The effectiveness of interventions during the first 1,000 days to improve energy balance‐related behaviors or prevent overweight/obesity in children from socio‐economically disadvantaged families of high‐income countries: a systematic review - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Obesity Reviews Année : 2023

The effectiveness of interventions during the first 1,000 days to improve energy balance‐related behaviors or prevent overweight/obesity in children from socio‐economically disadvantaged families of high‐income countries: a systematic review

Résumé

This narrative systematic review examined effectiveness of interventions during pregnancy and up to 2 years of age in improving energy balance-related behaviors or prevent overweight/obesity in children from families experiencing socioeconomic disadvantage. We identified 24 interventions, from 33 articles, since 1990. Overall, despite their heterogeneity and variability in internal and external validity, there was some evidence of beneficial impact of interventions on obesity risk (4/15), and associated behaviors, e.g.: breastfeeding (9/18), responsive feeding (11/16), diet (7/8), sedentary (1/3) and movement (4/7) behaviors, and sleep (1/2). The most effective interventions aimed at promoting breastfeeding commenced antenatally; this was similar for the prevention of obesity, provided the intervention continued for at least 2 years postnatally and was multibehavioral. Effective interventions were more likely to target first-time mothers and involve professional delivery agents, multidisciplinary teams and peer groups. Among ethnic/racial minorities, interventions delivered by lay agents had some impact on dietary behavior but not weight outcomes. Co-creation with stakeholders, including parents, and adherence to theoretical frameworks were additional ingredients for more pragmatic, inclusive, non-judgmental, and effective programs. The growing body of evidence on obesity prevention interventions targeting families experiencing socioeconomic disadvantage is promising for reducing early inequalities in obesity risk.
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hal-04160937 , version 1 (20-07-2023)

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Sandrine Lioret, Faryal Harrar, Delia Boccia, Kylie D Hesketh, Konsita Kuswara, et al.. The effectiveness of interventions during the first 1,000 days to improve energy balance‐related behaviors or prevent overweight/obesity in children from socio‐economically disadvantaged families of high‐income countries: a systematic review. Obesity Reviews, 2023, 24 (1), ⟨10.1111/obr.13524⟩. ⟨hal-04160937⟩
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