Community‐based diet and obesity‐related policy, system, and environmental interventions for obesity prevention during the first 1000 days: A scoping review

Author:

Kracht Chelsea L.12ORCID,Neshteruk Cody D.34,Moding Kameron J.5,Rolke Laura J.34ORCID,Wagner Brooke E.34,Kielb Elizabeth5,Ferrante Mackenzie J.67ORCID,Robinson Cayla8ORCID,Keinsley Jason8,Colella Jordan8,Speirs Katherine E.9,Luecking Courtney T.8ORCID

Affiliation:

1. Pennington Biomedical Research Center Baton Rouge LA USA

2. University of Kansas Medical Center Kansas City KS USA

3. Department of Population Health Sciences Duke University School of Medicine Durham NC USA

4. Duke Center for Childhood Obesity Research Duke University School of Medicine Durham NC USA

5. Department of Human Development and Family Science Purdue University West Lafayette IN USA

6. Department of Nutritional Sciences, School of Environmental and Biological Sciences Rutgers University New Brunswick NJ USA

7. Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences University at Buffalo Buffalo NY USA

8. Department of Dietetics and Human Nutrition, Martin‐Gatton College of Agriculture, Food and Environment University of Kentucky Lexington KY USA

9. Human Development and Family Science, John and Doris Norton School of Human Ecology University of Arizona Tucson AZ USA

Abstract

SummaryCommunity‐based policy, systems, and environmental interventions have the potential to reduce modifiable risk factors for obesity early in life. The purpose of this scoping review was to characterize the breadth, generalizability, and methodological quality of community‐based diet and obesity‐related policy, system, and environmental interventions during the first 1000 days of life, from pregnancy to 24 months of age. Eight databases were searched, and 83 studies (122 references) were included. Data were extracted for breadth (intervention characteristics), generalizability (reach, effectiveness, adoption, implementation, and maintenance), and study quality (Downs and Black Checklist). Systems and environmental approaches were common (> 80%), relative to policy approaches (39%). The majority (60–69%) occurred in the prenatal period and early infancy (0–3 months), assessed breastfeeding or child growth/obesity (53% for both), and included people with lower income (80%) or racial and/or ethnic minority groups (63%). Many interventions reported positive outcomes (i.e., in the expected direction) for child diet, breastfeeding, and feeding practices (> 62%). Few reported intervention maintenance or spanned the full 1000 days. Most studies were classified as good (32%) or fair (56%) methodological quality. The interventions mainly addressed pregnancy and early infancy. Rigorous and representative investigation is needed to improve intervention reach, sustainability, and application in toddlerhood.

Funder

National Institutes of Health

Publisher

Wiley

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3