A developmental cascade perspective of paediatric obesity: A systematic review of preventive interventions from infancy through late adolescence

Sara M. St. George, Yaray Agosto, Lourdes M. Rojas, Mary Soares, Monica Bahamon, Guillermo Prado, Justin D. Smith

Research output: Contribution to journalReview article

Abstract

The goals of this systematic review were to identify and describe paediatric obesity prevention interventions from infancy to late adolescence and to provide recommendations for future intervention research in light of a recently proposed developmental cascade (DC) model of paediatric obesity. We conducted an electronic search of randomized controlled trials with a minimum 6-month postintervention follow-up published between 1995 and 2019. We included 74 interventions: prenatal/infancy (n = 4), early childhood (n = 11), childhood (n = 38), early to mid-adolescence (n = 18), and late adolescence (n = 3). Infancy and early childhood trials targeted early feeding and positive parenting skills. Half of the childhood and adolescence trials were school based and used universal prevention strategies; those classified as selective or indicated prevention tended to involve the family for more intensive lifestyle modification. Less than 10% of studies followed participants over long periods of time (greater than or equal to 5 years), and only 16% and 31% of studies assessed intervention mediators and moderators, respectively. We recommend that future interventions focus on early prevention, assess long-term intervention effects, use a standardized taxonomy for defining intervention behavioural strategies, assess underlying mechanisms of action and intervention moderators, target parent and family management strategies across development, and increase scientific equity. We also provide specific recommendations regarding intervention targets for each developmental stage.

Original languageEnglish (US)
JournalObesity Reviews
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Pediatric Obesity
Parenting
Life Style
Randomized Controlled Trials
Research

Keywords

  • cascade
  • development
  • paediatric obesity
  • prevention

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Public Health, Environmental and Occupational Health

Cite this

A developmental cascade perspective of paediatric obesity : A systematic review of preventive interventions from infancy through late adolescence. / St. George, Sara M.; Agosto, Yaray; Rojas, Lourdes M.; Soares, Mary; Bahamon, Monica; Prado, Guillermo; Smith, Justin D.

In: Obesity Reviews, 01.01.2019.

Research output: Contribution to journalReview article

St. George, Sara M. ; Agosto, Yaray ; Rojas, Lourdes M. ; Soares, Mary ; Bahamon, Monica ; Prado, Guillermo ; Smith, Justin D. / A developmental cascade perspective of paediatric obesity : A systematic review of preventive interventions from infancy through late adolescence. In: Obesity Reviews. 2019.
@article{66cce32835bc49d89ac273af3e1993e1,
title = "A developmental cascade perspective of paediatric obesity: A systematic review of preventive interventions from infancy through late adolescence",
abstract = "The goals of this systematic review were to identify and describe paediatric obesity prevention interventions from infancy to late adolescence and to provide recommendations for future intervention research in light of a recently proposed developmental cascade (DC) model of paediatric obesity. We conducted an electronic search of randomized controlled trials with a minimum 6-month postintervention follow-up published between 1995 and 2019. We included 74 interventions: prenatal/infancy (n = 4), early childhood (n = 11), childhood (n = 38), early to mid-adolescence (n = 18), and late adolescence (n = 3). Infancy and early childhood trials targeted early feeding and positive parenting skills. Half of the childhood and adolescence trials were school based and used universal prevention strategies; those classified as selective or indicated prevention tended to involve the family for more intensive lifestyle modification. Less than 10{\%} of studies followed participants over long periods of time (greater than or equal to 5 years), and only 16{\%} and 31{\%} of studies assessed intervention mediators and moderators, respectively. We recommend that future interventions focus on early prevention, assess long-term intervention effects, use a standardized taxonomy for defining intervention behavioural strategies, assess underlying mechanisms of action and intervention moderators, target parent and family management strategies across development, and increase scientific equity. We also provide specific recommendations regarding intervention targets for each developmental stage.",
keywords = "cascade, development, paediatric obesity, prevention",
author = "{St. George}, {Sara M.} and Yaray Agosto and Rojas, {Lourdes M.} and Mary Soares and Monica Bahamon and Guillermo Prado and Smith, {Justin D.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1111/obr.12939",
language = "English (US)",
journal = "Obesity Reviews",
issn = "1467-7881",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - A developmental cascade perspective of paediatric obesity

T2 - A systematic review of preventive interventions from infancy through late adolescence

AU - St. George, Sara M.

AU - Agosto, Yaray

AU - Rojas, Lourdes M.

AU - Soares, Mary

AU - Bahamon, Monica

AU - Prado, Guillermo

AU - Smith, Justin D.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - The goals of this systematic review were to identify and describe paediatric obesity prevention interventions from infancy to late adolescence and to provide recommendations for future intervention research in light of a recently proposed developmental cascade (DC) model of paediatric obesity. We conducted an electronic search of randomized controlled trials with a minimum 6-month postintervention follow-up published between 1995 and 2019. We included 74 interventions: prenatal/infancy (n = 4), early childhood (n = 11), childhood (n = 38), early to mid-adolescence (n = 18), and late adolescence (n = 3). Infancy and early childhood trials targeted early feeding and positive parenting skills. Half of the childhood and adolescence trials were school based and used universal prevention strategies; those classified as selective or indicated prevention tended to involve the family for more intensive lifestyle modification. Less than 10% of studies followed participants over long periods of time (greater than or equal to 5 years), and only 16% and 31% of studies assessed intervention mediators and moderators, respectively. We recommend that future interventions focus on early prevention, assess long-term intervention effects, use a standardized taxonomy for defining intervention behavioural strategies, assess underlying mechanisms of action and intervention moderators, target parent and family management strategies across development, and increase scientific equity. We also provide specific recommendations regarding intervention targets for each developmental stage.

AB - The goals of this systematic review were to identify and describe paediatric obesity prevention interventions from infancy to late adolescence and to provide recommendations for future intervention research in light of a recently proposed developmental cascade (DC) model of paediatric obesity. We conducted an electronic search of randomized controlled trials with a minimum 6-month postintervention follow-up published between 1995 and 2019. We included 74 interventions: prenatal/infancy (n = 4), early childhood (n = 11), childhood (n = 38), early to mid-adolescence (n = 18), and late adolescence (n = 3). Infancy and early childhood trials targeted early feeding and positive parenting skills. Half of the childhood and adolescence trials were school based and used universal prevention strategies; those classified as selective or indicated prevention tended to involve the family for more intensive lifestyle modification. Less than 10% of studies followed participants over long periods of time (greater than or equal to 5 years), and only 16% and 31% of studies assessed intervention mediators and moderators, respectively. We recommend that future interventions focus on early prevention, assess long-term intervention effects, use a standardized taxonomy for defining intervention behavioural strategies, assess underlying mechanisms of action and intervention moderators, target parent and family management strategies across development, and increase scientific equity. We also provide specific recommendations regarding intervention targets for each developmental stage.

KW - cascade

KW - development

KW - paediatric obesity

KW - prevention

UR - http://www.scopus.com/inward/record.url?scp=85076117911&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85076117911&partnerID=8YFLogxK

U2 - 10.1111/obr.12939

DO - 10.1111/obr.12939

M3 - Review article

AN - SCOPUS:85076117911

JO - Obesity Reviews

JF - Obesity Reviews

SN - 1467-7881

ER -