Expert and stakeholder consensus on priorities for obesity prevention research in early care and education settings

Dianne S Ward1, Amber Vaughn, Mary Story

  • 1Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599-7426, USA.

Insights

Research priorities for childhood obesity prevention in early care settings were identified. Key areas include meal quality assessment, financial incentives, healthcare provider involvement, screen time, and multilevel interventions for healthy weight development.

Area of Science:

  • Pediatric Obesity Prevention
  • Childhood Development and Health
  • Public Health Interventions

Background:

  • Early childhood is critical for developing weight-related behaviors, yet obesity prevention research in this age group is limited.
  • Early care and education settings offer a viable pathway for interventions, but current evidence is insufficient for policy or practice.
  • Lack of research hinders efforts to promote healthy eating, physical activity, and healthy weight in young children.

Purpose of the Study:

  • To identify and prioritize future research needs for childhood obesity prevention in early care and education settings.
  • To bring together experts to discuss challenges and opportunities in promoting healthy weight in children aged 2-5 years.
  • To establish consensus on critical research areas for effective obesity prevention strategies.

Main Methods:

  • A meeting of researchers and leaders in early care and education was convened in September 2011.
  • Experts presented on key issues including measurement of diet, physical activity, policy, environment, interventions, and capacity building.
  • An online voting exercise was conducted among attendees to select top research priorities from identified issues.

Main Results:

  • Sixty-four research issues were initially identified, with voting narrowing the list to 24.
  • Top-rated research priorities included assessing children's meal and snack quality.
  • Other high-priority areas were financial incentives, healthcare provider involvement, screen time's role, and multilevel interventions.

Conclusions:

  • Research is crucial to address the specific challenges within early care and education settings for obesity prevention.
  • Expert and stakeholder consensus identified significant and innovative research priorities.
  • Future obesity prevention research should focus on these identified innovative areas.
Abstract

Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Strategies for Assessing and Addressing Confounding01:25

Strategies for Assessing and Addressing Confounding

Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...