Community-based efforts to prevent obesity: Australia-wide survey of projects
Melanie S. Nichols A G , Rebecca C. Reynolds B , Elizabeth Waters C , Timothy Gill D , Lesley King E , Boyd A. Swinburn A F and Steven Allender AA World Health Organization Collaborating Centre for Obesity Prevention, Deakin University, Geelong Waterfront Campus, Gheringhap Street, Geelong, Vic. 3220, Australia.
B School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, Sydney, NSW 2052, Australia.
C Jack Brockhoff Child Health and Wellbeing Program, McCaughey Centre, Melbourne School of Population Health, The University of Melbourne, Vic. 3010, Australia.
D Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Sydney, NSW 2006, Australia.
E Prevention Research Collaboration, School of Public Health, University of Sydney, Sydney, NSW 2006, Australia.
F School of Population Health, University of Auckland, Auckland 1142, New Zealand.
G Corresponding author. Email: melanie.nichols@deakin.edu.au
Health Promotion Journal of Australia 24(2) 111-117 https://doi.org/10.1071/HE13001
Submitted: 7 January 2013 Accepted: 3 July 2013 Published: 8 August 2013
Journal Compilation © Australian Health Promotion Association 2013
Abstract
Issues addressed: Community-based programs that affect healthy environments and policies have emerged as an effective response to high obesity levels in populations. Apart from limited individual reports, little is currently known about these programs, limiting the potential to provide effective support, to promote effective practice, prevent adverse outcomes and disseminate intervention results and experience. The aim of the present study was to identify the size and reach of current community-based obesity prevention projects in Australia and to examine their characteristics, program features (e.g. intervention setting), capacity and approach to obesity prevention.
Methods: Detailed survey completed by representatives from community-based obesity prevention initiatives in Australia.
Results: There was wide variation in funding, capacity and approach to obesity prevention among the 78 participating projects. Median annual funding was Au$94 900 (range Au$2500–$4.46 million). The most common intervention settings were schools (39%). Forty per cent of programs focused on a population group of ≥50 000 people. A large proportion of respondents felt that they did not have sufficient resources or staff training to achieve project objectives.
Conclusion: Community-based projects currently represent a very large investment by both government and non-government sectors for the prevention of obesity. Existing projects are diverse in size and scope, and reach large segments of the population. Further work is needed to identify the full extent of existing community actions and to monitor their reach and future ‘scale up’ to ensure that future activities aim for effective integration into systems, policies and environments.
So what?: Community-based programs make a substantial contribution to the prevention of obesity and promotion of healthy lifestyles in Australia. A risk of the current intervention landscape is that effective approaches may go unrecognised due to lack of effective evaluations or limitations in program design, duration or size. Policy makers and researchers must recognise the potential contribution of these initiatives, to both public health and knowledge generation, and provide support for strong evaluation and sustainable intervention designs.
Key words: prevention, community, intervention, population health.
References
[1] Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, Armstrong R, Prosser L, Summerbell CD (2011) Interventions for preventing obesity in children. Cochrane Database Syst Rev 12, CD001871[2] Allender S, Nichols M, Foulkes C, Reynolds R, Waters E, King L, Gill T, Armstrong R, Swinburn B (2011) The development of a network for community-based obesity prevention: the CO-OPS Collaboration. BMC Public Health 11, 132
| The development of a network for community-based obesity prevention: the CO-OPS Collaboration.Crossref | GoogleScholarGoogle Scholar | 21349185PubMed |
[3] Kumanyika SK, Obarzanek E, Stettler N, Bell R, Field AE, Fortmann SP, Franklin BA, Gillman MW, Lewis CE, Poston WC Kumanyika SK, Obarzanek E, Stettler N, Bell R, Field AE, Fortmann SP, Franklin BA, Gillman MW, Lewis CE, Poston WC (2008) Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science). Circulation 118, 428–64.
| Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science).Crossref | GoogleScholarGoogle Scholar | 18591433PubMed |
[4] Economos CD, Irish-Hauser S (2007) Community interventions: a brief overview and their application to the obesity epidemic. J Law Med Ethics 35, 131–7.
| Community interventions: a brief overview and their application to the obesity epidemic.Crossref | GoogleScholarGoogle Scholar | 17341221PubMed |
[5] The Centre for Allied Health Evidence, University of South Australia. Community-based interventions: a rapid review. A technical report prepared for Department of Health, Victoria. Melbourne: Victorian Government Department of Health; 2009.
[6] Romon M, Lommez A, Tafflet M, Basdevant A, Oppert JM, Bresson JL, Ducimetière P, Charles MA, Borys JM (2009) Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes. Public Health Nutr 12, 1735–42.
| Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes.Crossref | GoogleScholarGoogle Scholar | 19102807PubMed |
[7] Economos CD, Hyatt RR, Goldberg JP, Must A, Naumova EN, Collins JJ, Nelson ME (2007) A community intervention reduces BMI z-score in children: Shape Up Somerville first year results. Obesity (Silver Spring) 15, 1325–36.
| A community intervention reduces BMI z-score in children: Shape Up Somerville first year results.Crossref | GoogleScholarGoogle Scholar | 17495210PubMed |
[8] de Silva-Sanigorski AM, Bell AC, Kremer P, Nichols M, Crellin M, Smith M, Sharp S, de Groot F, Carpenter L, Boak R, Robertson N, Swinburn BA (2010) Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program. Am J Clin Nutr 91, 831–40.
| Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3cXjvVCktr0%3D&md5=b6faa93f5db52a9c3cc3339ded636ac9CAS | 20147472PubMed |
[9] Sanigorski AM, Bell AC, Kremer PJ, Cuttler R, Swinburn BA (2008) Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well. Int J Obes 32, 1060–7.
| Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1cvksVCqtQ%3D%3D&md5=fa9c9dcb89336c6825212a3344c491eaCAS |
[10] Australian Department of Health and Ageing. Population Health Division (PHD): national partnership agreement on preventive health. 2010. Available from: http://www.health.gov.au/internet/main/publishing.nsf/Content/phd-prevention-np [Verified 23 August 2010]
[11] Australian Department of Health and Ageing. Healthy communities initiative. 2010. Available from: http://www.healthyactive.gov.au/internet/healthyactive/publishing.nsf/Content/healthy-communities [Verified 23 August 2010]
[12] Swinburn B, Bell C, King L, Magarey A, O’Brien K, Waters E (2007) Obesity prevention programs demand high-quality evaluations. Aust N Z J Public Health 31, 305–7.
| Obesity prevention programs demand high-quality evaluations.Crossref | GoogleScholarGoogle Scholar | 17725005PubMed |
[13] Academic Network LLC. Shaping America’s youth. 2004. Available from: http://www.shapingamericasyouth.org/Page.aspx?nid=4 [Verified 10 August 2010].
[14] World Health Organization (WHO), Regional Office for Europe. Good practice appraisal tool for obesity prevention programmes, projects, initiatives and interventions. Copenhagen: WHO; 2011.
[15] Bemelmans W, Verschuuren M, Dale van D, Savelkoul M, Wendel-Vos G, Raaij van J. An EU-wide overview of community-based initiatives to reduce childhood obesity. Bilthoven, Netherlands: Rijksinstituut voor Volksgezondheid en Milieu (RIVM); 2011.
[16] King L, Gill T, Allender S, Swinburn B (2011) Best practice principles for community-based obesity prevention: development, content and application. Obes Rev 12, 329–38.
| Best practice principles for community-based obesity prevention: development, content and application.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC3MvjvVKqsw%3D%3D&md5=86b18b2c22941bb5c96bce4a5dd41e78CAS | 20880111PubMed |
[17] Nader PR, Huang TT, Gahagan S, Kumanyika S, Hammond RA, Christoffel KK (2012) Next steps in obesity prevention: altering early life systems to support healthy parents, infants, and toddlers. Child Obes 8, 195–204.
[18] Müller MJ, Danielzik S (2007) Childhood overweight: is there need for a new societal approach to the obesity epidemic? Obes Rev 8, 87–90.
| Childhood overweight: is there need for a new societal approach to the obesity epidemic?Crossref | GoogleScholarGoogle Scholar | 17212800PubMed |
[19] Skinner AC, Foster EM (2013) Systems science and childhood obesity: a systematic review and new directions. J Obes 2013, 129193
| Systems science and childhood obesity: a systematic review and new directions.Crossref | GoogleScholarGoogle Scholar |
