Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Apr 18;19(8):4910.
doi: 10.3390/ijerph19084910.

Involvement of Non-Parental Caregivers in Obesity Prevention Interventions among 0-3-Year-Old Children: A Scoping Review

Affiliations

Involvement of Non-Parental Caregivers in Obesity Prevention Interventions among 0-3-Year-Old Children: A Scoping Review

Andrea Ramirez et al. Int J Environ Res Public Health. .

Abstract

Introduction: We examined the scope of literature including non-parental caregiver involvement in child obesity prevention interventions.

Methods: We conducted a scoping review following the Arksey and O'Malley framework, including only studies reporting the effect of an intervention on growth, weight, or early childhood obesity risk among children ages 0 to three years, published between 2000 and 2021. Interventions that did not include non-parental caregivers (adults regularly involved in childcare other than parents) were excluded.

Results: Of the 14 studies that met the inclusion criteria, all were published between 2013 and 2020, and most interventions (n = 9) were implemented in the United States. Eight of the 14 interventions purposefully included other non-parental caregivers: five included both parents and non-parental caregivers, and the remaining three included only non-parental caregivers. Most interventions (n = 9) showed no significant impact on anthropometric outcomes. All interventions found improvements in at least one behavioral outcome (e.g., food groups intake (n = 5), parental feeding practices (n = 3), and screen time (n = 2)). This review can inform future interventions that plan to involve non-parental caregivers, which may be beneficial in shaping early health behaviors and preventing obesity early in life.

Keywords: child feeding; child growth; child weight; early childhood obesity; prevention interventions.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Screening process.

References

    1. Geserick M., Vogel M., Gausche R., Lipek T., Spielau U., Keller E., Pfaffle R., Kiess W., Korner A. Acceleration of BMI in Early Childhood and Risk of Sustained Obesity. N. Engl. J. Med. 2018;379:1303–1312. doi: 10.1056/NEJMoa1803527. - DOI - PubMed
    1. United Nations Children’s Fund (UNICEF) World Health Organization. International Bank for Reconstruction and Development/The World Bank . Levels and Trends in Child Malnutrition: UNICEF/WHO/The World Bank Group Child Malnutrition Estimates: Key Findings of the 3030 Edition. World Health Organization; Geneva, Switzerland: 2020.
    1. Skinner A.C., Ravanbakht S.N., Skelton J.A., Perrin E.M., Armstrong S.C. Prevalence of Obesity and Severe Obesity in US Children, 1999–2016. Pediatrics. 2018;141:e20173459. doi: 10.1542/peds.2017-3459. - DOI - PMC - PubMed
    1. Sonntag D. Why Early Prevention of Childhood Obesity Is More Than a Medical Concern: A Health Economic Approach. Ann. Nutr. Metab. 2017;70:175–178. doi: 10.1159/000456554. - DOI - PubMed
    1. Trasande L., Elbel B. The economic burden placed on healthcare systems by childhood obesity. Expert Rev. Pharm. Outcomes Res. 2012;12:39–45. doi: 10.1586/erp.11.93. - DOI - PubMed

Publication types