Skip to main content
Top
Published in: Current Obesity Reports 3/2016

01-09-2016 | The Obesity Epidemic: Causes and Consequences (A Peeters and A Cameron, Section Editors)

“Whole-of-Community” Obesity Prevention: A Review of Challenges and Opportunities in Multilevel, Multicomponent Interventions

Authors: Ella Ewart-Pierce, María José Mejía Ruiz, Joel Gittelsohn

Published in: Current Obesity Reports | Issue 3/2016

Login to get access

Abstract

The causes of obesity worldwide are complex and multilevel, including changing food environments, physical activity levels, policies, and food production systems. This intricate context requires multilevel and multicomponent (MLMC) interventions to improve health outcomes. We conducted a literature review of MLMC interventions for obesity prevention and mitigation; 14 studies meeting search criteria were identified. We found examples of successes in preventing obesity, reducing overweight, improving healthful behaviors, and enhancing some psychosocial indicators. Of eight studies that reported health and behavioral results, five showed no significant impact and three showed reductions in obesity. Four studies showed significant improvement in dietary behavior, and five reported significant desirable effects in physical activity or screen time. Five studies reported psychosocial impacts, and three of these showed significant improvements. MLMC approaches show promising results, particularly when they are able to integrate components at the policy, community, and interpersonal levels.
Appendix
Available only for authorised users
Literature
1.
go back to reference Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804–14.PubMedCrossRef Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804–14.PubMedCrossRef
2.
3.
go back to reference Gittelsohn J, Steeves EA, Mui Y, Kharmats AY, Hopkins LC, Dennis D. B’more healthy communities for kids: design of a multi-level intervention for obesity prevention for low-income African-American children. BMC Public Health. 2014;14(1):942.PubMedPubMedCentralCrossRef Gittelsohn J, Steeves EA, Mui Y, Kharmats AY, Hopkins LC, Dennis D. B’more healthy communities for kids: design of a multi-level intervention for obesity prevention for low-income African-American children. BMC Public Health. 2014;14(1):942.PubMedPubMedCentralCrossRef
4.
go back to reference Fialkowski MK, DeBaryshe B, Bersamin A, et al. A community engagement process identifies environmental priorities to prevent early childhood obesity: the Children’s Healthy Living (CHL) program for remote underserved populations in the US Affiliated Pacific Islands, Hawaii and Alaska. Matern Child Health J. 2014;18(10):2261–74.PubMedCrossRef Fialkowski MK, DeBaryshe B, Bersamin A, et al. A community engagement process identifies environmental priorities to prevent early childhood obesity: the Children’s Healthy Living (CHL) program for remote underserved populations in the US Affiliated Pacific Islands, Hawaii and Alaska. Matern Child Health J. 2014;18(10):2261–74.PubMedCrossRef
5.
go back to reference Bronfenbrenner U. Ecological systems theory. In Vasta R, editor. Six theories of child development: revised formulations and current issues. London: Jessica Kingsley Publishers; 1992. p. 187–249. Bronfenbrenner U. Ecological systems theory. In Vasta R, editor. Six theories of child development: revised formulations and current issues. London: Jessica Kingsley Publishers; 1992. p. 187–249.
6.
go back to reference Farquhar JW, Fortmann SP, Maccoby N, et al. The Stanford five-city project: design and methods. Am J Epidemiol. 1985;122(2):323–34.PubMed Farquhar JW, Fortmann SP, Maccoby N, et al. The Stanford five-city project: design and methods. Am J Epidemiol. 1985;122(2):323–34.PubMed
7.
go back to reference Caballero B, Clay T, Davis SM, et al. Pathways: a school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. Am J Clin Nutr. 2003;78(5):1030–8.PubMedPubMedCentral Caballero B, Clay T, Davis SM, et al. Pathways: a school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. Am J Clin Nutr. 2003;78(5):1030–8.PubMedPubMedCentral
8.
go back to reference Puska P, Vartiainen E, Pallonen U, et al. The North Karelia Youth Project: evaluation of two years of intervention on health behavior and CVD risk factors among 13- to 15-year old children. Prev Med. 1982;11(5):550–70.PubMedCrossRef Puska P, Vartiainen E, Pallonen U, et al. The North Karelia Youth Project: evaluation of two years of intervention on health behavior and CVD risk factors among 13- to 15-year old children. Prev Med. 1982;11(5):550–70.PubMedCrossRef
9.
go back to reference Metcalf B, Henley W, Wilkin T. Effectiveness of intervention on physical activity of children: systematic review and meta-analysis of controlled trials with objectively measured outcomes (Early Bird 54). BMJ. 2012;345:e5888.PubMedCrossRef Metcalf B, Henley W, Wilkin T. Effectiveness of intervention on physical activity of children: systematic review and meta-analysis of controlled trials with objectively measured outcomes (Early Bird 54). BMJ. 2012;345:e5888.PubMedCrossRef
10.
go back to reference Puska P. Successful prevention of non-communicable diseases: 25 year experiences with North Karelia Project in Finland. Public Health Med. 2002;4(1):5–7. Puska P. Successful prevention of non-communicable diseases: 25 year experiences with North Karelia Project in Finland. Public Health Med. 2002;4(1):5–7.
11.
go back to reference Gittelsohn J, Kumar MB. Preventing childhood obesity and diabetes: is it time to move out of the school? Pediatr Diabetes. 2007;8 Suppl 9:55–69.PubMedCrossRef Gittelsohn J, Kumar MB. Preventing childhood obesity and diabetes: is it time to move out of the school? Pediatr Diabetes. 2007;8 Suppl 9:55–69.PubMedCrossRef
12.•
go back to reference Gittelsohn J, Park S. School- and community-based interventions. In: Freemark M, editor. Pediatric obesity: etiology, pathogenesis, and treatment. New York: Humana Press; 2010. p. 315–336. Clarifies meaning and significance of community involvement, especially for interventions focused on children. Gittelsohn J, Park S. School- and community-based interventions. In: Freemark M, editor. Pediatric obesity: etiology, pathogenesis, and treatment. New York: Humana Press; 2010. p. 315–336. Clarifies meaning and significance of community involvement, especially for interventions focused on children.
13.••
go back to reference Economos CD, Folta SC, Goldberg J, et al. A community-based restaurant initiative to increase availability of healthy menu options in Somerville, Massachusetts: Shape up Somerville. Prev Chronic Dis. 2009;6(3):A102. MLMC approach with a novel quasi-experimental design and innovative, extensive community involvement that shows strong results at multiple levels.PubMedPubMedCentral Economos CD, Folta SC, Goldberg J, et al. A community-based restaurant initiative to increase availability of healthy menu options in Somerville, Massachusetts: Shape up Somerville. Prev Chronic Dis. 2009;6(3):A102. MLMC approach with a novel quasi-experimental design and innovative, extensive community involvement that shows strong results at multiple levels.PubMedPubMedCentral
14.
go back to reference Safdie M, Cargo M, Richard L, Levesque L. An ecological and theoretical deconstruction of a school-based obesity prevention program in Mexico. Int J Behav Nutr Phys Act. 2014;11:103.PubMedPubMedCentralCrossRef Safdie M, Cargo M, Richard L, Levesque L. An ecological and theoretical deconstruction of a school-based obesity prevention program in Mexico. Int J Behav Nutr Phys Act. 2014;11:103.PubMedPubMedCentralCrossRef
15.
go back to reference Briss PA, Zaza S, Pappaioanou M, et al. Developing an evidence-based Guide to Community Preventive Services—methods. The Task Force on Community Preventive Services. Am J Prev Med. 2000;18(1 Suppl):35–43.PubMedCrossRef Briss PA, Zaza S, Pappaioanou M, et al. Developing an evidence-based Guide to Community Preventive Services—methods. The Task Force on Community Preventive Services. Am J Prev Med. 2000;18(1 Suppl):35–43.PubMedCrossRef
16.
go back to reference Finegood DT, Cawley J. The complex systems science of obesity. In: The Oxford handbook of the social science of obesity. 2011. p. 208–36. Finegood DT, Cawley J. The complex systems science of obesity. In: The Oxford handbook of the social science of obesity. 2011. p. 208–36.
17.
go back to reference Safdie M, Levesque L, Gonzalez-Casanova I, et al. Promoting healthful diet and physical activity in the Mexican school system for the prevention of obesity in children. Salud Publica Mex. 2013;55 Suppl 3:357–73.PubMed Safdie M, Levesque L, Gonzalez-Casanova I, et al. Promoting healthful diet and physical activity in the Mexican school system for the prevention of obesity in children. Salud Publica Mex. 2013;55 Suppl 3:357–73.PubMed
19.
go back to reference Michels N, Susi K, Marques-Vidal PM, Nydegger A, Puder JJ. Psychosocial quality-of-life, lifestyle and adiposity: a longitudinal study in pre-schoolers (Ballabeina Study). Int J Behav Med. 2016. Michels N, Susi K, Marques-Vidal PM, Nydegger A, Puder JJ. Psychosocial quality-of-life, lifestyle and adiposity: a longitudinal study in pre-schoolers (Ballabeina Study). Int J Behav Med. 2016.
20.
go back to reference Niederer I, Burgi F, Ebenegger V, et al. Effects of a lifestyle intervention on adiposity and fitness in overweight or low fit preschoolers (Ballabeina). Obesity (Silver Spring). 2013;21(3):E287–93.CrossRef Niederer I, Burgi F, Ebenegger V, et al. Effects of a lifestyle intervention on adiposity and fitness in overweight or low fit preschoolers (Ballabeina). Obesity (Silver Spring). 2013;21(3):E287–93.CrossRef
21.
go back to reference Burgi F, Niederer I, Schindler C, et al. Effect of a lifestyle intervention on adiposity and fitness in socially disadvantaged subgroups of preschoolers: a cluster-randomized trial (Ballabeina). Prev Med. 2012;54(5):335–40.PubMedCrossRef Burgi F, Niederer I, Schindler C, et al. Effect of a lifestyle intervention on adiposity and fitness in socially disadvantaged subgroups of preschoolers: a cluster-randomized trial (Ballabeina). Prev Med. 2012;54(5):335–40.PubMedCrossRef
22.
go back to reference Puder JJ, Marques-Vidal P, Schindler C, et al. Effect of multidimensional lifestyle intervention on fitness and adiposity in predominantly migrant preschool children (Ballabeina): cluster randomized controlled trial. BMJ. 2011;343:d6195.PubMedPubMedCentralCrossRef Puder JJ, Marques-Vidal P, Schindler C, et al. Effect of multidimensional lifestyle intervention on fitness and adiposity in predominantly migrant preschool children (Ballabeina): cluster randomized controlled trial. BMJ. 2011;343:d6195.PubMedPubMedCentralCrossRef
23.
go back to reference Burgi F, Meyer U, Niederer I, et al. Socio-cultural determinants of adiposity and physical activity in preschool children: a cross-sectional study. BMC Public Health. 2010;10:733.PubMedPubMedCentralCrossRef Burgi F, Meyer U, Niederer I, et al. Socio-cultural determinants of adiposity and physical activity in preschool children: a cross-sectional study. BMC Public Health. 2010;10:733.PubMedPubMedCentralCrossRef
24.
go back to reference Niederer I, Kriemler S, Zahner L, et al. Influence of a lifestyle intervention in preschool children on physiological and psychological parameters (Ballabeina): study design of a cluster randomized controlled trial. BMC Public Health. 2009;9:94.PubMedPubMedCentralCrossRef Niederer I, Kriemler S, Zahner L, et al. Influence of a lifestyle intervention in preschool children on physiological and psychological parameters (Ballabeina): study design of a cluster randomized controlled trial. BMC Public Health. 2009;9:94.PubMedPubMedCentralCrossRef
25.
go back to reference Shin A, Surkan PJ, Coutinho AJ, et al. Impact of Baltimore healthy eating zones: an environmental intervention to improve diet among African-American youth. Health Educ Behav. 2015;42(1 Suppl):97S–105S.PubMedCrossRef Shin A, Surkan PJ, Coutinho AJ, et al. Impact of Baltimore healthy eating zones: an environmental intervention to improve diet among African-American youth. Health Educ Behav. 2015;42(1 Suppl):97S–105S.PubMedCrossRef
26.
go back to reference Gittelsohn J, Dennisuk LA, Christiansen K, et al. Development and implementation of Baltimore healthy eating zones: a youth-targeted intervention to improve the urban food environment. Health Educ Res. 2013;28(4):732–44.PubMedPubMedCentralCrossRef Gittelsohn J, Dennisuk LA, Christiansen K, et al. Development and implementation of Baltimore healthy eating zones: a youth-targeted intervention to improve the urban food environment. Health Educ Res. 2013;28(4):732–44.PubMedPubMedCentralCrossRef
27.••
go back to reference Pratt CA, Boyington J, Esposito L, et al. Childhood obesity prevention and treatment research (COPTR): interventions addressing multiple influences in childhood and adolescent obesity. Contemp Clin Trials. 2013;36(2):406–13. Large-scale example of a multisite MLMC trial effectively modeling the approach.PubMedCrossRef Pratt CA, Boyington J, Esposito L, et al. Childhood obesity prevention and treatment research (COPTR): interventions addressing multiple influences in childhood and adolescent obesity. Contemp Clin Trials. 2013;36(2):406–13. Large-scale example of a multisite MLMC trial effectively modeling the approach.PubMedCrossRef
28.
go back to reference Sherwood NE, French SA, Veblen-Mortenson S, et al. NET-works: linking families, communities and primary care to prevent obesity in preschool-age children. Contemp Clin Trials. 2013;36(2):544–54.PubMedPubMedCentralCrossRef Sherwood NE, French SA, Veblen-Mortenson S, et al. NET-works: linking families, communities and primary care to prevent obesity in preschool-age children. Contemp Clin Trials. 2013;36(2):544–54.PubMedPubMedCentralCrossRef
29.
go back to reference Robinson TN, Matheson D, Desai M, et al. Family, community and clinic collaboration to treat overweight and obese children: Stanford GOALS—a randomized controlled trial of a three-year, multi-component, multi-level, multi-setting intervention. Contemp Clin Trials. 2013;36(2):421–35.PubMedCrossRef Robinson TN, Matheson D, Desai M, et al. Family, community and clinic collaboration to treat overweight and obese children: Stanford GOALS—a randomized controlled trial of a three-year, multi-component, multi-level, multi-setting intervention. Contemp Clin Trials. 2013;36(2):421–35.PubMedCrossRef
30.
go back to reference Po’e EK, Heerman WJ, Mistry RS, Barkin SL. Growing right onto wellness (GROW): a family-centered, community-based obesity prevention randomized controlled trial for preschool child-parent pairs. Contemp Clin Trials. 2013;36(2):436–49.PubMedCrossRef Po’e EK, Heerman WJ, Mistry RS, Barkin SL. Growing right onto wellness (GROW): a family-centered, community-based obesity prevention randomized controlled trial for preschool child-parent pairs. Contemp Clin Trials. 2013;36(2):436–49.PubMedCrossRef
31.
go back to reference Moore SM, Borawski EA, Cuttler L, Ievers-Landis CE, Love TE. IMPACT: a multi-level family and school intervention targeting obesity in urban youth. Contemp Clin Trials. 2013;36(2):574–86.PubMedCrossRef Moore SM, Borawski EA, Cuttler L, Ievers-Landis CE, Love TE. IMPACT: a multi-level family and school intervention targeting obesity in urban youth. Contemp Clin Trials. 2013;36(2):574–86.PubMedCrossRef
32.
go back to reference Ayala GX, Ibarra L, Binggeli-Vallarta A, et al. Our choice/Nuestra Opcion: The Imperial County, California, Childhood Obesity Research Demonstration Study (CA-CORD). Child Obes. 2015;11(1):37–47.PubMedPubMedCentralCrossRef Ayala GX, Ibarra L, Binggeli-Vallarta A, et al. Our choice/Nuestra Opcion: The Imperial County, California, Childhood Obesity Research Demonstration Study (CA-CORD). Child Obes. 2015;11(1):37–47.PubMedPubMedCentralCrossRef
33.
go back to reference Joseph S, Stevens AM, Ledoux T, O’Connor TM, O’Connor DP, Thompson D. Rationale, design, and methods for process evaluation in the childhood obesity research demonstration project. J Nutr Educ Behav. 2015;47(6):560–5. e1.PubMedCrossRef Joseph S, Stevens AM, Ledoux T, O’Connor TM, O’Connor DP, Thompson D. Rationale, design, and methods for process evaluation in the childhood obesity research demonstration project. J Nutr Educ Behav. 2015;47(6):560–5. e1.PubMedCrossRef
34.
go back to reference Chuang E, Ayala GX, Schmied E, Ganter C, Gittelsohn J, Davison KK. Evaluation protocol to assess an integrated framework for the implementation of the Childhood Obesity Research Demonstration Project at the California (CA-CORD) and Massachusetts (MA-CORD) sites. Child Obes. 2015;11(1):48–57.PubMedPubMedCentralCrossRef Chuang E, Ayala GX, Schmied E, Ganter C, Gittelsohn J, Davison KK. Evaluation protocol to assess an integrated framework for the implementation of the Childhood Obesity Research Demonstration Project at the California (CA-CORD) and Massachusetts (MA-CORD) sites. Child Obes. 2015;11(1):48–57.PubMedPubMedCentralCrossRef
35.
go back to reference Davison KK, Falbe J, Taveras EM, et al. Evaluation overview for the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project. Child Obes. 2015;11(1):23–36.PubMedCrossRef Davison KK, Falbe J, Taveras EM, et al. Evaluation overview for the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project. Child Obes. 2015;11(1):23–36.PubMedCrossRef
36.
go back to reference Dooyema CA, Belay B, Foltz JL, Williams N, Blanck HM. The Childhood Obesity Research Demonstration Project: a comprehensive community approach to reduce childhood obesity. Child Obes. 2013;9(5):454–9.PubMedCrossRef Dooyema CA, Belay B, Foltz JL, Williams N, Blanck HM. The Childhood Obesity Research Demonstration Project: a comprehensive community approach to reduce childhood obesity. Child Obes. 2013;9(5):454–9.PubMedCrossRef
37.
go back to reference Foltz JL, Belay B, Dooyema CA, Williams N, Blanck HM. Childhood Obesity Research Demonstration (CORD): the cross-site overview and opportunities for interventions addressing obesity community-wide. Child Obes. 2015;11(1):4–10.PubMedPubMedCentralCrossRef Foltz JL, Belay B, Dooyema CA, Williams N, Blanck HM. Childhood Obesity Research Demonstration (CORD): the cross-site overview and opportunities for interventions addressing obesity community-wide. Child Obes. 2015;11(1):4–10.PubMedPubMedCentralCrossRef
38.
go back to reference Hoelscher DM, Butte NF, Barlow S, et al. Incorporating primary and secondary prevention approaches to address childhood obesity prevention and treatment in a low-income, ethnically diverse population: study design and demographic data from the Texas Childhood Obesity Research Demonstration (TX CORD) study. Child Obes. 2015;11(1):71–91.PubMedPubMedCentralCrossRef Hoelscher DM, Butte NF, Barlow S, et al. Incorporating primary and secondary prevention approaches to address childhood obesity prevention and treatment in a low-income, ethnically diverse population: study design and demographic data from the Texas Childhood Obesity Research Demonstration (TX CORD) study. Child Obes. 2015;11(1):71–91.PubMedPubMedCentralCrossRef
39.
go back to reference O’Connor DP, Lee RE, Mehta P, et al. Childhood obesity research demonstration project: cross-site evaluation methods. Child Obes. 2015;11(1):92–103.PubMedPubMedCentralCrossRef O’Connor DP, Lee RE, Mehta P, et al. Childhood obesity research demonstration project: cross-site evaluation methods. Child Obes. 2015;11(1):92–103.PubMedPubMedCentralCrossRef
40.
go back to reference Taveras EM, Blaine RE, Davison KK, et al. Design of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study. Child Obes. 2015;11(1):11–22.PubMedPubMedCentralCrossRef Taveras EM, Blaine RE, Davison KK, et al. Design of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study. Child Obes. 2015;11(1):11–22.PubMedPubMedCentralCrossRef
41.
go back to reference Blanck HM, Collins JL. The childhood obesity research demonstration project: linking public health initiatives and primary care interventions community-wide to prevent and reduce childhood obesity. Child Obes. 2015;11(1):1–3.PubMedCrossRef Blanck HM, Collins JL. The childhood obesity research demonstration project: linking public health initiatives and primary care interventions community-wide to prevent and reduce childhood obesity. Child Obes. 2015;11(1):1–3.PubMedCrossRef
42.
go back to reference Butel J, Braun KL, Novotny R, et al. Assessing intervention fidelity in a multi-level, multi-component, multi-site program: the Children’s Healthy Living (CHL) program. Transl Behav Med. 2015;5(4):460–9.PubMedPubMedCentralCrossRef Butel J, Braun KL, Novotny R, et al. Assessing intervention fidelity in a multi-level, multi-component, multi-site program: the Children’s Healthy Living (CHL) program. Transl Behav Med. 2015;5(4):460–9.PubMedPubMedCentralCrossRef
43.
go back to reference Fialkowski MK, Delormier T, Hattori-Uchima M, et al. Children’s Healthy Living Program (CHL) indigenous workforce training to prevent childhood obesity in the underserved U.S.-affiliated Pacific region. J Health Care Poor Underserved. 2015;26(2 Suppl):83–95.PubMedCrossRef Fialkowski MK, Delormier T, Hattori-Uchima M, et al. Children’s Healthy Living Program (CHL) indigenous workforce training to prevent childhood obesity in the underserved U.S.-affiliated Pacific region. J Health Care Poor Underserved. 2015;26(2 Suppl):83–95.PubMedCrossRef
44.
go back to reference Li F, Wilkens LR, Novotny R, et al. Anthropometric measurement standardization in the U.S.-affiliated Pacific: report from the Children’s Healthy Living Program. Am J Hum Biol. 2015. Li F, Wilkens LR, Novotny R, et al. Anthropometric measurement standardization in the U.S.-affiliated Pacific: report from the Children’s Healthy Living Program. Am J Hum Biol. 2015.
45.
go back to reference Novotny R, Fialkowski MK, Li F, et al. Systematic review of prevalence of young child overweight and obesity in the U.S.-affiliated Pacific region compared with the 48 contiguous states: The Children’s Healthy Living Program. Am J Public Health. 2015;105(1):e22–35.PubMedPubMedCentralCrossRef Novotny R, Fialkowski MK, Li F, et al. Systematic review of prevalence of young child overweight and obesity in the U.S.-affiliated Pacific region compared with the 48 contiguous states: The Children’s Healthy Living Program. Am J Public Health. 2015;105(1):e22–35.PubMedPubMedCentralCrossRef
46.
go back to reference Braun KL, Nigg CR, Fialkowski MK, et al. Using the ANGELO model to develop the children’s healthy living program multilevel intervention to promote obesity preventing behaviors for young children in the U.S.-affiliated Pacific Region. Child Obes. 2014;10(6):474–81.PubMedPubMedCentralCrossRef Braun KL, Nigg CR, Fialkowski MK, et al. Using the ANGELO model to develop the children’s healthy living program multilevel intervention to promote obesity preventing behaviors for young children in the U.S.-affiliated Pacific Region. Child Obes. 2014;10(6):474–81.PubMedPubMedCentralCrossRef
47.
go back to reference Novotny R, Fialkowski MK, Areta AA, et al. University of Hawai’i Cancer Center Connection: The Pacific way to child wellness: The Children’s Healthy Living (CHL) Program for remote underserved minority populations of the Pacific region. Hawaii J Med Public Health. 2013;72(11):406–8.PubMedPubMedCentral Novotny R, Fialkowski MK, Areta AA, et al. University of Hawai’i Cancer Center Connection: The Pacific way to child wellness: The Children’s Healthy Living (CHL) Program for remote underserved minority populations of the Pacific region. Hawaii J Med Public Health. 2013;72(11):406–8.PubMedPubMedCentral
48.
go back to reference Wilken LR, Novotny R, Fialkowski MK, et al. Children’s Healthy Living (CHL) program for remote underserved minority populations in the Pacific region: rationale and design of a community randomized trial to prevent early childhood obesity. BMC Public Health. 2013;13:944.PubMedPubMedCentralCrossRef Wilken LR, Novotny R, Fialkowski MK, et al. Children’s Healthy Living (CHL) program for remote underserved minority populations in the Pacific region: rationale and design of a community randomized trial to prevent early childhood obesity. BMC Public Health. 2013;13:944.PubMedPubMedCentralCrossRef
49.
go back to reference Dalton WT, Klesges LM, Sherrill-Mittleman D, Stockton MB, Allen S, Klesges RC. Family context as it relates to weight-related behaviors in preadolescent African-American girls. Am J Health Behav. 2011;35(3):269–79.PubMedCrossRef Dalton WT, Klesges LM, Sherrill-Mittleman D, Stockton MB, Allen S, Klesges RC. Family context as it relates to weight-related behaviors in preadolescent African-American girls. Am J Health Behav. 2011;35(3):269–79.PubMedCrossRef
50.
go back to reference Klesges RC, Obarzanek E, Kumanyika S, et al. The Memphis Girls’ Health Enrichment Multi-site Studies (GEMS): an evaluation of the efficacy of a 2-year obesity prevention program in African-American girls. Arch Pediatr Adolesc Med. 2010;164(11):1007–14.PubMedPubMedCentralCrossRef Klesges RC, Obarzanek E, Kumanyika S, et al. The Memphis Girls’ Health Enrichment Multi-site Studies (GEMS): an evaluation of the efficacy of a 2-year obesity prevention program in African-American girls. Arch Pediatr Adolesc Med. 2010;164(11):1007–14.PubMedPubMedCentralCrossRef
51.
go back to reference Robinson TN, Matheson DM, Kraemer HC, et al. A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African-American girls: Stanford GEMS. Arch Pediatr Adolesc Med. 2010;164(11):995–1004.PubMedPubMedCentralCrossRef Robinson TN, Matheson DM, Kraemer HC, et al. A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African-American girls: Stanford GEMS. Arch Pediatr Adolesc Med. 2010;164(11):995–1004.PubMedPubMedCentralCrossRef
52.
go back to reference Klesges RC, Obarzanek E, Klesges LM, et al. Memphis Girls health Enrichment Multi-site Studies (GEMS): Phase 2: design and baseline. Contemp Clin Trials. 2008;29(1):42–55.PubMedCrossRef Klesges RC, Obarzanek E, Klesges LM, et al. Memphis Girls health Enrichment Multi-site Studies (GEMS): Phase 2: design and baseline. Contemp Clin Trials. 2008;29(1):42–55.PubMedCrossRef
53.
go back to reference Robinson TN, Kraemer HC, Matheson DM, et al. Stanford GEMS phase 2 obesity prevention trial for low-income African-American girls: design and sample baseline characteristics. Contemp Clin Trials. 2008;29(1):56–69.PubMedCrossRef Robinson TN, Kraemer HC, Matheson DM, et al. Stanford GEMS phase 2 obesity prevention trial for low-income African-American girls: design and sample baseline characteristics. Contemp Clin Trials. 2008;29(1):56–69.PubMedCrossRef
54.
go back to reference Natale RA, Messiah SE, Asfour L, Uhlhorn SB, Delamater A, Arheart KL. Role modeling as an early childhood obesity prevention strategy: effect of parents and teachers on preschool children’s healthy lifestyle habits. J Dev Behav Pediatr. 2014;35(6):378.PubMedCrossRef Natale RA, Messiah SE, Asfour L, Uhlhorn SB, Delamater A, Arheart KL. Role modeling as an early childhood obesity prevention strategy: effect of parents and teachers on preschool children’s healthy lifestyle habits. J Dev Behav Pediatr. 2014;35(6):378.PubMedCrossRef
55.
go back to reference Natale R, Scott SH, Messiah SE, Schrack MM, Uhlhorn SB, Delamater A. Design and methods for evaluating an early childhood obesity prevention program in the childcare center setting. BMC Public Health. 2013;13:78.PubMedPubMedCentralCrossRef Natale R, Scott SH, Messiah SE, Schrack MM, Uhlhorn SB, Delamater A. Design and methods for evaluating an early childhood obesity prevention program in the childcare center setting. BMC Public Health. 2013;13:78.PubMedPubMedCentralCrossRef
56.
go back to reference Quintiliani LM, DeBiasse MA, Branco JM, Bhosrekar SG, Rorie JA, Bowen DJ. Enhancing physical and social environments to reduce obesity among public housing residents: rationale, trial design, and baseline data for the Healthy Families Study. Contemp Clin Trials. 2014;39(2):201–10.PubMedCrossRef Quintiliani LM, DeBiasse MA, Branco JM, Bhosrekar SG, Rorie JA, Bowen DJ. Enhancing physical and social environments to reduce obesity among public housing residents: rationale, trial design, and baseline data for the Healthy Families Study. Contemp Clin Trials. 2014;39(2):201–10.PubMedCrossRef
57.
go back to reference Simon C, Kellou N, Dugas J, et al. A socio-ecological approach promoting physical activity and limiting sedentary behavior in adolescence showed weight benefits maintained 2.5 years after intervention cessation. Int J Obes (Lond). 2014;38(7):936–43.CrossRef Simon C, Kellou N, Dugas J, et al. A socio-ecological approach promoting physical activity and limiting sedentary behavior in adolescence showed weight benefits maintained 2.5 years after intervention cessation. Int J Obes (Lond). 2014;38(7):936–43.CrossRef
58.
go back to reference Simon C, Schweitzer B, Oujaa M, et al. Successful overweight prevention in adolescents by increasing physical activity: a 4-year randomized controlled intervention. Int J Obes. 2008;32(10):1489.CrossRef Simon C, Schweitzer B, Oujaa M, et al. Successful overweight prevention in adolescents by increasing physical activity: a 4-year randomized controlled intervention. Int J Obes. 2008;32(10):1489.CrossRef
59.
go back to reference Simon C, Wagner A, Platat C, et al. ICAPS: a multilevel program to improve physical activity in adolescents. Diabetes Metab. 2006;32(1):41.PubMedCrossRef Simon C, Wagner A, Platat C, et al. ICAPS: a multilevel program to improve physical activity in adolescents. Diabetes Metab. 2006;32(1):41.PubMedCrossRef
60.
go back to reference Simon C, Wagner A, DiVita C, et al. Intervention Centered on Adolescents’ Physical Activity and Sedentary Behavior (ICAPS): concept and 6-month results. Int J Obes Relat Metab Disord. 2004;28 Suppl 3:S96–S103.PubMedCrossRef Simon C, Wagner A, DiVita C, et al. Intervention Centered on Adolescents’ Physical Activity and Sedentary Behavior (ICAPS): concept and 6-month results. Int J Obes Relat Metab Disord. 2004;28 Suppl 3:S96–S103.PubMedCrossRef
61.
go back to reference Coffield E, Nihiser AJ, Sherry B, Economos CD. Shape up Somerville: change in parent body mass indexes during a child-targeted, community-based environmental change intervention. Am J Public Health. 2015;105(2):e83–9.PubMedCrossRef Coffield E, Nihiser AJ, Sherry B, Economos CD. Shape up Somerville: change in parent body mass indexes during a child-targeted, community-based environmental change intervention. Am J Public Health. 2015;105(2):e83–9.PubMedCrossRef
62.
go back to reference Economos CD, Hyatt RR, Must A, et al. Shape up Somerville two-year results: a community-based environmental change intervention sustains weight reduction in children. Prev Med. 2013;57(4):322–7.PubMedCrossRef Economos CD, Hyatt RR, Must A, et al. Shape up Somerville two-year results: a community-based environmental change intervention sustains weight reduction in children. Prev Med. 2013;57(4):322–7.PubMedCrossRef
63.•
go back to reference Folta SC, Kuder JF, Goldberg JP, et al. Changes in diet and physical activity resulting from the Shape up Somerville community intervention. BMC Pediatr. 2013;13:157. MLMC approach with a novel quasi-experimental design and innovative, extensive community involvement that shows strong results at multiple levels.PubMedPubMedCentralCrossRef Folta SC, Kuder JF, Goldberg JP, et al. Changes in diet and physical activity resulting from the Shape up Somerville community intervention. BMC Pediatr. 2013;13:157. MLMC approach with a novel quasi-experimental design and innovative, extensive community involvement that shows strong results at multiple levels.PubMedPubMedCentralCrossRef
64.
go back to reference Goldberg JP, Collins JJ, Folta SC, et al. Retooling food service for early elementary school students in Somerville, Massachusetts: the Shape Up Somerville experience. Prev Chronic Dis. 2009;6(3):A103.PubMedPubMedCentral Goldberg JP, Collins JJ, Folta SC, et al. Retooling food service for early elementary school students in Somerville, Massachusetts: the Shape Up Somerville experience. Prev Chronic Dis. 2009;6(3):A103.PubMedPubMedCentral
65.
go back to reference Economos CD, Hyatt RR, Goldberg JP, et al. A community intervention reduces BMI z-score in children: Shape up Somerville first year results. Obesity (Silver Spring). 2007;15(5):1325–36.CrossRef Economos CD, Hyatt RR, Goldberg JP, et al. A community intervention reduces BMI z-score in children: Shape up Somerville first year results. Obesity (Silver Spring). 2007;15(5):1325–36.CrossRef
66.
go back to reference Gentile DA, Welk G, Eisenmann JC, et al. Evaluation of a multiple ecological level child obesity prevention program: Switch what you Do, View, and Chew. BMC Med. 2009;7:49.PubMedPubMedCentralCrossRef Gentile DA, Welk G, Eisenmann JC, et al. Evaluation of a multiple ecological level child obesity prevention program: Switch what you Do, View, and Chew. BMC Med. 2009;7:49.PubMedPubMedCentralCrossRef
67.
go back to reference Eisenmann JC, Gentile DA, Welk GJ, et al. SWITCH: rationale, design, and implementation of a community, school, and family-based intervention to modify behaviors related to childhood obesity. BMC Public Health. 2008;8:223.PubMedPubMedCentralCrossRef Eisenmann JC, Gentile DA, Welk GJ, et al. SWITCH: rationale, design, and implementation of a community, school, and family-based intervention to modify behaviors related to childhood obesity. BMC Public Health. 2008;8:223.PubMedPubMedCentralCrossRef
68.
go back to reference Cullen KW, Thompson DI, Scott AR, Lara-Smalling A, Watson KB, Konzelmann K. The impact of goal attainment on behavioral and mediating variables among low-income women participating in an expanded food and nutrition education program intervention study. Appetite. 2010;55(2):305–10.PubMedCrossRef Cullen KW, Thompson DI, Scott AR, Lara-Smalling A, Watson KB, Konzelmann K. The impact of goal attainment on behavioral and mediating variables among low-income women participating in an expanded food and nutrition education program intervention study. Appetite. 2010;55(2):305–10.PubMedCrossRef
69.
go back to reference Cullen KW, Lara Smalling A, Thompson D, Watson KB, Reed D, Konzelmann K. Creating healthful home food environments: results of a study with participants in the expanded food and nutrition education program. J Nutr Educ Behav. 2009;41(6):380–8.PubMedCrossRef Cullen KW, Lara Smalling A, Thompson D, Watson KB, Reed D, Konzelmann K. Creating healthful home food environments: results of a study with participants in the expanded food and nutrition education program. J Nutr Educ Behav. 2009;41(6):380–8.PubMedCrossRef
70.
go back to reference Friedrich RR, Caetano LC, Schiffner MD, Wagner MB, Schuch I. Design, randomization and methodology of the TriAtiva program to reduce obesity in school children in southern Brazil. BMC Public Health. 2015;15:363.PubMedPubMedCentralCrossRef Friedrich RR, Caetano LC, Schiffner MD, Wagner MB, Schuch I. Design, randomization and methodology of the TriAtiva program to reduce obesity in school children in southern Brazil. BMC Public Health. 2015;15:363.PubMedPubMedCentralCrossRef
Metadata
Title
“Whole-of-Community” Obesity Prevention: A Review of Challenges and Opportunities in Multilevel, Multicomponent Interventions
Authors
Ella Ewart-Pierce
María José Mejía Ruiz
Joel Gittelsohn
Publication date
01-09-2016
Publisher
Springer US
Published in
Current Obesity Reports / Issue 3/2016
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-016-0226-7

Other articles of this Issue 3/2016

Current Obesity Reports 3/2016 Go to the issue

The Obesity Epidemic: Causes and Consequences (A Peeters and A Cameron, Section Editors)

Sleep Duration and Obesity in Adults: What Are the Connections?

Health Services and Programs (AG Tsai, Section Editor)

Obesity Treatment in the UK Health System

The Obesity Epidemic: Causes and Consequences (A Peeters and A Cameron, Section Editors)

Infectious and Environmental Influences on the Obesity Epidemic

Health Services and Programs (AG Tsai, Section Editor)

Improving Obesity Prevention and Management in Primary Care in Canada

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.