RT Journal
A1 Ciampa PJ, Kumar D, Barkin SL, et al
T1 Interventions aimed at decreasing obesity in children younger than 2 years: A systematic review
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2010
FD December 1
VO 164
IS 12
SP 1098
OP 1104
DO 10.1001/archpediatrics.2010.232
UL http://dx.doi.org/10.1001/archpediatrics.2010.232
AB Objective 
    To assess the evidence for interventions designed to prevent or reduce overweight and obesity in children younger than 2 years.Data Sources 
    MEDLINE, the Cochrane Central Register of Controlled Trials, CINAHL, Web of Science, and references from relevant articles.Study Selection 
    Included were published studies that evaluated an intervention designed to prevent or reduce overweight or obesity in children younger than 2 years.Data Extraction 
    Extracted from eligible studies were measured outcomes, including changes in child weight status, dietary intake, and physical activity and parental attitudes and knowledge about nutrition. Studies were assessed for scientific quality using standard criteria, with an assigned quality score ranging from 0.00 to 2.00 (0.00-0.99 is poor, 1.00-1.49 is fair, and 1.50-2.00 is good).Data Synthesis 
    We retrieved 1557 citations; 38 articles were reviewed, and 12 articles representing 10 studies met study inclusion criteria. Eight studies used educational interventions to promote dietary behaviors, and 2 studies used a combination of nutrition education and physical activity. Study settings included home (n = 2), clinic (n = 3), classroom (n = 4), or a combination (n = 1). Intervention durations were generally less than 6 months and had modest success in affecting measures, such as dietary intake and parental attitudes and knowledge about nutrition. No intervention improved child weight status. Studies were of poor or fair quality (median quality score, 0.86; range, 0.28-1.43).Conclusions 
    Few published studies attempted to intervene among children younger than 2 years to prevent or reduce obesity. Limited evidence suggests that interventions may improve dietary intake and parental attitudes and knowledge about nutrition for children in this age group. For clinically important and sustainable effect, future research should focus on designing rigorous interventions that target young children and their families.