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A systematic review and meta-analysis of whole of community interventions to prevent excessive population weight gain.
- Source :
-
Preventive medicine [Prev Med] 2014 May; Vol. 62, pp. 193-200. Date of Electronic Publication: 2014 Feb 08. - Publication Year :
- 2014
-
Abstract
- Population-based, 'whole of community' interventions utilise community engagement processes and implement multiple strategies to improve the health of populations defined by geographical boundaries (i.e. cities, villages or regions). The aim of the review was to systematically assess the current state of knowledge about the effectiveness of population-based whole of community interventions in preventing excessive population weight gain. Systematic searches of electronic databases (1990-2011) and reference lists of included trials and previous reviews were conducted to identify interventions to prevent excessive weight gain. Population-based, whole of community interventions were defined as those targeting the weight status of a population characterised along geographical boundaries. The review included eight trials. All of the identified trials targeted children or adolescents. Seven trials reported a significant effect favouring the intervention on at least one measure of adiposity. Meta-analysis of six trials revealed a small reduction in BMI z-score among participants in intervention communities (mean difference (MD) -0.09; 95% confidence interval (CI) -0.16 to -0.02). The review suggests that population-based, whole of community interventions can be effective in achieving modest reductions in population weight gain among children.<br /> (Copyright © 2014 Elsevier Inc. All rights reserved.)
- Subjects :
- Adiposity physiology
Adolescent
Body Mass Index
Child
Child, Preschool
Cluster Analysis
Community-Based Participatory Research
Cross-Sectional Studies
Female
Humans
Infant
Infant, Newborn
Longitudinal Studies
Male
Obesity epidemiology
Overweight epidemiology
Overweight prevention & control
Population Surveillance
Randomized Controlled Trials as Topic
Community-Institutional Relations
Health Promotion methods
Obesity prevention & control
Weight Gain physiology
Subjects
Details
- Language :
- English
- ISSN :
- 1096-0260
- Volume :
- 62
- Database :
- MEDLINE
- Journal :
- Preventive medicine
- Publication Type :
- Academic Journal
- Accession number :
- 24518005
- Full Text :
- https://doi.org/10.1016/j.ypmed.2014.01.031