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Community characteristics modify the relationship between obesity prevention efforts and dietary intake in children:

G Woodward-Lopez1, W Gosliner1, L E Au1

  • 1Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Berkeley, California, USA.

Pediatric Obesity
|July 12, 2018
PubMed

Insights

Community programs for childhood obesity prevention show varied effectiveness based on community traits. Tailoring interventions to specific regional, urbanicity, and demographic factors is crucial for success.

Area of Science:

  • Public Health
  • Nutrition Science
  • Community Health

Background:

  • Understanding how community characteristics influence childhood obesity prevention is limited.
  • Previous research has not fully explored the interplay between community factors and intervention effectiveness.

Purpose of the Study:

  • To examine how community characteristics interact with community programs and policies (CPPs) and their impact on children's dietary intake.
  • To identify specific community attributes that modify the relationship between CPPs and diet.

Main Methods:

  • An observational study involving 5138 children (grades K-8) across 130 US communities (2013-2015).
  • Community programs and policies (CPPs) were identified via key informant interviews and scored based on target behaviors (CPP-Behav) and behavior change strategies (CPP-Strat).
  • Dietary intake was assessed using a screener, and statistical models analyzed interactions between community characteristics (US region, urbanicity, income, race/ethnicity) and CPP scores concerning dietary intake.

Main Results:

  • Community program strategies (CPP-Strat) correlated with healthier diets in the Northeast, West, and high-Hispanic communities, but inversely in the South, high African-American, and low-income communities.
  • Community program behaviors (CPP-Behav) linked to healthier diets in the South and rural areas, with the opposite effect in the West.

Conclusions:

  • Community characteristics, particularly region and urbanicity, significantly moderate the impact of CPPs on dietary intake.
  • Tailored approaches to childhood obesity prevention are necessary, considering the unique characteristics of each community for effective interventions.
Abstract

Keywords:
childhoodnutritionobesitypolicy

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