Policy, system, and environmental interventions addressing obesity and diet-related outcomes in early childhood education settings: A systematic review.

Autor: Kracht CL; Clinical Science Department, Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA., Burkart S; Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA., Flanagan EW; Clinical Science Department, Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA., Melnick E; College of Health Solutions, Arizona State University, Phoenix, Arizona, USA., Luecking C; Department of Dietetics and Human Nutrition, College of Agriculture, Food and Environment, University of Kentucky, Lexington, Kentucky, USA., Neshteruk C; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Jazyk: angličtina
Zdroj: Obesity reviews : an official journal of the International Association for the Study of Obesity [Obes Rev] 2023 Apr; Vol. 24 (4), pp. e13547. Date of Electronic Publication: 2023 Jan 05.
DOI: 10.1111/obr.13547
Abstrakt: Early childhood education (ECE) settings play an important role in child dietary intake and excess weight gain. Policy, systems, and environment (PSE) approaches have potential to reduce disparities in children at higher risk for obesity. The purpose of this review was to (1) characterize the inclusion of populations at higher risk for obesity in ECE interventions and (2) identify effective ECE interventions in these populations. Seven databases were searched for ECE interventions. Intervention characteristics and methodological quality were assessed in 35 articles representing 34 interventions. Interventions identified were mainly a combination of ECE and parent interventions (41%) or stand-alone ECE intervention (29%), with few multisector efforts (23%) or government regulations assessed (5%). Many included policy (70%) or social environment components (61%). For Aim 1, two thirds were conducted in primarily populations at higher risk for obesity (67%). Studies were rated as fair or good methodological quality. For Aim 2, 10 studies demonstrated effectiveness at improving diet or reducing obesity in populations at higher risk for obesity. Most included a longer intervention (i.e., >6 months), multiple PSE components, and formative work. Opportunities to incorporate more PSE components in ECE-based interventions and collaborate with parents and communities are warranted to improve child health.
(© 2023 World Obesity Federation.)
Databáze: MEDLINE
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