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Multi-component obesity prevention interventions

Health Factors: Diet & Exercise
Decision Makers: Educators Healthcare Professionals & Advocates Nonprofit Leaders Public Health Professionals & Advocates
Evidence Rating: Scientifically Supported
Population Reach: 20-49% of WI's population
Impact on Disparities: No impact on disparities likely

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Description

Multi-component interventions include a combination of educational, environmental, and behavioral activities such as: nutrition education, aerobic/strength training and exercise sessions, training in behavioral techniques, and specific dietary prescriptions (CG-Obesity).

Expected Beneficial Outcomes

Increased physical activity
Improved weight status
Increased self-confidence
Increased fruit & vegetable consumption

Evidence of Effectiveness

There is strong evidence that multi-component interventions increase physical activity (Kriemler 2011, Katz 2008, Kamath 2008, Cochrane-Waters 2011, van Sluijs 2007) and weight loss for children and adolescents (Brown 2009, De Bourdeaudhuij 2011, Katz 2008, Kelly 2008, Seo 2010). Workplace-based multi-component interventions have been shown to improve weight status and self-confidence among participating employees (CG-Obesity, Lombard 2009).

Multi-component interventions increase fruit and vegetable intake among younger children (Van Cauwenberghe 2012). Such interventions have demonstrated positive effects on child and adolescent weight status (Kelly 2008, Brown 2009, Katz 2008), possibly in the long-term (Brown 2009, Katz 2008).

Multi-component interventions appear to be more effective than single component efforts (Kriemler 2011, De Bourdeaudhuij 2011, Seo 2010, Kamath 2008). Interventions that include culturally-tailored or lifestyle specific components have been shown to be most effective for minority students (Seo 2010).

Implementation

United States

Multi-component interventions to prevent obesity are implemented throughout the country. NYS DOH-EWPH is an example of a successful multi-component obesity prevention intervention.

Implementation Resources

NYS DOH-EWPH - New York State Department of Health (NYS DOH). Eat well play hard (EWPH). Accessed on February 6, 2017

Citations - Description

CG-Obesity - The Guide to Community Preventive Services (The Community Guide). Obesity. Accessed on March 9, 2017

Citations - Evidence

Brown 2009 - Brown T, Summerbell C. Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: An update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obesity Reviews. 2009;10(1):110-41. Accessed on December 7, 2015
CG-Obesity - The Guide to Community Preventive Services (The Community Guide). Obesity. Accessed on March 9, 2017
Cochrane-Waters 2011* - Waters E, de Silva-Sanigorski A, Burford BJ, et al. Interventions for preventing obesity in children. Cochrane Database of Systematic Reviews. 2011;(12):CD001871. Accessed on May 23, 2017
De Bourdeaudhuij 2011* - De Bourdeaudhuij I, Van Cauwenberghe E, Spittaels H, et al. School-based interventions promoting both physical activity and healthy eating in Europe: A systematic review within the HOPE project. Obesity Reviews. 2011;12(3):205-16. Accessed on December 8, 2015
Kamath 2008 - Kamath CC, Vickers KS, Ehrlich A, et al. Behavioral interventions to prevent childhood obesity: A systematic review and meta-analyses of randomized trials. Journal of Endocrinology and Metabolism. 2008;93(12):4606-15. Accessed on March 14, 2016
Katz 2008* - Katz D, O’Connell M, Njike V, Yeh M-C, Nawaz H. Strategies for the prevention and control of obesity in the school setting: Systematic review and meta-analysis. International Journal of Obesity. 2008;32(12):1780-9. Accessed on May 23, 2017
Kelly 2008 - Kelly SA, Melnyk BM. Systematic review of multicomponent interventions with overweight middle adolescents: Implications for clinical practice and research. Worldviews on Evidence-Based Nursing. 2008;5(3):113-35. Accessed on March 1, 2016
Kriemler 2011* - Kriemler S, Meyer U, Martin E, et al. Effect of school-based interventions on physical activity and fitness in children and adolescents: A review of reviews and systematic update. British Journal of Sports Medicine. 2011;45(11):923-30. Accessed on April 6, 2016
Lombard 2009 - Lombard CB, Deeks AA, Teede HJ. A systematic review of interventions aimed at the prevention of weight gain in adults. Public Health Nutrition. 2009;12(11):2236-46. Accessed on March 3, 2016
Seo 2010* - Seo D-C, Sa J. A meta-analysis of obesity interventions among US minority children. Journal of Adolescent Health. 2010;46(4):309-23. Accessed on May 24, 2016
Van Cauwenberghe 2012 - Van Cauwenberghe E, Maes L, Spittaels H, et al. Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: Systematic review of published and “grey” literature. British Journal of Nutrition. 2010;103(6):781-97. Accessed on May 24, 2016
van Sluijs 2007 - van Sluijs EMF, McMinn AM, Griffin SJ. Effectiveness of interventions to promote physical activity in children and adolescents: Systematic review of controlled trials. BMJ. 2007;335(7622):703. Accessed on December 12, 2015

Citations - Implementation

NYS DOH-EWPH - New York State Department of Health (NYS DOH). Eat well play hard (EWPH). Accessed on February 6, 2017

Page Last Updated

January 9, 2014

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