Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/32265
Full metadata record
DC FieldValueLanguage
dc.contributor.authorNobles, Jamesen_UK
dc.contributor.authorSummerbell, Carolynen_UK
dc.contributor.authorBrown, Tamaraen_UK
dc.contributor.authorJago, Russellen_UK
dc.contributor.authorMoore, Theresaen_UK
dc.date.accessioned2021-02-12T01:00:41Z-
dc.date.available2021-02-12T01:00:41Z-
dc.date.issued2021en_UK
dc.identifier.other22en_UK
dc.identifier.urihttp://hdl.handle.net/1893/32265-
dc.description.abstractBackground Randomised controlled trials (RCTs) are often regarded as the gold standard of evidence, and subsequently go on to inform policymaking. Cochrane Reviews synthesise this type of evidence to create recommendations for practice, policy, and future research. Here, we critically appraise the RCTs included in the childhood obesity prevention Cochrane Review to understand the focus of these interventions when examined through a wider determinants of health (WDoH) lens. Methods We conducted a secondary analysis of the interventions included in the Cochrane Review on “Interventions for Preventing Obesity in Children”, published since 1993. All 153 RCTs were independently coded by two authors against the WDoH model using an adaptive framework synthesis approach. We used aspects of the Action Mapping Tool from Public Health England to facilitate our coding and to visualise our findings against the 226 perceived causes of obesity. Results The proportion of interventions which targeted downstream (e.g. individual and family behaviours) as opposed to upstream (e.g. infrastructure, environmental, policy) determinants has not changed over time (from 1993 to 2015), with most intervention efforts (57.9%) aiming to change individual lifestyle factors via education-based approaches. Almost half of the interventions (45%) targeted two or more levels of the WDoH. Where interventions targeted some of the wider determinants, this was often achieved via upskilling teachers to deliver educational content to children. No notable difference in design or implementation was observed between interventions targeting children of varying ages (0–5 years, 6–12 years, 13–18 years). Conclusions This study highlights that interventions, evaluated via RCTs, have persisted to focus on downstream, individualistic determinants of obesity over the last 25 years, despite the step change in our understanding of its complex aetiology. We hope that the findings from our analysis will challenge research funders, researchers, policymakers and practitioners to reflect upon, and critique, the evidence-based paradigm in which we operate, and call for a shift in focus of new evidence which better accounts for the complexity of obesity.en_UK
dc.language.isoenen_UK
dc.publisherBMCen_UK
dc.relationNobles J, Summerbell C, Brown T, Jago R & Moore T (2021) A Secondary Analysis of the Childhood Obesity Prevention Cochrane Review through a Wider Determinants of Health Lens: Implications for Research Funders, Researchers, Policymakers and Practitioners. International Journal of Behavioral Nutrition and Physical Activity, 18, Art. No.: 22. https://doi.org/10.1186/s12966-021-01082-2en_UK
dc.rightsThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectWider determinants of healthen_UK
dc.subjectChildhood obesityen_UK
dc.subjectPreventionen_UK
dc.subjectAction mappingen_UK
dc.subjectWhole systems approachen_UK
dc.subjectIntervention designen_UK
dc.titleA Secondary Analysis of the Childhood Obesity Prevention Cochrane Review through a Wider Determinants of Health Lens: Implications for Research Funders, Researchers, Policymakers and Practitionersen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12966-021-01082-2en_UK
dc.identifier.pmid33563281en_UK
dc.citation.jtitleInternational Journal of Behavioral Nutrition and Physical Activityen_UK
dc.citation.issn1479-5868en_UK
dc.citation.volume18en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderNational Institute for Health Researchen_UK
dc.author.emailt.j.brown@stir.ac.uken_UK
dc.citation.date10/02/2021en_UK
dc.contributor.affiliationUniversity of Bristolen_UK
dc.contributor.affiliationDurham Universityen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Bristolen_UK
dc.contributor.affiliationUniversity of Bristolen_UK
dc.identifier.isiWOS:000616761000001en_UK
dc.identifier.scopusid2-s2.0-85100795455en_UK
dc.identifier.wtid1704087en_UK
dc.contributor.orcid0000-0003-1285-7098en_UK
dc.date.accepted2021-01-06en_UK
dcterms.dateAccepted2021-01-06en_UK
dc.date.filedepositdate2021-02-11en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorNobles, James|en_UK
local.rioxx.authorSummerbell, Carolyn|en_UK
local.rioxx.authorBrown, Tamara|0000-0003-1285-7098en_UK
local.rioxx.authorJago, Russell|en_UK
local.rioxx.authorMoore, Theresa|en_UK
local.rioxx.projectProject ID unknown|National Institute for Health Research|http://dx.doi.org/10.13039/501100000272en_UK
local.rioxx.freetoreaddate2021-02-11en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2021-02-11|en_UK
local.rioxx.filenameNobles2021_Article_ASecondaryAnalysisOfTheChildho.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1479-5868en_UK
Appears in Collections:Faculty of Social Sciences Journal Articles

Files in This Item:
File Description SizeFormat 
Nobles2021_Article_ASecondaryAnalysisOfTheChildho.pdfFulltext - Published Version1.37 MBAdobe PDFView/Open


This item is protected by original copyright



A file in this item is licensed under a Creative Commons License Creative Commons

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved https://creativecommons.org/publicdomain/zero/1.0/

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.