Assessing the Impact of Early Childhood Intervention Programs on Obesity Prevention: A comparative study

Role of Nutrition and Exercise in Childhood Obesity Prevention

Authors

  • Fatima Tariq Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan Author
  • Salman Tahir Ghurki Trust & Teaching Hospital, Lahore, Pakistan Author
  • Shahjahan Raza Gardezi Doctors Hospital & Medical Center, Lahore, Pakistan Author
  • Maryam Sarwar Combined Military Hospital (CMH) Lahore, Lahore Pakistan Author
  • Muhammad Nasir Shahbaz Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Arham Riaz University college of Pharmacy, University of the Punjab, Lahore, Pakistan Author

DOI:

https://doi.org/10.69750/dmls.01.07.050

Keywords:

Childhood obesity, early intervention, comparative study, BMI reduction, nutrition education, physical activity, parental involvement, obesity prevention

Abstract

Background: Childhood obesity is a major global health concern with long-term implications. Early intervention programs (EIPs) have been developed to address this problem, emphasizing nutrition, physical activity, and behavior change. However, the comparative effectiveness of different types of EIPs remains unclear.

Objectives: The aim of this study was to compare the effectiveness of several EIPs to reduce Body Mass Index (BMI), improve dietary habits, and increase physical activity among children 4 to 12 years of age.

Methods: This comparative study was conducted in schools and pediatric clinics in Lahore, Pakistan from February 2023 to June 2024. The current study included 550 children diagnosed with obesity who were selected using stratified random sampling. Participants had different types of EIPs including nutrition education, physical activities and behavioral counseling. Data on BMI, dietary habits and physical activity were collected before and after the interventions. SPSS version 27.0 was employed, Paired t tests, ANOVA and logistic regression were used to control for confounding variables, such as age and socioeconomic status.

Results: Mean BMI was significantly reduced in all groups and had the largest reductions in programs exceeding 16 weeks (mean reduction of 1.4 units, p<0.001). Change in behavioral included increased fruit and vegetable intake (from 38% to 74%, p < 0.01) and reduced sugary beverage uptake (from 58% to 35%, p < 0.01). Program duration and parental involvement were significant predictors of success.

Conclusions: Early intervention programs effectively reduce obesity metrics among children, with longer duration and parental involvement being key factors for success. These findings highlight the need for sustained, comprehensive programs to combat childhood obesity.

Downloads

Download data is not yet available.

References

Pereira AR, Oliveira A. Dietary Interventions to Prevent Childhood Obesity: A Literature Review. Nutrients [Internet]. 2021; 13(10).doi: 10.3390/ nu13103447

Vazquez CE, Cubbin C. Socioeconomic Status and Childhood Obesity: a Review of Literature from the Past Decade to Inform Intervention Research. Current Obesity Reports. 2020;9(4):562-70.doi: 10.1007/s13679-020-00400-2

Bawaked RA, Fernández-Barrés S, Navarrete-Muñoz EM, González-Palacios S, Guxens M, Irizar A, et al. Impact of lifestyle behaviors in early childhood on obesity and cardiometabolic risk in children: Results from the Spanish INMA birth cohort study. Pediatric Obesity. 2020;15(3):e12590.doi: 10.1111/ijpo.12590

Allender S, Orellana L, Crooks N, Bolton KA, Fraser P, Brown AD, et al. Four-Year Behavioral, Health-Related Quality of Life, and BMI Outcomes from a Cluster Randomized Whole of Systems Trial of Prevention Strategies for Childhood Obesity. Obesity. 2021;29(6):1022-35.doi: 10.1002/oby.23130

Askie LM, Espinoza D, Martin A, Daniels LA, Mihrshahi S, Taylor R, et al. Interventions commenced by early infancy to prevent childhood obesity—The EPOCH Collaboration: An individual participant data prospective meta-analysis of four randomized controlled trials. Pediatric Obesity. 2020;15(6):e12618.doi: 10.1111/ijpo.12618

Tomayko EJ, Tovar A, Fitzgerald N, Howe CL, Hingle MD, Murphy MP, et al. Parent Involvement in Diet or Physical Activity Interventions to Treat or Prevent Childhood Obesity: An Umbrella Review. Nutrients [Internet]. 2021; 13(9).doi: 10.3390/nu13093227

Iguacel I, Gasch-Gallén Á, Ayala-Marín AM, De Miguel-Etayo P, Moreno LA. Social vulnerabilities as risk factor of childhood obesity development and their role in prevention programs. International Journal of Obesity. 2021;45(1):1-11.doi: 10.1038/s41366-020-00697-y

Lioret S, Campbell KJ, McNaughton SA, Cameron AJ, Salmon J, Abbott G, et al. Lifestyle Patterns Begin in Early Childhood, Persist and Are Socioeconomically Patterned, Confirming the Importance of Early Life Interventions. Nutrients [Internet]. 2020; 12(3).doi: 10.3390/nu12030724

Vrijheid M, Fossati S, Maitre L, Márquez S, Roumeliotaki T, Agier L, et al. Early-Life Environmental Exposures and Childhood Obesity: An Exposome-Wide Approach. Environmental Health Perspectives. 2020;128(6):067009.doi: doi:10.1289/EHP5975

Santos-Beneit G, Bodega P, Cos-Gandoy Ad, Miguel Md, Rodríguez C, Orrit X, et al. Effect of Time-Varying Exposure to School-Based Health Promotion on Adiposity in Childhood. Journal of the American College of Cardiology. 2024;84(6):499-508.doi: doi:10.1016/j.jacc.2024. 04.065

Wyszyńska J, Ring-Dimitriou S, Thivel D, Weghuber D, Hadjipanayis A, Grossman Z, et al. Physical Activity in the Prevention of Childhood Obesity: The Position of the European Childhood Obesity Group and the European Academy of Pediatrics. Frontiers in Pediatrics. 2020;8.doi: 10.3389/fped.2020.535705

Salam RA, Padhani ZA, Das JK, Shaikh AY, Hoodbhoy Z, Jeelani SM, et al. Effects of Lifestyle Modification Interventions to Prevent and Manage Child and Adolescent Obesity: A Systematic Review and Meta-Analysis. Nutrients [Internet]. 2020; 12(8).doi: 10.3390/nu12082208

Browne NT, Snethen JA, Greenberg CS, Frenn M, Kilanowski JF, Gance-Cleveland B, et al. When Pandemics Collide: The Impact of COVID-19 on Childhood Obesity. J Pediatr Nurs. 2021;56:90-8.doi: 10.1016/j.pedn.2020.11.004

Nally S, Carlin A, Blackburn NE, Baird JS, Salmon J, Murphy MH, et al. The Effectiveness of School-Based Interventions on Obesity-Related Behaviours in Primary School Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. Children [Internet]. 2021; 8(6).doi: 10.3390/children8060 489

Chaudhary A, Sudzina F, Mikkelsen BE. Promoting Healthy Eating among Young People—A Review of the Evidence of the Impact of School-Based Interventions. Nutrients [Internet]. 2020; 12(9).doi: 10.3390/nu12092894

Qiao J, Dai L-J, Zhang Q, Ouyang Y-Q. A Meta-Analysis of the Association Between Breastfeeding and Early Childhood Obesity. Journal of Pediatric Nursing. 2020;53:57-66.doi: 10.1016/j.pedn.2020.04.024

Kim MJ, Sung E, Choi EY, Ju YS, Park EW, Cheong YS, et al. Delphi Survey for Designing a Intervention Research Study on Childhood Obesity Prevention. Korean J Fam Med. 2017;38(5):284-90.doi: 10.4082/kjfm.2017.38.5.284

Wen LM, Baur LA, Rissel C, Wardle K, Alperstein G, Simpson JM. Early intervention of multiple home visits to prevent childhood obesity in a disadvantaged population: a home-based randomised controlled trial (Healthy Beginnings Trial). BMC Public Health. 2007;7(1):76.doi: 10.1186/1471-2458-7-76

Manios Y, Androutsos O, Katsarou C, Iotova V, Socha P, Geyer C, et al. Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood: the ToyBox-study. Obesity Reviews. 2014;15(S3):5-13.doi: 10.1111/obr.12175

Wen LM, Baur LA, Simpson JM, Xu H, Hayes AJ, Hardy LL, et al. Sustainability of Effects of an Early Childhood Obesity Prevention Trial Over Time: A Further 3-Year Follow-up of the Healthy Beginnings Trial. JAMA Pediatrics. 2015;169(6):543-51.doi:10.1001/jamapediatrics. 2015.0258

Downloads

Crossmark - Check for Updates PlumX Metrics

Published

19-10-2024

How to Cite

Tariq, F. ., Tahir, S. ., Gardezi, S. R., Sarwar, M. ., Shahbaz, M. N., & Riaz, A. (2024). Assessing the Impact of Early Childhood Intervention Programs on Obesity Prevention: A comparative study: Role of Nutrition and Exercise in Childhood Obesity Prevention. DEVELOPMENTAL MEDICO-LIFE-SCIENCES, 1(7), 48-54. https://doi.org/10.69750/dmls.01.07.050

Share