Understanding rapid infant weight gain prevention: a systematic review of quantitative and qualitative evidence

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Abstract

BACKGROUND: Rapid infant weight gain (RIWG) is strongly related to childhood overweight and obesity, and prevention of RIWG is an approach to early years obesity prevention. This systematic review aimed to explore effectiveness, deliverers' and recipients' experiences of involvement, and key intervention components and processes of such prevention activities.

METHODS: Key databases and websites were searched systematically for quantitative and qualitative studies covering intervention effectiveness, experiences with intervention involvement or process outcomes. After duplicate screening and quality assessment, papers were analyzed through narrative synthesis, thematic synthesis and intervention component analysis.

RESULTS: Seven quantitative and seven qualitative studies were eligible for inclusion. Most intervention studies reported small, but significant results on infant weight gain. More significant results were measured on weight gain during the first compared with the second year of life. A weak evidence base made elaboration of the relationship between intervention effectiveness and content challenging. Home-delivered interventions may be more relevant for parents. Contextual factors, such as social norms, beliefs and professional identity should be considered during intervention development. Stakeholder involvement can be key to increase intervention acceptability and feasibility.

CONCLUSIONS: The field of RIWG prevention is new and evolving, but more research is needed before further conclusions about intervention effectiveness and intervention content can be drawn. Future interventions should take parents, health professionals and other contextual needs into account to improve chances of success. More research on long-term effects on overweight and obesity is needed.

Original languageEnglish
JournalEuropean Journal of Public Health
ISSN1101-1262
DOIs
Publication statusE-pub ahead of print - 13 Aug 2019

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Weight Gain
Obesity
Parents
Pediatric Obesity
Research
Databases
Health

Cite this

@article{b591bf878cb34436b86bf3a87826e398,
title = "Understanding rapid infant weight gain prevention: a systematic review of quantitative and qualitative evidence",
abstract = "BACKGROUND: Rapid infant weight gain (RIWG) is strongly related to childhood overweight and obesity, and prevention of RIWG is an approach to early years obesity prevention. This systematic review aimed to explore effectiveness, deliverers' and recipients' experiences of involvement, and key intervention components and processes of such prevention activities.METHODS: Key databases and websites were searched systematically for quantitative and qualitative studies covering intervention effectiveness, experiences with intervention involvement or process outcomes. After duplicate screening and quality assessment, papers were analyzed through narrative synthesis, thematic synthesis and intervention component analysis.RESULTS: Seven quantitative and seven qualitative studies were eligible for inclusion. Most intervention studies reported small, but significant results on infant weight gain. More significant results were measured on weight gain during the first compared with the second year of life. A weak evidence base made elaboration of the relationship between intervention effectiveness and content challenging. Home-delivered interventions may be more relevant for parents. Contextual factors, such as social norms, beliefs and professional identity should be considered during intervention development. Stakeholder involvement can be key to increase intervention acceptability and feasibility.CONCLUSIONS: The field of RIWG prevention is new and evolving, but more research is needed before further conclusions about intervention effectiveness and intervention content can be drawn. Future interventions should take parents, health professionals and other contextual needs into account to improve chances of success. More research on long-term effects on overweight and obesity is needed.",
author = "Rotevatn, {Torill A} and Melendez-Torres, {G J} and Charlotte Overgaard and Kimberly Peven and {Hyldgaard Nilsen}, Jane and Henrik B{\o}ggild and H{\o}stgaard, {Anna Marie Balling}",
note = "{\circledC} The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.",
year = "2019",
month = "8",
day = "13",
doi = "10.1093/eurpub/ckz140",
language = "English",
journal = "European Journal of Public Health",
issn = "1101-1262",
publisher = "Oxford University Press",

}

TY - JOUR

T1 - Understanding rapid infant weight gain prevention

T2 - a systematic review of quantitative and qualitative evidence

AU - Rotevatn, Torill A

AU - Melendez-Torres, G J

AU - Overgaard, Charlotte

AU - Peven, Kimberly

AU - Hyldgaard Nilsen, Jane

AU - Bøggild, Henrik

AU - Høstgaard, Anna Marie Balling

N1 - © The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

PY - 2019/8/13

Y1 - 2019/8/13

N2 - BACKGROUND: Rapid infant weight gain (RIWG) is strongly related to childhood overweight and obesity, and prevention of RIWG is an approach to early years obesity prevention. This systematic review aimed to explore effectiveness, deliverers' and recipients' experiences of involvement, and key intervention components and processes of such prevention activities.METHODS: Key databases and websites were searched systematically for quantitative and qualitative studies covering intervention effectiveness, experiences with intervention involvement or process outcomes. After duplicate screening and quality assessment, papers were analyzed through narrative synthesis, thematic synthesis and intervention component analysis.RESULTS: Seven quantitative and seven qualitative studies were eligible for inclusion. Most intervention studies reported small, but significant results on infant weight gain. More significant results were measured on weight gain during the first compared with the second year of life. A weak evidence base made elaboration of the relationship between intervention effectiveness and content challenging. Home-delivered interventions may be more relevant for parents. Contextual factors, such as social norms, beliefs and professional identity should be considered during intervention development. Stakeholder involvement can be key to increase intervention acceptability and feasibility.CONCLUSIONS: The field of RIWG prevention is new and evolving, but more research is needed before further conclusions about intervention effectiveness and intervention content can be drawn. Future interventions should take parents, health professionals and other contextual needs into account to improve chances of success. More research on long-term effects on overweight and obesity is needed.

AB - BACKGROUND: Rapid infant weight gain (RIWG) is strongly related to childhood overweight and obesity, and prevention of RIWG is an approach to early years obesity prevention. This systematic review aimed to explore effectiveness, deliverers' and recipients' experiences of involvement, and key intervention components and processes of such prevention activities.METHODS: Key databases and websites were searched systematically for quantitative and qualitative studies covering intervention effectiveness, experiences with intervention involvement or process outcomes. After duplicate screening and quality assessment, papers were analyzed through narrative synthesis, thematic synthesis and intervention component analysis.RESULTS: Seven quantitative and seven qualitative studies were eligible for inclusion. Most intervention studies reported small, but significant results on infant weight gain. More significant results were measured on weight gain during the first compared with the second year of life. A weak evidence base made elaboration of the relationship between intervention effectiveness and content challenging. Home-delivered interventions may be more relevant for parents. Contextual factors, such as social norms, beliefs and professional identity should be considered during intervention development. Stakeholder involvement can be key to increase intervention acceptability and feasibility.CONCLUSIONS: The field of RIWG prevention is new and evolving, but more research is needed before further conclusions about intervention effectiveness and intervention content can be drawn. Future interventions should take parents, health professionals and other contextual needs into account to improve chances of success. More research on long-term effects on overweight and obesity is needed.

U2 - 10.1093/eurpub/ckz140

DO - 10.1093/eurpub/ckz140

M3 - Review article

JO - European Journal of Public Health

JF - European Journal of Public Health

SN - 1101-1262

ER -