Interventions in the first 1000 days to prevent childhood obesity: a systematic review and quantitative content analysis

BMC Public Health

Research

Bernardo Ferriz-Mas¹  Begoña Ramos-Fiol²  Celia Pérez-Muñoz²  Jesús Carretero-Bravo²  Mercedes Díaz-Rodríguez²  Esther Ortega-Martín² 

[1] Andalusian Health System, Cádiz, Spain;Facultad de Enfermería Y Fisioterapia, University of Cádiz, Ana de Viya 52, 11009, Cádiz, Spain;

关键词: Childhood obesity;    First 1000 days;    Intervention;   

DOI  :  10.1186/s12889-022-14701-9

 received in 2022-07-11, accepted in 2022-11-22,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundChildhood obesity poses a global health challenge. In recent years, there has been an increase in interventions that begin in pregnancy, putting the concept of early programming and early risk factors into practice. The present study aims to update the findings regarding interventions in the first 1000 days of life.MethodsA systematic review based on the PRISMA guidelines was carried out in PubMed, WoS, Scopus and CINAHL to obtain the articles to be analysed. We included those studies published between 2016 and 2021. Human interventions that started within the first 1000 days of life and acted on at least one programming factor were included. Once selected, coding and quantitative content analysis was carried out to obtain a profile of the interventions during the first 1000 days.ResultsFrom all screened articles, 51 unique interventions, which met the selection criteria, were included. The majority of interventions (81%) took place in high-income areas. Almost all (86%) were targeted at the general population. The majority (54%) started in the second trimester of pregnancy. A clear majority (61%) ended at the time of birth. 44% of the interventions included all pregnant women. Only 48% of these interventions were focused on improving the nutritional status of the offspring in the short term. Most interventions collected the baby's weight at birth (68%).ConclusionsIt can be concluded that current interventions are not covering as many aspects as they should. Future research should be conducted more frequently in developing countries and target disadvantaged groups. These interventions should include all pregnant women, regardless of their nutritional status, aiming to cover as many programming factors as possible and extending through the first 1000 days of life, with body mass index or skinfolds as measures of effectiveness during this period.

【 授权许可】

CC BY   
© The Author(s) 2022

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