ArticlePediatric obesity2022
Evaluating the impact of community interventions on childhood obesity in populations living in low-income households in Los Angeles: A simulation study.
Article in Pediatric obesity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed, 4 citations in OpenAlex.
- Examination of community-level interventions addressing early childhood obesity in Los Angeles County.Preventive medicine reports · 2024Article
- Health Related Social Needs Screening and Referral Fulfillment: Toward a Complex Model.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- The effects of hypothetical behavioral interventions on the 13-year incidence of overweight/obesity in children and adolescents.The international journal of behavioral nutrition and physical activity · 2023Article
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Authors and funding
11 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundThe complex multifactorial nature of childhood obesity makes community interventions difficult to evaluate using traditional approaches; innovative methods are needed.
objectiveTo evaluate the impact of various interventions targeting childhood obesity-related behaviours, and classified as using a micro-level (e.g., home visitation programs) or macro-level (e.g., business practices) strategy, on obesity among children enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
methodsWe simulated a population of 1500 children enrolled in WIC, with specific diet, physical activity, breastfeeding behaviours and body mass index z-scores (BMIz), following them from age 2 to 5 years.
resultsCombined interventions targeting breastfeeding appeared to be moderately effective, reducing BMIz by 0.03 (95% CI -005, -0.01). Two strategy-specific interventions, home visitation programs and business practices targeting obesity-related behaviours, appeared to be moderately effective at reducing BMIz by 0.04 (95% CI -0.06, -0.02) and 0.02 (95% CI -0.04, 0.00), respectively. Contrary to expectation, combining all micro and macro interventions appeared to have no impact or moderately increased the proportion of obesity/overweight among children.
conclusionInterventions targeting breastfeeding behaviour were most effective when both micro and macro strategies were implemented. Interventions targeting obesity-related behaviours in general were effective for two strategies, home visitation and business practices.
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