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Examining the sustainability of effects of early childhood obesity prevention interventions: Follow‐up of the EPOCH individual participant data prospective meta‐analysis
BACKGROUND: Although early childhood obesity prevention has become an important issue internationally, little evidence exists regarding longer term effects (i.e., sustainability) of early interventions. OBJECTIVE: To determine whether intervention benefits at 2 years of age were sustained at 3.5 and...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541553/ https://www.ncbi.nlm.nih.gov/pubmed/35396815 http://dx.doi.org/10.1111/ijpo.12919 |
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author | Seidler, Anna Lene Hunter, Kylie E. Baur, Louise Espinoza, David Taylor, Rachael W. Wen, Li Ming Hesketh, Kylie D. Campbell, Karen Daniels, Lynne Mihrshahi, Seema Rissel, Chris Taylor, Barry Askie, Lisa M. |
author_facet | Seidler, Anna Lene Hunter, Kylie E. Baur, Louise Espinoza, David Taylor, Rachael W. Wen, Li Ming Hesketh, Kylie D. Campbell, Karen Daniels, Lynne Mihrshahi, Seema Rissel, Chris Taylor, Barry Askie, Lisa M. |
author_sort | Seidler, Anna Lene |
collection | PubMed |
description | BACKGROUND: Although early childhood obesity prevention has become an important issue internationally, little evidence exists regarding longer term effects (i.e., sustainability) of early interventions. OBJECTIVE: To determine whether intervention benefits at 2 years of age were sustained at 3.5 and 5 years. METHODS: Follow‐up of the Early Prevention of Obesity in Children (EPOCH) individual participant data prospective meta‐analysis of four randomized controlled trials including 2196 mother–child dyads at baseline. Interventions were home‐ or community‐based, commenced within 6 months of birth, ended by 2 years of age, and comprised multiple sessions. Controls received standard care. BMI z‐score (primary outcome), other anthropometric measures and weight‐related behaviours were initially measured at 1.5–2 years and followed up at 3.5 and 5 years. RESULTS: Positive intervention effects on BMI z‐scores at 1.5–2 years of age were not apparent by 3.5 years (−0.04 adjusted mean difference; 95% CI:−0.14, 0.06; p = 0.424), and 5 years (0.03; 95% CI: −0.08, 0.14; p = 0.60). While prolonged intervention benefits were detected for a few, but not the majority of, weight‐related behaviours at 3.5 years, these effects diminished over time. CONCLUSION: This meta‐analysis found that initial positive effects of childhood obesity interventions faded out after interventions ended, pointing toward the importance of a suite of interventions implemented at multiple stages across childhood. |
format | Online Article Text |
id | pubmed-9541553 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95415532022-10-14 Examining the sustainability of effects of early childhood obesity prevention interventions: Follow‐up of the EPOCH individual participant data prospective meta‐analysis Seidler, Anna Lene Hunter, Kylie E. Baur, Louise Espinoza, David Taylor, Rachael W. Wen, Li Ming Hesketh, Kylie D. Campbell, Karen Daniels, Lynne Mihrshahi, Seema Rissel, Chris Taylor, Barry Askie, Lisa M. Pediatr Obes Original Research BACKGROUND: Although early childhood obesity prevention has become an important issue internationally, little evidence exists regarding longer term effects (i.e., sustainability) of early interventions. OBJECTIVE: To determine whether intervention benefits at 2 years of age were sustained at 3.5 and 5 years. METHODS: Follow‐up of the Early Prevention of Obesity in Children (EPOCH) individual participant data prospective meta‐analysis of four randomized controlled trials including 2196 mother–child dyads at baseline. Interventions were home‐ or community‐based, commenced within 6 months of birth, ended by 2 years of age, and comprised multiple sessions. Controls received standard care. BMI z‐score (primary outcome), other anthropometric measures and weight‐related behaviours were initially measured at 1.5–2 years and followed up at 3.5 and 5 years. RESULTS: Positive intervention effects on BMI z‐scores at 1.5–2 years of age were not apparent by 3.5 years (−0.04 adjusted mean difference; 95% CI:−0.14, 0.06; p = 0.424), and 5 years (0.03; 95% CI: −0.08, 0.14; p = 0.60). While prolonged intervention benefits were detected for a few, but not the majority of, weight‐related behaviours at 3.5 years, these effects diminished over time. CONCLUSION: This meta‐analysis found that initial positive effects of childhood obesity interventions faded out after interventions ended, pointing toward the importance of a suite of interventions implemented at multiple stages across childhood. John Wiley & Sons, Inc. 2022-04-08 2022-09 /pmc/articles/PMC9541553/ /pubmed/35396815 http://dx.doi.org/10.1111/ijpo.12919 Text en © 2022 The Authors. Pediatric Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Research Seidler, Anna Lene Hunter, Kylie E. Baur, Louise Espinoza, David Taylor, Rachael W. Wen, Li Ming Hesketh, Kylie D. Campbell, Karen Daniels, Lynne Mihrshahi, Seema Rissel, Chris Taylor, Barry Askie, Lisa M. Examining the sustainability of effects of early childhood obesity prevention interventions: Follow‐up of the EPOCH individual participant data prospective meta‐analysis |
title | Examining the sustainability of effects of early childhood obesity prevention interventions: Follow‐up of the EPOCH individual participant data prospective meta‐analysis |
title_full | Examining the sustainability of effects of early childhood obesity prevention interventions: Follow‐up of the EPOCH individual participant data prospective meta‐analysis |
title_fullStr | Examining the sustainability of effects of early childhood obesity prevention interventions: Follow‐up of the EPOCH individual participant data prospective meta‐analysis |
title_full_unstemmed | Examining the sustainability of effects of early childhood obesity prevention interventions: Follow‐up of the EPOCH individual participant data prospective meta‐analysis |
title_short | Examining the sustainability of effects of early childhood obesity prevention interventions: Follow‐up of the EPOCH individual participant data prospective meta‐analysis |
title_sort | examining the sustainability of effects of early childhood obesity prevention interventions: follow‐up of the epoch individual participant data prospective meta‐analysis |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541553/ https://www.ncbi.nlm.nih.gov/pubmed/35396815 http://dx.doi.org/10.1111/ijpo.12919 |
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