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Assessment of Child Anthropometry in a Large Epidemiologic Study
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Community-level obesity prevention is not associated with dieting behaviours and weight dissatisfaction in children:

Colleen C Plimier1, Sridharshi C Hewawitharana2, Karen L Webb2

  • 1School of Public Health, University of California, Berkeley, California.

Pediatric Obesity
|December 24, 2019
PubMed

Insights

Community programs promoting nutrition and physical activity for childhood obesity prevention are linked to better weight satisfaction in children. These initiatives do not appear to encourage unhealthy dieting behaviors.

Area of Science:

  • Public Health
  • Pediatrics
  • Behavioral Science

Background:

  • Childhood obesity is a significant public health concern.
  • Community efforts to combat childhood obesity may have unintended consequences.
  • Understanding these potential impacts is crucial for effective interventions.

Purpose of the Study:

  • To investigate the relationship between community programs, policies, and environmental changes (CPPs) for obesity prevention and children's dieting behaviors and weight satisfaction.
  • To assess potential adverse outcomes of community-based childhood obesity initiatives.

Main Methods:

  • Utilized data from the Healthy Communities Study (2013-2015) involving 5138 US children aged 4-15.
  • Employed multilevel models to analyze associations between standardized CPP intensity scores and child outcomes.
  • Adjusted for community and child-level covariates and the clustered study design.

Main Results:

  • Higher intensity scores for total, physical activity, and nutrition CPPs were associated with lower odds of weight dissatisfaction.
  • Increased physical activity CPP intensity correlated with greater odds of weight satisfaction.
  • No significant associations were found between CPPs and unhealthy dieting behaviors.

Conclusions:

  • Community-based interventions focusing on nutrition and physical activity may positively influence children's weight satisfaction.
  • These programs do not appear to be linked to unhealthy dieting behaviors in children.
  • Findings support the development of community strategies for childhood obesity prevention that prioritize well-being and healthy attitudes towards weight.
Abstract

Keywords:
childrencommunityobesitypoliciesprogrammesweight

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