Community Policies and Programs to Prevent Obesity and Child Adiposity.
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 charact...
| Publicado en: | American Journal of Preventive Medicine Vol. 53; no. 5; pp. 576 - 584 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Nov2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125526457&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125526457 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07493797 GZ9 jtl: American Journal of Preventive Medicine issn: 07493797 maglogo: N pubinfo: dt: Nov2017 vid: 53 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 125526457 125526457 NLM28688728 125526457 10.1016/j.amepre.2017.05.006 NLM28688728 125526457 ppf: 576 ppct: 8 formats: tig: atl: Community Policies and Programs to Prevent Obesity and Child Adiposity. aug: au: Frongillo, Edward A. Fawcett, Stephen B. Ritchie, Lorrene D. Sonia Arteaga, S. Loria, Catherine M. Pate, Russell R. John, Lisa V. Strauss, Warren J. Gregoriou, Maria Collie-Akers, Vicki L. Schultz, Jerry A. Landgraf, Andrew J. Nagaraja, Jyothi affil: Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina sug: subj: Exercise Health Policy Adipose Tissue Distribution Physiology Pediatric Obesity Prevention and Control Time Factors Male Child United States Female Human Funding Source Child: 6-12 years Male Female ab: 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. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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