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A scoping review of outcomes commonly reported in obesity prevention interventions aiming to improve obesity-related health behaviors in children to age 5 years
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Date
2022-02-05
Authors
Brown, Vicki
Moodie, Marj
Sultana, Marufa
Hunter, Kylie E.
Byrne, Rebecca
Zarnowiecki, Dorota
Seidler, Anna Lene
Golley, Rebecca
Taylor, Rachael W.
Hesketh, Kylie D.
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Wiley
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Abstract
This scoping review was undertaken as the first stage of development of the Core Outcome Sets for Early Prevention of Obesity in CHildhood (COS-EPOCH). The aim of this review is to identify the outcomes collected and reported in randomized controlled trials of early childhood obesity prevention interventions. A systematic scoping review was undertaken following published guidelines. Trial registries and Medline were searched, and records retrieved were screened by two reviewers. Included trials aimed to prevent childhood obesity in the first 5 years of life and were randomized. Data were extracted using a standardized form. Outcomes were assigned to outcome domains, and similar definitions within each domain were merged, based on key literature and expert consensus. Outcome and domain frequencies were estimated and presented in outcome matrices. Eighteen outcome domains were identified from 161 included studies: "anthropometry," "dietary intake," "physical activity," "sedentary behaviour," "emotional functioning/wellbeing," "feeding," "cognitive/executive functioning," "sleep," "other," "study-related," "parenting practices," "motor skill development," "environmental," "blood and lymphatic system," "perceptions and preferences," "quality of life," and "economic," "oral health." The most frequently reported outcome domain was anthropometry (92% of studies), followed by dietary intake (77%) and physical activity (60%). 221 unique outcomes were identified, indicating a high degree of heterogeneity. Body mass index was the only outcome reported in >50% of studies. The considerable heterogeneity in outcomes supports the need for the development of COS-EPOCH.
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Keywords
Core Outcome Set , Early childhood , Obesity , Prevention
Citation
Brown, V., Moodie, M., Sultana, M., Hunter, K. E., Byrne, R., Zarnowiecki, D., Seidler, A. L., Golley, R., Taylor, R. W., Hesketh, K. D. and Matvienko‐Sikar, K. (2022) ‘A scoping review of outcomes commonly reported in obesity prevention interventions aiming to improve obesity‐related health behaviors in children to age 5 years’, Obesity Reviews, 23(5), e13427 (11 pp). doi: 10.1111/obr.13427.
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© 2022 World Obesity Federation. This is the peer reviewed version of the following article: Brown, V, Moodie, M, Sultana, M, et al. A scoping review of outcomes commonly reported in obesity prevention interventions aiming to improve obesity-related health behaviors in children to age 5 years. Obesity Reviews. 2022; 23( 5):e13427, which has been published in final form at https://doi.org/10.1111/obr.13427. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.