Format

Send to

Choose Destination
Am J Prev Med. 2017 Nov;53(5):576-583. doi: 10.1016/j.amepre.2017.05.006. Epub 2017 Jul 5.

Community Policies and Programs to Prevent Obesity and Child Adiposity.

Author information

1
Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina. Electronic address: efrongillo@sc.edu.
2
Work Group for Community Development, University of Kansas, Lawrence, Kansas.
3
Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Oakland, California.
4
National Heart, Lung, and Blood Institute, Bethesda, Maryland.
5
Department of Exercise Science, University of South Carolina, Columbia, South Carolina.
6
Battelle Health and Analytics, St. Louis, Missouri.
7
Battelle Health and Analytics, Columbus, Ohio.
8
Battelle Health and Analytics, Arlington, Virginia.

Abstract

INTRODUCTION:

Evidence regarding impact of community policies and programs (CPPs) to prevent child obesity is limited, and which combinations of strategies and components are most important is not understood. The Healthy Communities Study was an observational study to assess relationships of characteristics and intensity of CPPs with adiposity, diet, and physical activity in children, taking advantage of variation across the U.S. in community actions to prevent child obesity. The study examined the association of CPPs to prevent child obesity with measured BMI and waist circumference, hypothesizing that communities with more-comprehensive CPPs would have children with lower adiposity.

METHODS:

The study included 130 communities selected by probability-based sampling or because of known CPPs targeting child obesity. Data were collected at home visits on 5,138 children during 2013-2015. CPPs were scored for multiple attributes to create a CPP intensity score. A CPP target behavior score reflected the number of distinct target behaviors addressed. Scores were standardized with the smallest observed score across communities being 0 and the largest 1. Multilevel regression analysis in 2016 adjusted for community, household, and individual characteristics.

RESULTS:

Higher CPP target behavior score was significantly associated with lower BMI and waist circumference in a dose-response relationship, with magnitude for the past 3 years of CPPs of 0.843 (p=0.013) for BMI and 1.783 cm (p=0.020) for waist circumference.

CONCLUSIONS:

This study provides plausible evidence that comprehensive CPPs targeting a greater number of distinct physical activity and nutrition behaviors were associated with lower child adiposity.

PMID:
28688728
PMCID:
PMC5650930
[Available on 2018-11-01]
DOI:
10.1016/j.amepre.2017.05.006
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center