Evidence suggests that out of all the intervention settings, obesity prevention programmes are the most successful when delivered in the primary school setting.
Furthermore, there is strong evidence to show that combined dietary and PA interventions are the most effective components to include in such strategies but these programmes tend to be delivered over short time frames.
In this paper, we present the results of a systematic literature review on childhood obesity determinants, which was conducted over the course of the implementation of nationwide monitoring. Initially, a search for etiological models of childhood obesity was conducted.
Based on these results, a systematic review of reviews on childhood obesity determinants was carried out.
Obesity can impair health even in childhood and unfold negative health consequences through an individual's lifespan.
In Germany, to date, a systematic and periodically updated synopsis of the multifaceted determinants of childhood obesity is lacking.Review of the Literature Hundreds of papers on treatment for obesity have been published in the past 30 years.Most, however, do not give figures on the outcome of treatment, and of those that do, most report them in such a way as to obscure the outcome of treatment of individual patients.Definite conclusions as to the effectiveness of such programmes at preventing overweight and/or obesity are therefore not available.Without long-term delivery of these interventions, overweight, obesity and unhealthy behaviours are at risk of continuing, which could have both immediate and long term health implications. Overweight and obesity are now the most common childhood disorders in Europe.These disorders can cause social, psychological and physiological health problems in childhood and are linked to obesity and poor health outcomes later in life.Finally, the results were verified by taking international guidelines on childhood obesity into account.In total, 21 etiological models, 75 reviews and 7 guidelines were identified.The present review will examine the importance of the preventive intervention setting; including family based programmes, primary care settings, community settings and primary schools.The review also identifies the most effective components of obesity prevention interventions designed for children, including healthy eating and physical activity (PA).