategy interventions in early-childhood settings can effectively reduce childhood obesity.
- The Romp & Chomp intervention demonstrated success in improving young children's diets and physical activity.
- Registered with the Australian Clinical Trials Registry (ACTRN12607000374460).
Background:
There is growing evidence that community-based interventions can reduce childhood obesity in older children.
Objective:
We aimed to determine the effectiveness of the Romp & Chomp intervention in reducing obesity and promoting healthy eating and active play in children aged 0-5 y.
Design:
Romp & Chomp was a community-wide, multisetting, multistrategy intervention conducted in Australia from 2004 to 2008. The intervention occurred in a large regional city (Geelong) with a target group of 12,000 children and focused on community capacity building and environmental (political, sociocultural, and physical) changes to increase healthy eating and active play in early-childhood care and educational settings. The evaluation was repeat cross-sectional with a quasiexperimental design and comparison sample. Main outcome measures were body mass index (BMI), standardized BMI (zBMI; according to the Centers for Disease Control and Prevention 2000 reference charts), and prevalence of overweight/obesity and obesity-related behaviors in children aged 2 and 3.5 y.
Results:
After the intervention there was a significantly lower mean weight, BMI, and zBMI in the 3.5-y-old subsample and a significantly lower prevalence of overweight/obesity in both the 2- and 3.5-y-old subsamples (by 2.5 and 3.4 percentage points, respectively) than in the comparison sample (a difference of 0.7 percentage points; P < 0.05) compared with baseline values. Intervention child-behavioral data showed a significantly lower intake of packaged snacks (by 0.23 serving), fruit juice (0.52 serving), and cordial (0.43 serving) than that in the comparison sample (all P < 0.05).
Conclusion:
A community-wide multisetting, multistrategy intervention in early-childhood settings can reduce childhood obesity and improve young children's diets. This trial was registered with the Australian Clinical Trials Registry at anzctr.org.au as ACTRN12607000374460.
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