Parental Influences on Physical Activity and Screen Time among Preschool Children from Low-Income Families in Brazil - Peeref (2024)

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Article Psychology, Multidisciplinary

Are Family Physical Activity Habits Passed on to Their Children?

Vinko Zovko, Sasa Djuric, Vedrana Sember, Gregor Jurak

Summary: There is a familial association between physical activity and sedentary behavior, with mothers playing an important role in influencing children's activity levels. Grandparents have less significant impact on children's activity, while grandfathers' sedentary behavior is a predictor of children's sedentary behavior.

Article Multidisciplinary Sciences

The influence of active video game play upon physical activity and screen-based activities in sedentary children

Kelsey E. Ufholz, Kyle D. Flack, James N. Roemmich

Summary: The study showed that participating in active video games increased time spent on them, while reducing time spent on sedentary video games. However, there was no observed change in objectively-measured physical activity or subjectively measured active play among children.

Article Hospitality, Leisure, Sport & Tourism

Child perceived motor competence as a moderator between physical activity parenting and child objectively measured physical activity

Arto Laukkanen, Donna Niemisto, Kaisa Aunola, Lisa M. Barnett, Arja Saakslahti

Summary: This longitudinal study aimed to examine the direct prediction of physical activity parenting (PAP) on children's moderate-to-vigorous physical activity (MVPA) and sedentariness, and whether the children's perception of motor competence (PMC) mediated or moderated this relationship. The results showed that PAP did not significantly predict MVPA or sedentary time, and PMC did not mediate the relationship. However, PMC moderated the relationship between PAP and MVPA, suggesting that family-based physical activity interventions should focus on children with low PMC.

Article Geriatrics & Gerontology

Associations between physical function and device-based measures of physical activity and sedentary behavior patterns in older adults: moving beyond moderate-to-vigorous intensity physical activity

Rod L. Walker, Mikael Anne Greenwood-Hickman, John Bellettiere, Andrea Z. LaCroix, David Wing, Michael Higgins, KatieRose Richmire, Eric B. Larson, Paul K. Crane, Dori E. Rosenberg

Summary: This study found associations between physical function and activity metrics other than MVPA among older adults, with steps showing a significant relationship with physical function in adults aged 75+. The study also found that worse function was more pronounced in participants with the lowest levels of MVPA. These findings support research on broader activity patterns for improving function in older adults.

Article Multidisciplinary Sciences

Associations between physical activity, sedentary time and cardiovascular risk factors among Dutch children

Gabrielle ten Velde, Guy Plasqui, Maartje Willeboordse, Bjorn Winkens, Anita Vreugdenhil

Summary: This study provides an accurate overview of physical activity (PA) and sedentary time (ST) among Dutch primary school children and their associations with cardiovascular risk factors, using standardized measures. The findings suggest that promoting moderate to vigorous PA in children is important, and reducing ST may also benefit cardiovascular health by improving risk factors such as BMI z-score, waist circumference, and cardiorespiratory fitness.

Article Hospitality, Leisure, Sport & Tourism

Kate Parker, Anna Timperio, Jo Salmon, Karen Villanueva, Helen Brown, Irene Esteban-Cornejo, Veronica Cabanas-Sanchez, Jose Castro-Pinero, David Sanchez-Oliva, Oscar L. Veiga

Summary: This study found that sedentary time increased among children and adolescents with different baseline activity behavior typologies, while changes in physical activity varied. Adolescents experienced a significant decline in physical activity, especially those categorized as non-sporty active commuters.

Article Public, Environmental & Occupational Health

Surveillance to improve physical activity of children and adolescents

John J. Reilly, Salome Aubert, Javier Brazo-Sayavera, Yang Liu, Jonathan Y. Cagas, Mark S. Tremblay

Summary: The global decline in habitual physical activity levels among children and adolescents has negative impacts on health and sustainable development. However, public health surveillance and attention to physical activity levels among children are limited globally. This article proposes improvements in global public health surveillance of physical activity in children and provides empirical examples of how improved surveillance can lead to public health initiatives.

Article Public, Environmental & Occupational Health

A Study on the Relationship Between Physical Activity, Sedentary Behavior, and Sleep Duration in Preschool Children

Zhenya Chang, Wei Lei

Summary: The study found that physical activity has a protective effect on daytime sleep duration in preschool children, while sedentary behavior has a negative impact on nighttime sleep duration. Screen-type sedentary behaviors may lead to a reduction in nighttime sleep duration, but quiet learning sedentary behaviors do not have a significant correlation with sleep duration. Gender and socioeconomic status are important factors influencing the relationship between physical activity, sedentary behavior, and sleep duration in preschool children.

Article Public, Environmental & Occupational Health

Relating outdoor play to sedentary behavior and physical activity in youth-results from a cohort study

Carina Nigg, Claudia Niessner, Claudio R. Nigg, Doris Oriwol, Steffen C. E. Schmidt, Alexander Woll

Summary: Study 1 found that higher frequency of outdoor play was associated with lower SB and higher MVPA among children and adolescents. Study 2 revealed that outdoor play in early childhood negatively predicted later PC use/Gaming time, but was not related to MVPA.

Article Public, Environmental & Occupational Health

Impact of ambient air pollution on physical activity and sedentary behavior in children

Hongjun Yu, Heran Zhang

Summary: Exposure to air pollution has a negative impact on children's daily physical activity and sedentary behavior in China. The study highlights the need for policy interventions to reduce air pollution and develop strategies to promote children's health.

Review Multidisciplinary Sciences

School-based physical activity interventions among children and adolescents in the Middle East and Arabic speaking countries: A systematic review

Abdullah Alalawi, Lindsay Blank, Elizabeth Goyder

Summary: This review assesses the effectiveness of school-based interventions in increasing physical activity levels among schoolchildren in Middle Eastern and Arabic-speaking countries. The results show that these interventions can significantly improve physical activity levels, but more long-term interventions and comprehensive evaluations are needed. Rating: 8 out of 10.

Article Sport Sciences

Reallocating sedentary time with total physical activity and physical activity bouts in children: Associations with cardiometabolic biomarkers

Simone J. J. M. Verswijveren, Jo Salmon, Robin M. Daly, Lauren Arundell, Ester Cerin, David W. Dunstan, Kylie D. Hesketh, Paul A. Della Gatta, Nicola D. Ridgers

Summary: This study found that replacing sedentary time with moderate or vigorous-intensity physical activity may benefit children's cardiometabolic health, especially in children with healthy weight and overweight.

Article Geriatrics & Gerontology

Intervening on physical activity and sedentary behavior in older adults

Jason Fanning, Barbara J. Nicklas, W. Jack Rejeski

Summary: Engaging in sufficient levels of physical activity is crucial for maintaining health and quality of life across all ages. Recent research has shifted focus from intense structured exercise to the negative impacts of prolonged sitting, and more recently on interventions targeting individual activity profiles.

Article Sport Sciences

Physical activity level of Thai children and youth: Evidence from Thailand's 2018 report card on physical activity for children and youth

Piyawat Katewongsa, Kornkanok Pongpradit, Dyah Anantalia Widyastari

Summary: The study reveals that only 26.2% of Thai children and youth meet the recommended level of 60 minutes of moderate to vigorous physical activity per day. Boys are more active than girls, with almost half of the children participating in organized sports but only 8.7% engaging in unstructured active play.

Review Medicine, General & Internal

Benefits of physical activity on cardiometabolic diseases in obese children and adolescents

Juan Gao, Yi Lu, Priyanka Gokulnath, Gururaja Vulugundam, Guoping Li, Jin Li, Junjie Xiao

Summary: In the past few decades, childhood obesity has become increasingly common worldwide, leading to health issues and increased risks of cardiovascular diseases. Obesity is closely associated with environmental, behavioral, and genetic factors, including the availability of high-energy food, sedentary behavior, and genetic factors. Currently, there are limited drugs available for treating obesity in children and adolescents, and lifestyle modifications, particularly physical exercise, are the primary approaches for prevention and treatment.

Article Sport Sciences

Evidence that heat acclimation training may alter sleep and incidental activity

John O. Osborne, Geoffrey M. Minett, Ian B. Stewart, Stewart Trost, Christopher Drovandi, Joseph T. Costello, Toby G. Pavey, David N. Borg

Summary: This randomized cross-over study found that heat acclimation training may negatively affect sleep quality and increase sedentary behavior.

Article Nutrition & Dietetics

Adaptations to scale-up an early childhood education and care physical activity intervention for real-world availability - Play Active

Matthew Mclaughlin, Andrea Nathan, Ashleigh Thornton, Jasper Schipperijn, Stewart G. Trost, Hayley Christian

Summary: This study described the adaptations made to the implementation support strategies of the Play Active intervention during scale-up and examined their impact on intervention effectiveness. The results showed that the adaptations primarily focused on the content and delivery mode of the implementation strategies, and most of them had a positive or neutral effect on the intervention effectiveness.

Article Nutrition & Dietetics

Play Active physical activity policy intervention and implementation support in early childhood education and care: results from a pragmatic cluster randomised trial

Emma K. Adams, Andrea Nathan, Stewart G. Trost, Jasper Schipperijn, Trevor Shilton, Georgina Trapp, Clover Maitland, Ashleigh Thornton, Matthew Mclaughlin, Phoebe George, Elizabeth Wenden, Hayley Christian

Summary: This study examined the effectiveness, implementation, and process outcomes of Play Active, a physical activity policy intervention. The results showed that Play Active significantly improved the implementation of physical activity policies, but did not lead to significant changes in children's physical activity levels. However, Play Active showed high awareness, fidelity, reach, and acceptability among educators and directors. Future research should investigate the effectiveness of Play Active over longer implementation periods and its scalability potential.

Article Pediatrics

Construct Validity of the Both Hands Assessment Using Wrist-Worn Accelerometers

Andrea Burgess, Stina Oftedal, Roslyn N. Boyd, Sarah Reedman, Stewart G. Trost, Robert S. Ware, Leanne Sakzewski

Summary: The aim of this study was to evaluate the construct validity of the Both Hands Assessment (BoHA) using accelerometry to detect upper limb activity in children with bilateral cerebral palsy (CP). The results showed significant associations between BoHA and upper limb activity, indicating that BoHA is a valid measure of upper limb performance.

Meeting Abstract Nutrition & Dietetics

Nurturing children where it is needed: towards equity-driven nutrition investment to help children thrive in early childhood education and care settings

K. Elliott, J. Goris, C. Irwin, A. Kirkegaard, S. Frazer-Ryan, A. Philipson, D. Gallegos, L. Vincze, R. Sambell, R. Byrne

Article Medicine, General & Internal

Participate CP 2: optimising participation in physically active leisure for children with cerebral palsy - protocol for a phase III randomised controlled trial

Leanne Sakzewski, Sarah Elizabeth Reedman, Catherine Elliott, Jenny Ziviani, Iona Novak, Stewart Trost, Annette Majnemer, Tracy Comans, Keiko Shikako, Robert S. Ware, Lynda Mcnamara, Sian Williams, Syed Afroz Keramat, Denise Brookes, Roslyn N. Boyd

Summary: Participate CP is a therapy intervention for children with CP aimed at increasing their participation in physical activities. This study will conduct a multisite phase III randomized controlled trial to test the effectiveness of Participate CP.

Article Pediatrics

Cognitive Testing of Items Measuring Movement Behaviours in Young Children Aged Zero to Five Years: Development of the Movement Behaviour Questionnaires for -Baby (MBQ-B) and -Child (MBQ-C)

Rebecca Byrne, Caroline O. Terranova, Li Kheng Chai, Denise S. K. Brookes, Stewart G. Trost

Summary: This paper describes the cognitive interview phase of the development of two brief surveys, the Movement Behaviour Questionnaire-Baby (MBQ-B) and Movement Behaviour Questionnaire-Child (MBQ-C), which measure the duration of physical activity, screen time, and sleep of children aged 0-5 years. The aims were (1) review the format, content, and clarity of questionnaire items and response options, (2) understand how parents retrieve, encode, and formulate responses when asked about their child's movement behaviours, and (3) identify potential sources of response error and make appropriate modifications. Interviews with parents of children aged 0-5 years were conducted using concurrent think-aloud techniques and probing questions. Parents reviewed the MBQ-B and/or MBQ-C depending on the developmental stage of their child(ren). Twenty-nine interviews were conducted with 20 parents, over four iterative rounds. Participants recalled usual family routines and rules when estimating the duration/frequency of behaviours. To estimate active play, parents referred to the child's daily routine considering wake and bedtimes, naps, and mealtimes. Participants were influenced by the examples provided, being unable to interpret these as exemplars only. Decomposing general items into specific questions with examples was well received. Use of numeracy skills when estimating duration was evident. Interviews informed revisions to item wording, examples, and recall prompts, which will be taken forward into the MBQ-B and MBQ-C validation studies. Utilising cognitive interviewing can enhance confidence that questionnaire items are correctly interpreted and understood by participants.

Article Dentistry, Oral Surgery & Medicine

Pairwise approach for analysis and reporting of child's free sugars intake from a birth cohort study

Huy Van Nguyen, Diep Hong Ha, An Thi Minh Dao, Rebecca K. Golley, Jane A. Scott, John Spencer, Lucinda Bell, Gemma Devenish-Coleman, Loc Giang Do

Summary: This study compared three approaches to managing missing data and found that each approach identified three trajectories of children's free sugars intake. The findings were consistent across the different approaches, suggesting the use of pairwise approach in future analyses to optimize sample size and statistical power.

Article Endocrinology & Metabolism

Understanding the pathways between prenatal and postnatal factors and overweight outcomes in early childhood: a pooled analysis of seven cohorts

Miaobing Zheng, Kylie D. Hesketh, Peter Vuillermin, Jodie Dodd, Li Ming Wen, Louise A. Baur, Rachael Taylor, Rebecca Byrne, Seema Mihrshahi, David Burgner, Mimi L. K. Tang, Karen J. Campbell

Summary: This study investigated the pathways linking maternal pre-pregnancy BMI, infant birth weight, breastfeeding duration, and rapid weight gain during infancy to overweight outcomes in early childhood. The results showed that maternal pre-pregnancy BMI was directly associated with infant birth weight, child BMI z-score, and overweight status. Rapid weight gain in infancy exhibited the strongest direct association with child overweight outcomes.

Article Nutrition & Dietetics

'I'm having jelly because you've been bad!': A grounded theory study of mealtimes with siblings in Australian families

Susannah K. K. Ayre, Melanie J. J. White, Holly A. A. Harris, Rebecca A. A. Byrne

Summary: This study using Constructivist Grounded Theory explored how mealtimes are conducted in families with multiple children. The findings revealed the interactions and pressures between siblings during mealtimes and the feeding strategies used by parents in the presence of siblings. The results of this study can inform the design of early feeding interventions.

Correction Nutrition & Dietetics

Usual Nutrient Intake Distribution and Prevalence of Inadequacy among Australian Children 0-24 Months: Findings from the Australian Feeding Infants and Toddlers Study (OzFITS) 2021 (vol 14, 1381, 2021)

Najma A. A. Moumin, Merryn J. J. Netting, Rebecca K. K. Golley, Chelsea E. E. Mauch, Maria Makrides, Tim J. J. Green

Article Pediatrics

Children's activity and diet behaviours in the summer holidays versus school year

Amanda Watson, Carol Maher, Rebecca Golley, Dot Dumuid, Alexandra Manson, Grant Tomkinson, Francois Fraysse, Tim Olds

Summary: Evidence shows that children gain more weight during the summer holidays compared to the school year. This study examined the differences in activity and diet behaviors between the two periods. The results showed that during the summer holidays, children engaged in less physical activity, spent more time sedentary, had poorer diet quality, and consumed fewer serves of fruit. These behaviors may contribute to accelerated weight gain over the holiday period.

Article Pediatrics

Sociodemographic Variation in Children's Health Behaviors During the COVID-19 Pandemic

Traci A. Bekelman, Emily A. Knapp, Yanan Dong, Dana Dabelea, Tracy M. Bastain, Carrie Breton, Kecia N. Carroll, Carlos A. Camargo, Ann M. Davis, Anne L. Dunlop, Amy J. Elliott, Assiamira Ferrara, Rebecca C. Fry, Jody M. Ganiban, Diane Gilbert-Diamond, Frank D. Gilliland, Monique M. Hedderson, Alison E. Hipwell, Christine W. Hockett, Kathi C. Huddleston, Margaret R. Karagas, Nichole Kelly, Jin-Shei Lai, Barry M. Lester, Maristella Lucchini, Melissa M. Melough, Nicole L. Mihalopoulos, T. Michael O'Shea, Andrew G. Rundle, Joseph B. Stanford, Sara VanBronkhorst, Rosalind J. Wright, Qi Zhao, Katherine A. Sauder

Summary: Societal changes during the COVID-19 pandemic may affect children's health behaviors. Parents experiencing financial strain may need additional support to promote healthy behaviors. Changing work schedules to care for children can lead to shorter screen time and longer sleep duration.

Article Pediatrics

Multilevel Factors Associated with Obesity among South Korean Adolescents before and during the COVID-19 Pandemic

Sou Hyun Jang, Hyesun Hwang

Summary: This study compared the factors associated with obesity among adolescents in South Korea before and during the COVID-19 pandemic. The prevalence of obesity slightly increased during the pandemic and several individual and family factors were associated with obesity both before and during the pandemic. However, physical activity and city type were only related to obesity before the pandemic, and economic status downgraded due to COVID-19 was adversely related to obesity during the pandemic.

Review Pediatrics

Systematic Review of General Parenting Intervention Impacts on Child Weight as a Secondary Outcome

Kai Ling Kong, Stephanie Anzman-Frasca, Brenda Burgess, Catherine Serwatka, Hope I. White, Katherine Holmbeck

Summary: General parenting interventions have been found to improve parent-child relationships and child behavior. They may also reduce the prevalence of pediatric overweight/obesity. A systematic review of six studies found significant improvements in weight-related outcomes for interventions focused on general positive parenting. The effect sizes ranged from medium to large. Promoting attachments among infants, restructuring a toddler's home environment, praising preschoolers, and communicating with adolescents were identified as effective strategies for optimizing weight outcomes in parenting interventions adapted for obesity prevention.

Article Pediatrics

Relationship between Childhood Obesity and Autism Spectrum Disorder Varies by Child's Age and Parents' Weight Status in a Sample of Sibling Dyads

Aviva Must, Misha Eliasziw, April Bowling, Sandra Magana, Heidi Stanish, Linda Bandini, Carol Curtin, Tanja V. E. Kral

Summary: Children with autism spectrum disorder (ASD) are more likely to have obesity compared to children without ASD, and this difference becomes more significant as they grow older. Parental obesity also plays a role in sibling obesity.

Article Pediatrics

Do Appetite Traits Mediate the Link between Birth Weight and Later Child Weight in Low-Income Hispanic Families?

Sarvenaz Vandyousefi, Mary Jo Messito, Marc A. Scott, Rachel S. Gross

Summary: Birth weight and appetite traits have links with child weight and obesity. Higher birth weight is associated with lower satiety responsiveness scores. Lower satiety responsiveness scores partially mediate the relationship between birth weight and child weight.

Article Pediatrics

Protective Effect of Prenatal Social Support on the Intergenerational Transmission of Obesity in Low-Income Hispanic Families

Michelle W. Katzow, Mary Jo Messito, Alan L. Mendelsohn, Marc A. Scott, Rachel S. Gross

Summary: This study suggests that prepregnancy overweight/obesity has negative impacts on child birth weight and weight-for-age trajectory. However, prenatal social support can buffer this risk. Interventions for the prevention of child obesity should consider the role of social support.

Article Pediatrics

Rural Family Satisfaction with Telehealth Delivery of an Intervention for Pediatric Obesity and Associated Family Characteristics

Linhda Nguyen, Thao-Ly Phan, Lauren Falini, Di Chang, Lesley Cottrell, Erin Dawley, Christine W. Hockett, Timothy VanWagoner, Paul M. Darden, Ann M. Davis

Summary: The objective of this study was to describe the satisfaction with a telehealth intervention for pediatric obesity among families from rural communities and analyze the differences in satisfaction based on sociodemographic factors. The findings showed that parents from rural communities, especially those from lower socioeconomic backgrounds, were highly satisfied with the telehealth intervention.

Article Pediatrics

Maternal Risk of Cardiovascular Disease Is Associated with Higher BMI Among Preschool-Aged Children: A Cross-Sectional Study

Katherine J. Barrett, Sarah Hibbs-Shipp, Savannah Hobbs, Richard E. Boles, Tracy L. Nelson, Susan L. Johnson, Laura L. Bellows

Summary: Childhood obesity continues to be a concern in the United States, with higher weight in early childhood leading to higher weight in later ages. The Maternal Obesity Matters (MOMs) Study examined the relationship between maternal risk of cardiovascular disease (CVD) and child BMI z-scores (BMIz) in preschool-aged children. The study collected data from mothers and their 3- to 5-year-old children in Colorado, United States, including nonfasting blood samples, blood pressure, and anthropometric measurements for both the mothers and children. The results showed that each 1-point increase in maternal CVD risk was associated with a 0.18 increase in child BMIz, even after controlling for maternal employment. This suggests that addressing maternal health could be an important strategy in combating childhood obesity.

Article Pediatrics

Examination of Prediabetes and Diabetes Testing Among US Pediatric Patients with Overweight or Obesity Using an Electronic Health Record

Brook Belay, Emily M. Kraus, Renee Porter, Samantha Lange Pierce, Lyudmyla Kompaniyets, Elizabeth A. Lundeen, Giuseppina Imperatore, Heidi M. Blanck, Alyson B. Goodman

Summary: This study examined the frequency of diabetes testing and elevated test results among overweight youth aged 10-19 years from 2019 to 2021. The results showed a low rate of diabetes testing among overweight youth, and elevated values were most common in those with severe obesity and Black youth.

Article Pediatrics

Accelerometer-Based Physical Activity and Shape and Weight Concerns Among Youth With Overweight and Obesity: A Pilot Exploratory Ecological Momentary Assessment Study

Elizabeth. N. N. Dougherty, Isabella Randall, Alissa. A. A. Haedt-Matt, Eva Pila, Kathryn Smith, Shirlene Wang, Chih-Hsiang Yang, Scott. G. G. Engel, Andrea. B. B. Goldschmidt

Summary: This pilot study examines the reciprocal relationship between shape and weight concerns (SWC) and physical activity (PA) among youth with overweight/obesity. The findings suggest that engaging in higher duration of PA can lead to lower levels of SWC.

Article Pediatrics

Insurance Approval for Laparoscopic Sleeve Gastrectomy in Adolescents in the Midsouth

Emily W. W. Gray, Webb A. A. Smith, E. Thomaseo Burton, Darla Hale, Adebowale Odulana, Ying Z. Z. Weatherall

Summary: The study describes the experience of an adolescent metabolic and bariatric surgery program in a pediatric weight management clinic. The results show that almost all eligible patients who were interested in surgery received insurance approval. The findings suggest that lack of insurance coverage should not be a barrier to referral for metabolic and bariatric surgery in eligible adolescents.

Article Pediatrics

RAISE (Raising Infants to Be Smart Eaters) Pilot Study

Ilona Hale, Terri Fergus, Holly Buhler, Megan Purcell, Shazhan Amed

Summary: This study aimed to assess the feasibility of a brief responsive feeding education intervention conducted by public health nurses during routine well-baby visits, and to evaluate whether this intervention affects parents' attitudes and behavior related to responsive feeding. The results demonstrated that the intervention was feasible and acceptable, and had a positive impact on parent feeding style.

Article Pediatrics

Obesity Prevalence and Dietary Factors among Preschool-Aged Head Start Children in Remote Alaska Native Communities: Baseline Data from the Got Neqpiaq? Study

Courtney M. Hill, Mallie J. Paschall, Kathryn R. Koller, Gretchen M. Day, Flora R. Lee, Diane M. O'Brien, Diane K. King, Lea Palmer, Timothy K. Thomas, Andrea Bersamin

Summary: This study examined the prevalence of obesity and dietary risk factors among Alaska Native preschool-aged children in southwest Alaska. The results showed that the burden of overweight and obesity is high among Yup'ik preschool-aged children. Traditional food intake is inversely associated with BMI, highlighting the need for culturally grounded interventions.

Article Pediatrics

Changes in Child Weight, Behaviors, and Family Dynamics during Parental Participation in a Medical Weight Management Program: A Longitudinal Uncontrolled Pilot Study

Keeley J. Pratt, Haley M. Kiser, Xin Feng, Catherine VanFossen, Colleen Spees, Christopher Taylor, Sabrena Noria, Ihuoma Eneli, Joseph A. Skelton

Summary: Parental participation in outpatient medical weight management programs may have effects on children, particularly leading to increased negative family dynamics (restriction of food, family functioning, and communication) in female children and children with overweight/obesity.

Article Pediatrics

Using Agent-Based Modeling to Extrapolate Community-Wide Impact from a Stakeholder-Driven Childhood Obesity Prevention Intervention: Shape Up Under 5

Matt Kasman, Ross A. Hammond, Austen Mack-Crane, Rob Purcell, Ariella R. Korn, Julia M. Appel, Erin Hennessy, Boyd Swinburn, Steven Allender, Christina D. Economos

Summary: This study uses an agent-based model of Stakeholder-Driven Community Diffusion (SDCD) to investigate the potential impact of SDCD on community-wide knowledge and engagement in childhood obesity prevention. The model demonstrates the potential of SDCD to create significant changes within the broader community, with potential for increased impact through changes in implementation strategies.