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A rapid review of the scalability of interventions targeting obesity prevention in infants

Sze Lin Yoong1,2,3,4, Heidi Turon2,3,4, Carrie K Wong5

  • 1Global Obesity Centre, Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia.

Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals
|June 21, 2023
PubMed

Insights

Most infant obesity prevention programs lack scaled-up evaluations. While one trial retained variable effects, optimal scalability reporting is needed for effective child obesity interventions.

Area of Science:

  • Public Health
  • Pediatric Obesity Prevention

Background:

  • Childhood obesity is a critical global public health issue requiring scalable interventions.
  • Effective prevention strategies for infants (0-2 years) are needed to address high prevalence rates.

Approach:

  • A rapid review identified pre-scale randomized controlled trials for infant obesity prevention.
  • Relative effect sizes were calculated for scaled-up trials, and adaptations were documented.

Key Points:

  • Only one of 14 pre-scale trials had a formal scale-up evaluation.
  • Body mass index effect retention was <10%, while nutrition/behavioral outcomes varied significantly.
  • Adaptations focused on reducing cost and increasing reach, but scalability reporting was generally poor.

Conclusions:

  • Few effective infant obesity interventions have been rigorously evaluated post-scale-up.
  • There is a significant need for developing and evaluating scalable obesity prevention interventions for young children (0-2 years).
Abstract

Keywords:
breast feedingdietinfantpaediatric obesitypopulation healthprevention and control

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