BACKGROUND AND OBJECTIVES: Childhood obesity is a global epidemic. Despite emerging research about the role of the family and home on obesity risk behaviors, the evidence base for the effectiveness of home-based interventions on obesity prevention remains uncertain. The objective was to systematically review the effectiveness of home-based interventions on weight, intermediate (eg, diet and physical activity [PA]), and clinical outcomes. METHODS: We searched Medline, Embase, PsychInfo, CINAHL, clinicaltrials.gov, and the Cochrane Library from inception through August 11, 2012. We included experimental and natural experimental studies with ≥1-year follow-up reporting weight-related outcomes and targeting children at home. Two independent reviewers screened studies and extracted data. We graded the strength of the evidence supporting interventions targeting diet, PA, or both for obesity prevention. RESULTS: We identified 6 studies; 3 tested combined interventions (diet and PA), 1 used diet intervention, 1 combined intervention with primary care and consumer health informatics components, and 1 combined intervention with school and community components. Select combined interventions had beneficial effects on fruit/vegetable intake and sedentary behaviors. However, none of the 6 studies reported a significant effect on weight outcomes. Overall, the strength of evidence is low that combined home-based interventions effectively prevent obesity. The evidence is insufficient for conclusions about home-based diet interventions or interventions implemented at home in association with other settings. CONCLUSIONS: The strength of evidence is low to support the effectiveness of home-based child obesity prevention programs. Additional research is needed to test interventions in the home setting, particularly those incorporating parenting strategies and addressing environmental influences.
BACKGROUND AND OBJECTIVES:Childhood obesity is a global epidemic. Despite emerging research about the role of the family and home on obesity risk behaviors, the evidence base for the effectiveness of home-based interventions on obesity prevention remains uncertain. The objective was to systematically review the effectiveness of home-based interventions on weight, intermediate (eg, diet and physical activity [PA]), and clinical outcomes. METHODS: We searched Medline, Embase, PsychInfo, CINAHL, clinicaltrials.gov, and the Cochrane Library from inception through August 11, 2012. We included experimental and natural experimental studies with ≥1-year follow-up reporting weight-related outcomes and targeting children at home. Two independent reviewers screened studies and extracted data. We graded the strength of the evidence supporting interventions targeting diet, PA, or both for obesity prevention. RESULTS: We identified 6 studies; 3 tested combined interventions (diet and PA), 1 used diet intervention, 1 combined intervention with primary care and consumer health informatics components, and 1 combined intervention with school and community components. Select combined interventions had beneficial effects on fruit/vegetable intake and sedentary behaviors. However, none of the 6 studies reported a significant effect on weight outcomes. Overall, the strength of evidence is low that combined home-based interventions effectively prevent obesity. The evidence is insufficient for conclusions about home-based diet interventions or interventions implemented at home in association with other settings. CONCLUSIONS: The strength of evidence is low to support the effectiveness of home-based childobesity prevention programs. Additional research is needed to test interventions in the home setting, particularly those incorporating parenting strategies and addressing environmental influences.
Authors: Kevin Patrick; Karen J Calfas; Gregory J Norman; Marion F Zabinski; James F Sallis; Joan Rupp; Jennifer Covin; John Cella Journal: Arch Pediatr Adolesc Med Date: 2006-02
Authors: Marian L Fitzgibbon; Melinda R Stolley; Linda Schiffer; Angela Kong; Carol L Braunschweig; Sandra L Gomez-Perez; Angela Odoms-Young; Linda Van Horn; Katherine Kaufer Christoffel; Alan R Dyer Journal: Obesity (Silver Spring) Date: 2013-02 Impact factor: 5.002
Authors: Nicoleta Cutumisu; Ariane Bélanger-Gravel; Marilie Laferté; François Lagarde; Jean-Frédéric Lemay; Lise Gauvin Journal: Can J Public Health Date: 2014-09-16
Authors: Kirsten K Davison; Selma Gicevic; Alyssa Aftosmes-Tobio; Claudia Ganter; Christine L Simon; Sami Newlan; Jennifer A Manganello Journal: Am J Public Health Date: 2016-09-15 Impact factor: 9.308
Authors: Keely R Hawkins; John W Apolzan; Amanda E Staiano; Jenelle R Shanley; Corby K Martin Journal: J Nutr Educ Behav Date: 2019-06 Impact factor: 3.045
Authors: Guadalupe X Ayala; Leticia Ibarra; Amy Binggeli-Vallarta; Jamie Moody; Thomas L McKenzie; Janette Angulo; Helina Hoyt; Emmeline Chuang; Theodore G Ganiats; Sheila Gahagan; Ming Ji; Michelle Zive; Emily Schmied; Elva M Arredondo; John P Elder Journal: Child Obes Date: 2015-01-13 Impact factor: 2.992
Authors: N Stettler; B H Wrotniak; D L Hill; S K Kumanyika; M S Xanthopoulos; S Nihtianova; J Shults; S S Leff; A Pinto; R I Berkowitz; M S Faith Journal: Pediatr Obes Date: 2014-09-24 Impact factor: 4.000
Authors: Bernard F Fuemmeler; Pamela Behrman; Maija Taylor; Rebeccah Sokol; Emily Rothman; Lisette T Jacobson; Danielle Wischenka; Kenneth P Tercyak Journal: J Behav Med Date: 2016-09-09
Authors: Lori A J Scott-Sheldon; Larry V Hedges; Chris Cyr; Deborah Young-Hyman; Laura Kettel Khan; Mackenzie Magnus; Heather King; Sonia Arteaga; John Cawley; Christina D Economos; Debra Haire-Joshu; Christine M Hunter; Bruce Y Lee; Shiriki K Kumanyika; Lorrene D Ritchie; Thomas N Robinson; Marlene B Schwartz Journal: Child Obes Date: 2020-09 Impact factor: 2.992
Authors: Jerica M Berge; Seok Won Jin; Carrie Hanson; Jennifer Doty; Kimberly Jagaraj; Kent Braaten; William J Doherty Journal: Fam Syst Health Date: 2015-11-30 Impact factor: 1.950