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Preventing childhood obesity
Children's health has made tremendous strides over the past century. In general, life expectancy has increased by more than thirty years since 1900 and much of this improvement is due to the reduction of infant and early
childhood mortality. Given this trajectory toward a healthier childhood, we
begin the 21st-century with a shocking development-an epidemic of obesity
in children and youth. The increased number of obese children
throughout the U.S. during the past 25 years has led policymakers to rank
it as one of the most critical public health threats of the 21st-century.
Preventing Childhood Obesity provides a broad-based examination of the
nature, extent, and consequences of obesity in U.S. children and youth,
including the social, environmental, medical, and dietary factors responsible
for its increased prevalence. The book also offers a prevention-oriented
action plan that identifies the most promising array of short-term and
longer-term interventions, as well as recommendations for the roles and
responsibilities of numerous stakeholders in various sectors of society to
reduce its future occurrence. Preventing Childhood Obesity explores the
underlying causes of this serious health problem and the actions needed to
initiate, support, and sustain the societal and lifestyle changes that can
reverse the trend among our children and youth.
eBook
The essential guide to public health and health promotion
\"Public health is everyones business in the twenty-first century. Health professionals are well placed to provide advice to their clients especially in respect to lifestyle change, but public health initiatives are also supported by a range of voluntary organisations and health workers, ranging from smoking cessation advisers to health trainers and nutrition assistants. Designed to help readers develop the practical skills they need to become effective public health practitioners, this concise text gives an easily digested overview of public health and health promotion theory in accessible language and diagrams, before moving on to the ways readers can apply this in practice. Providing an opportunity for practitioners to understand possible barriers to lifestyle change, debate health inequalities and responsibilities, and explore the role of the media in changing attitudes, it outlines the roles of specific organisations involved in public health work. Covers health needs assessment, agenda setting and the technical aspects of how to research plan and evaluate effective practice either with individual clients or when devising programmes and initiatives for population groups. Details methods of helping people with motivation for lifestyle change, building rapport, ongoing support, monitoring and signposting to specific services. Discusses role of neighbourhoods and communities in improving health and how workers may support local populations to improve the health of their community. Practical Health Promotion and Public Health is an accessible introduction to the principles and practice of health promotion and public health for all those new to working or studying in the area, whatever their professional background\"-- Provided by publisher.
Book
The effectiveness of workplace health promotion interventions on physical and mental health outcomes – a systematic review of reviews
Objective This systematic review aimed to provide an overview of the effectiveness of health promotion interventions at the workplace on physical and mental health outcomes related to chronic diseases. Methods A search for reviews published between 2009 and 2018 was performed in electronic databases. References of the included reviews were checked for additional reviews. Workplace health promotion interventions were included if they studied metabolic risk factors as important predictors of type 2 diabetes mellitus (T2DM) and cardiovascular diseases (CVD) or if they studied mental or musculoskeletal health outcomes. Review quality was assessed using the AMSTAR checklist. Results Of the 23 reviews included, 9 were of high quality. For weight-related outcomes, there was strong evidence for favorable effects of workplace interventions, especially for interventions targeting physical activity and/or diet. For the remaining metabolic risk factors, there was no evidence for a positive effect of workplace health promotion interventions due to the absence of high quality reviews and mixed conclusions between the reviews. There was also strong evidence for a positive, small effect on the prevention of mental health disorders of workplace psychological interventions, especially those that use e- health and cognitive behavioral therapy techniques. Furthermore, strong evidence was found for the prevention of musculoskeletal disorders through workplace interventions, especially resistance exercise training. Conclusions This review found evidence for the effectiveness of workplace interventions on the prevention of weight-related outcomes as well as mental health and musculoskeletal disorders. Future research is however needed on the factors that contribute to the successful implementation of an intervention.
Journal Article
Vegetarian and plant-based diets in health and disease prevention
\"Vegetarian and Plant-Based Diets in Health and Disease Prevention examines the science of vegetarian and plant-based diets and their nutritional impact on human health. This book assembles the science related to vegetarian and plant-based diets in a comprehensive, balanced, single reference that discusses both the overall benefits of plant-based diets on health and the risk of disease and issues concerning the status in certain nutrients of the individuals, while providing overall consideration to the entire spectrum of vegetarian diets\"--Back cover.
Book
The sustainability of public health interventions in schools: a systematic review
Background
The sustainability of school-based health interventions after external funds and/or other resources end has been relatively unexplored in comparison to health care. If effective interventions discontinue, new practices cannot reach wider student populations and investment in implementation is wasted. This review asked: What evidence exists about the sustainability of school-based public health interventions? Do schools sustain public health interventions once start-up funds end? What are the barriers and facilitators affecting the sustainability of public health interventions in schools in high-income countries?
Methods
Seven bibliographic databases and 15 websites were searched. References and citations of included studies were searched, and experts and authors were contacted to identify relevant studies. We included reports published from 1996 onwards. References were screened on title/abstract, and those included were screened on full report. We conducted data extraction and appraisal using an existing tool. Extracted data were qualitatively synthesised for common themes, using May’s General Theory of Implementation (2013) as a conceptual framework.
Results
Of the 9677 unique references identified through database searching and other search strategies, 24 studies of 18 interventions were included in the review. No interventions were sustained in their entirety; all had some components that were sustained by some schools or staff, bar one that was completely discontinued. No discernible relationship was found between evidence of effectiveness and sustainability. Key facilitators included commitment/support from senior leaders, staff observing a positive impact on students’ engagement and wellbeing, and staff confidence in delivering health promotion and belief in its value. Important contextual barriers emerged: the norm of prioritising educational outcomes under time and resource constraints, insufficient funding/resources, staff turnover and a lack of ongoing training. Adaptation of the intervention to existing routines and changing contexts appeared to be part of the sustainability process.
Conclusions
Existing evidence suggests that sustainability depends upon schools developing and retaining senior leaders and staff that are knowledgeable, skilled and motivated to continue delivering health promotion through ever-changing circumstances. Evidence of effectiveness did not appear to be an influential factor. However, methodologically stronger primary research, informed by theory, is needed.
Trial registration
The review was registered on PROSPERO:
CRD42017076320
, Sep. 2017.
Journal Article
Promoting cardiovascular health in the developing world : a critical challenge to achieve global health
Cardiovascular disease (CVD), once thought to be confined primarily to industrialized nations, has emerged as a major health threat in developing countries.Cardiovascular disease now accounts for nearly 30 percent of deaths in low and middle income countries each year, and is accompanied by significant economic repercussions.
eBook
Effectiveness and cost-effectiveness of The Daily Mile on childhood weight outcomes and wellbeing: a cluster randomised controlled trial
BackgroundThe Daily Mile is designed to increase physical activity levels with children running or walking around school grounds for 15-min daily. It has been adopted by schools worldwide and endorsed as a solution to tackle obesity, despite no robust evidence of its benefits. We conducted a cluster randomised controlled trial to determine its clinical and cost-effectiveness.MethodsForty schools were randomly assigned (1:1) to either the Daily Mile intervention or control group in which only the usual school health and wellbeing activities were implemented. The primary outcome was BMI z-score (BMIz) at 12 months follow-up from baseline, with planned subgroup analysis to examine differential effects. Primary economic analysis outcome was incremental cost per Quality-Adjusted-Life-Year (QALY) gained.ResultsUsing a constrained randomisation approach, balanced on school size, baseline BMIz and proportion of pupils eligible for free school meals, 20 schools were allocated to intervention (n = 1,153 participants) and 20 to control (n = 1,127); 3 schools withdrew (2 intervention, 1 control). At 12 months, BMIz data were available for 18 intervention schools (n = 850) and 19 control schools (n = 820 participants). Using intention-to-treat analysis the adjusted mean difference (MD) in BMIz (intervention − control) was −0.036 (95% CI: −0.085 to 0.013, p = 0.146). Pre-specified subgroup analysis showed a significant interaction with sex (p = 0.001) suggesting a moderate size benefit of The Daily Mile in girls (MD −0.097, 95% CI −0.156 to −0.037). This was consistent with the exploratory economic results that showed The Daily Mile to be highly cost-effective in girls (£2,492 per QALY), but not in boys, and overall to have a 76% chance of cost-effectiveness for the whole sample, at the commonly applied UK threshold of £20,000 per QALY.ConclusionsOverall the Daily Mile had a small but non-significant effect on BMIz, however, it had a greater effect in girls suggesting that it might be considered as a cost-effective component of a system-wide approach to childhood obesity prevention.
Journal Article