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Updated: May 13, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
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.
Background:
Early childhood is a formative period for many weight-related behaviors (diet and activity), but little obesity prevention research targeting this age group has been conducted. Early care and education settings are a useful avenue for interventions targeting young children, but the limited research provides insufficient evidence upon which to base policy decisions, practice guidelines, or mobilized efforts to improve healthy eating and physical activity, and ultimately healthy weight development in these settings.
Methods:
In September of 2011, prominent researchers, young investigators, and leaders in early care and education came together to examine past research and to explore challenges and priorities for future research on healthy weight development in children aged 2-5 years. During this meeting, experts presented and attendees discussed key issues around measurement of diet and physical activity, policy and environment measurement, intervention approaches, policy research, and capacity development. Following the meeting, attendees were invited to participate in an online voting exercise to select top research priorities.
Results:
A total of 64 research issues were identified, and voting narrowed this list to 24 issues. Highest-rated issues included: Assessment of the quality of children's meals and snacks, use of financial incentives, interventions that include healthcare providers, the role of screen time, and need for multilevel interventions.
Conclusions:
The presentations within this meeting highlighted the importance of research to address the unique challenges for those working in early care and education settings. Expert and stakeholder consensus of priorities identified significant and innovative areas where future obesity prevention research efforts should be focused.
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