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![Page 1: Australian broadcast - Child obesity prevention](https://reader033.fdocuments.in/reader033/viewer/2022051609/547caedbb37959a22b8b5046/html5/thumbnails/1.jpg)
Welcome! This webinar has been made possible with support from the
Canadian Institutes of Health Research
Childhood Obesity Prevention:
What’s the evidence?
You will be placed on hold until the webinar begins. The webinar will begin shortly, please remain on the line.
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What’s the evidence? Waters, E., de Silva-Sanigorski, A., Hall, B.J., Brown,
T., Campbell, K.J., Gao, Y., Armstrong, R., Prosser, L., & Summerbell, C.D. (2011). Interventions for preventing obesity in children. Cochrane Database of Systematic Reviews, 2011(12): Art. No.: CD001871
http://health-evidence.ca/articles/show/15329
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Q&A
Participant Side Panel in WebEx
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Welcome!
This webinar has been made possible with support from the Canadian Institutes of Health Research
Childhood Obesity Prevention:
What’s the evidence?
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Maureen Dobbins Scientific Director Tel: 905 525-9140 ext 22481 E-mail: [email protected]
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The Health Evidence Team
Heather Husson Project Manager
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What is www.health-evidence.ca?
Evidence
Decision Making
inform
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Why use www.health-evidence.ca?
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Knowledge Translation
Supplement Project
CIHR-funded KTB-112487
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Review Waters, E., de Silva-Sanigorski, A., Hall, B.J., Brown, T.,
Campbell, K.J., Gao, Y., Armstrong, R., Prosser, L., & Summerbell, C.D. (2011). Interventions for preventing obesity in children. Cochrane Database of Systematic Reviews, 2011(12): Art. No.: CD001871
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The McCaughey Centre VicHealth Centre for the Promotion of Mental Health and Community Wellbeing Melbourne School of Population Health
Professor Elizabeth Waters Jack Brockhoff Chair of Child Public Health Director: The Jack Brockhoff Child Health and Wellbeing Program Coordinating Editor: Cochrane Public Health Group
Melbourne School of Population Health University of Melbourne [email protected]
Prof Waters and daughter Lara participating in a local Kitchen
Garden Program
Australian review authors at the Dec 2011 launch in Melbourne: (L – R) Belinda Hall; Karen Campbell; Liz Waters; Andrea de Silva-Sanigorski; Rebecca Armstrong
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The McCaughey Centre VicHealth Centre for the Promotion of Mental Health and Community Wellbeing Melbourne School of Population Health
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The McCaughey Centre VicHealth Centre for the Promotion of Mental Health and Community Wellbeing Melbourne School of Population Health
• Cochrane Public Health Group
• Cochrane reviews of complex, multi-sectoral, multi-component, population-level public health interventions
• Focus on ‘what works for whom and why’; evidence for action on social determinants; equity
• Engage with stakeholders, decision-makers, practitioners
• Dissemination
• Evidence summaries, practitioner resources
• Workforce capacity building – training
• Systematic reviews, Evidence-informed public health
• Knowledge translation research
• NHMRC funded study in Local Govts
Public Health Evidence & Knowledge Translation research group – incorporating Cochrane Public Health group, University of Melbourne http://ph.cochrane.org @CochranePH
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The McCaughey Centre VicHealth Centre for the Promotion of Mental Health and Community Wellbeing Melbourne School of Population Health
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Questions?
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Summary Statement: Waters (2011) P 0-18 years I community, school, home, day care, preschool –
promoting healthy eating, physical activity, social support
C usual care O primary outcome – BMI
Quality Rating 9 (strong)
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Overall Considerations Favorable impact observed for BMI: 6-12 years only physical activity/nutrition interventions combined in education setting alone of short or long duration Results consistent across research designs
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General Implications Public health should promote/support/implement: strategies to prevent obesity among 6-12 year olds in education setting focused on healthy eating and physical activity of various durations
different strategies are needed for young children and
adolescents Long term impact remains unclear
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What’s the evidence
Overall BMI -0.15 (95% CI -0.21, -0.09) 6-12 years -0.15 (95% CI -0.23, -0.08)
Not statistically significant 0-5 or 13-18
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Overall Meta Analysis Results
Subgroup: 0-5 years
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Overall Meta Analysis Results Subgroup: 6-12 years
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Overall Meta Analysis Results
Subgroup: 13-18 years
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Implications for practice and policy
Support obesity prevention in education settings Continue to investigate strategies for other age groups
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Intervention Type Combined physical activity and nutrition interventions
-0.18 (95% CI -0.27, -0.09) Physical activity alone -0.11 (95% CI - -0.19,-0.02)
Nutrition alone (not significant)
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Implications for practice and policy
Support interventions to change physical activity and healthy eating behaviours in 6-12 years
Environment and culture
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Intervention Setting Education setting only -0.14 (95% CI -0.21, -0.08) Education + other settings, or non-ed settings only not
effective
Sig effect in non-education settings for <5 years
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Implications for practice and policy
Curriculum development More physical activity sessions Nutritional quality of food Training and capacity development for teachers and staff Parents of young children
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Intervention length Programs < than or > than 12 months have similar
positive effect
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Implications for practice and policy
Tailor program length to needs of education setting
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Research Designs Randomization not a factor
Innovative ideas for 0-5 and 13-18 need to be
developed and evaluated
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Overall Considerations Favorable impact observed for BMI: 6-12 years only physical activity/nutrition interventions combined in education setting alone of short or long duration Results consistent across research designs
![Page 31: Australian broadcast - Child obesity prevention](https://reader033.fdocuments.in/reader033/viewer/2022051609/547caedbb37959a22b8b5046/html5/thumbnails/31.jpg)
General Implications Public health should promote/support/implement: strategies to prevent obesity among 6-12 year olds in education setting focused on healthy eating and physical activity of various durations
different strategies are needed for young children and
adolescents Long term impact remains unclear
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Questions?
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