Pediatric Obesity最新文献

{"title":"Unveiling the Association Between Emotional Eating and Psychosocial Health in Spanish Adolescents: The EHDLA Study.","authors":"Lina América Sánchez-Charcopa, Caroline Brand, Camila Felin Fochesatto, Rodrigo Yáñez-Sepúlveda, Hector Gutiérrez-Espinoza, Jorge Olivares-Arancibia, Josefa María Panisello Royo, Brendon Stubbs, Lee Smith, José Francisco López-Gil","doi":"10.1111/ijpo.70056","DOIUrl":"https://doi.org/10.1111/ijpo.70056","url":null,"abstract":"<p><p>Emotional eating has been associated with several adverse health outcomes, yet research examining its relationship with psychosocial health among adolescents remains limited. The objective of the study was to investigate the association between emotional eating and psychosocial health in Spanish adolescents. Cross-sectional data were collected from 633 participants (56.9% female) aged 12-17 years from all three secondary schools in the Valle de Ricote (Spain), as part of the Eating Healthy and Daily Life Activities (EHDLA) study. Emotional eating was assessed using the Emotional Eating Scale Adapted for Use in Children and Adolescents (EES-C), while psychosocial health was measured using the Strengths and Difficulties Questionnaire (SDQ). To explore the relationship between emotional eating and psychosocial health, generalised linear models (GLMs) were applied. Results revealed significant associations between higher levels of overall emotional eating (unstandardized beta coefficient [B] = 0.04, 95% confidence interval [CI] 0.02-0.07, p = 0.001) and elevated SDQ scores. Specifically, these associations were evident in response to anger (B = 0.16, 95% CI 0.07-0.25, p = 0.001), anxiety (B = 0.13, 95% CI 0.05-0.21, p = 0.001), restlessness (B = 0.17, 95% CI 0.06-0.29, p = 0.004), and helplessness (B = 0.25, 95% CI 0.06-0.45, p = 0.011). These findings suggest that adolescents who engage in emotional eating may experience greater psychosocial challenges. This study underscores the importance of considering adolescent dietary habits as a crucial aspect in psychosocial health.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70056"},"PeriodicalIF":2.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Overweight/Obesity Among Under-Five Children in Lower Middle-Income Countries and Assessment of the Reported Associated Factors: A Systematic Review and Meta-Analysis.","authors":"Rounik Talukdar, Sombuddha Biswas, Anusha Seelamantula, Shubhajit Pahari, Debanjan Ghosh, Hari Krishna Raju Sagiraju","doi":"10.1111/ijpo.70055","DOIUrl":"https://doi.org/10.1111/ijpo.70055","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Overweight/obesity among children under five is a growing global concern, especially in low- and middle-income countries (LMICs), yet consolidated evidence of this burden remains limited, which is crucial to target interventions. This review synthesises data from community-based studies to estimate the overall and individual pooled prevalences of overweight/obesity in this population and explores the factors associated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;PubMed, Scopus and EMBASE were searched and screened for eligible studies published between April 2014 and 2024 individually by two researchers. Quality assessment of the eligible studies was conducted using the Joanna Briggs Institute (JBI) tool. Data regarding the prevalence of overweight, obesity and their associated factors, including maternal education, area of residence, maternal body weight, household incomes and breastfeeding practices, as reported in these included studies, were extracted. A random-effect model was used for the meta-analysis, and heterogeneity was evaluated using I&lt;sup&gt;2&lt;/sup&gt; statistics. Sources of heterogeneity were explored through subgroup analyses comparing effect sizes across categories of geographic regions, overweight/obesity measurement guidelines, sample sizes and publication years. Meta-regression assessed the relationship between these variables and the pooled estimates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of the 13 734 studies screened, 21 were eligible for inclusion. The pooled prevalence of overweight/obesity among the under-five children in LMICs was 8.57% (95% confidence interval (CI) 5.24-12.63, I&lt;sup&gt;2&lt;/sup&gt; 100% at p value &lt; 0.01) with significant heterogeneity. Overnutrition prevalence increased from 7.43% during the 5 years of 2014-2018 to 9.12% during 2019-2023. The pooled prevalence of overweight/obesity varied significantly across geography, with the highest prevalence in the African region (17%) and the lowest in the Southeast Asian region (3.41%). Across the four studies that reported maternal education, children of mothers with secondary school education or higher had increased odds of having overweight/obesity [Odds Ratio (OR) (95% CI): 1.51 (1.21-1.88)]. Prevalence estimates also differed significantly by gender, with 6.89% for under-five boys and 4.75% for girls [OR (95% CI): 1.48 (1.08-2.04)]. Although individual studies reported significant associations with other factors such as area of residence, maternal body weight, income status and breastfeeding practices, a meta-analysis could not be performed due to heterogeneity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Trends in childhood overnutrition in LMICs are concerning, with overall prevalence approaching estimates of those reported in a few high-income nations. Geographic variability, gender disparity and association with maternal education emphasise the need for region-specific policies, focusing on community engagement and awareness towards rising overnutrition.&lt;","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70055"},"PeriodicalIF":2.7,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to Metal Mixtures and Childhood Adiposity: An Examination of Periods of Heightened Susceptibility Between Gestation and Late Childhood.","authors":"Janice M Y Hu, Michael M Borghese, Mandy Fisher, Joseph M Braun, Katherine M Morrison, Mark R Palmert, Linda Booij, Constadina Panagiotopoulos, Jillian Ashley-Martin","doi":"10.1111/ijpo.70057","DOIUrl":"https://doi.org/10.1111/ijpo.70057","url":null,"abstract":"<p><strong>Introduction: </strong>Childhood obesity is a public health concern. Studies have investigated the effects of metal mixtures on childhood obesity but none have identified periods of heightened susceptibility of exposure. We identified the periods by investigating the association of metal mixture, measured at four time points, with adiposity.</p><p><strong>Materials and methods: </strong>Using data from the Maternal-Infant Research on Environmental Chemicals Research Platform, we included 234 child-parent pairs. We measured whole blood metal concentrations during the first and third trimesters, early and late childhood. Outcomes were late childhood body mass index z-score (zBMI), body fat percentage (%BF) and waist circumference z-score (zWC). We used treed distributed lag mixture models (TDLMM) to investigate associations between metal mixture and adiposity. We also investigated associations using linear regression and conducted sex-specific analysis.</p><p><strong>Results: </strong>Among females, arsenic was positively associated with zBMI and zWC. Regression results show that each doubling in third trimester arsenic concentrations was associated with 0.16 (95% CI: 0.02, 0.31) and 0.13 (95% CI: 0.01, 0.25) increase in zBMI and zWC, respectively. TDLMM results were similar but attenuated. We also observed negative associations between third trimester cadmium and zWC, null associations between other metals and adiposity and among males and no metal interactions.</p><p><strong>Conclusion: </strong>Third trimester is a period of heightened susceptibility to obesogenic effects of arsenic exposure in females.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70057"},"PeriodicalIF":2.7,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Risk of Intra-Familial Stigmatisation in Family-Based Treatment of Childhood Obesity. A Position Statement of the European Childhood Obesity Group.","authors":"D Hoeeg, D Grabowski, G Torbahn, T Handjieva-Darlenska, E Luszczki, E Vlachopapadopoulou, A Vania, D Thivel, D Weghuber, C Braet","doi":"10.1111/ijpo.70054","DOIUrl":"https://doi.org/10.1111/ijpo.70054","url":null,"abstract":"<p><p>Intra-familial weight stigma is a subtle yet impactful dynamic that may influence the outcomes of family-based interventions aimed at treating childhood obesity. While much attention has been paid to societal and peer-related weight stigma, less focus has been placed on how stigma manifests within families. This position statement highlights the importance of recognising that such stigma can unintentionally arise in the home. Drawing on recent qualitative research, we outline the social mechanisms that contribute to intra-familial weight stigma and provide key recommendations for addressing it. We emphasise the need to attend to family dynamics, support parents in changing their own habits, and involve siblings and extended family members to ensure a truly family-focused and person-centred intervention. Ultimately, preventing intra-familial weight stigma and fostering a supportive family environment are essential steps toward improving both psychological and physical health outcomes in the treatment of childhood obesity.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70054"},"PeriodicalIF":2.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leukocyte telomere length and birth characteristics associated with obesity in infancy in a predominantly Latinx cohort.","authors":"Abigail Duque, Jue Lin, Laura Jeliffe-Pawlowski, Kim Coleman-Phox, Larry Rand, Janet M Wojcicki","doi":"10.1111/ijpo.70034","DOIUrl":"10.1111/ijpo.70034","url":null,"abstract":"<p><strong>Background: </strong>Previous studies suggest that in utero exposures may impact future weight gain trajectories in infancy. Leukocyte telomere length (LTL) collected at birth may be an additional variable to test in models for childhood obesity as adult studies suggest that LTL may be predictive of metabolic disease.</p><p><strong>Methods: </strong>Using a primarily Latinx mother-child longitudinal cohort design, we assessed the relationship between newborn LTL measured via quantitative PCR and obesity at 12 months (WFA ≥ 95th percentile). Secondary outcomes included weight-for-age (WFA) Z scores at 12 months and covariates included birth anthropometrics and maternal prenatal health. Logistic and linear regression models were used to assess independent predictors for infant obesity and WFA Z scores.</p><p><strong>Results: </strong>We followed 302 children until 12 months including 65.89% with Latinx ethnicity and 4.97% had obesity at 12 months. Independent predictors of obesity at 12 months included higher birthweight Z scores (OR 2.24, 1.16, 5.05) and WFA Z scores at 6 months (OR 1.56, 1.19, 2.05). Longer LTL at birth and higher Apgar scores at 5 min were protective (OR 0.04, 95%CI 0.002, 0.79 and OR 0.30, 95%CI 0.13-0.72, respectively). LTL at birth was negatively associated with WFA Z scores at 12 months of age in multivariable models (Coeff = -0.58, 95%CI -1.05, -0.12).</p><p><strong>Conclusions: </strong>LTL at birth may be a marker, in addition to birthweight, that can be used to assess an infant's risk for subsequent obesity. Future studies are needed to better assess and determine possible maternal exposures associated with shorter newborn LTL.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70034"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultra-processed food intake and risk of obesity among schoolchildren aged 8-12 years living in Victoria, Australia.","authors":"Lachlan Clark, Kristy A Bolton, Kathellen E Lacy, Karen Lim, Priscila P Machado, Carley A Grimes","doi":"10.1111/ijpo.70030","DOIUrl":"10.1111/ijpo.70030","url":null,"abstract":"<p><strong>Introduction: </strong>Ultra-processed foods (UPF) are frequently consumed by children, possibly contributing to childhood obesity. It is unknown if UPF consumption among Australian children differentiates by sociodemographic factors.</p><p><strong>Objectives: </strong>To describe schoolchildren's intake of UPF across sexes, age, geographic location and socioeconomic status (SES). To analyse associations between UPF intake and indicators of obesity.</p><p><strong>Methods: </strong>UPF consumption of children aged 8-12 years in Victoria (Australia) was examined using 24-h dietary-recall data classified by the NOVA system. UPF intake was compared across sociodemographic groups. Regression analysis explored the association between UPF intake and BMI z-score, overweight/obesity and abdominal obesity.</p><p><strong>Results: </strong>UPF comprised 47.2% of total energy intake (range 23.7%-72.2%), with no significant differences across sex, age group (8-9 vs. 10-12 years), geographic location or SES. Including all children, there were no associations between UPF intake and obesity indicators. In age-stratified models, among children aged 10-12 years, a 10% increment in the proportion of UPF in the diet (% g/day) was significantly associated with a 0.07 (95% CI 0.01, 0.12) higher body mass index (BMI) z-score and a 19% (odds ratio 1.19, 95% CI 1.07, 1.33) increase in the odds of central obesity. No associations between UPF intake and indicators of obesity were found in the younger 8- to 9-year-old group.</p><p><strong>Conclusions: </strong>UPF contributed greatly to the dietary intake of primary schoolchildren. Among older children, higher intake of UPF was associated with higher BMI z-score and central adiposity. Further longitudinal research in Australian pediatric samples to understand UPF impact upon adiposity outcomes across different stages of childhood is needed.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70030"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does food reward predict changes in weight and body composition during multidisciplinary interventions in adolescents with obesity? Bayesian and frequentist meta-analyses.","authors":"Halim Moore, Julie Siroux, Maud Miguet, Alicia Fillon, Julie Masurier, Graham Finlayson, Bruno Pereira, David Thivel","doi":"10.1111/ijpo.70029","DOIUrl":"10.1111/ijpo.70029","url":null,"abstract":"<p><strong>Background: </strong>A predisposition to elevated food reward may hinder weight loss success during multidisciplinary interventions. However, this has not been consistently demonstrated in adults, nor at all in children.</p><p><strong>Objective: </strong>To test the associations between explicit and implicit food reward and preference at baseline and prospective changes in weight and body composition in adolescents with obesity.</p><p><strong>Methods: </strong>A meta-analysis of 6 clinical trials in adolescents with obesity was undertaken using frequentist and Bayesian linear mixed models. Participants from each study took part in similar 12-week multidisciplinary interventions. Liking and wanting for foods varying in fat content and sweet taste were assessed at enrolment, and both anthropometrics were tracked from enrolment to post-intervention.</p><p><strong>Results: </strong>In a grand sample of N = 132 adolescents with obesity, liking and wanting for high-fat foods did not significantly predict changes in weight or fat mass. However, implicit wanting for sweet foods predicted changes in standardised body and lean mass, such that a greater wanting for sweet foods was associated with greater loss of body (p = 0.039, η²p = 0.05) and lean mass (p < 0.001, η²p = 0.13) in both frequentist and Bayesian analyses.</p><p><strong>Conclusions: </strong>Baseline implicit wanting for sweet (high carbohydrate, low protein), but not energy-dense, foods may be more strongly related to prospective changes in lean mass than fat mass during weight loss in adolescents with obesity. Further research is needed to clarify whether low protein intake can account for this effect.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70029"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical burden of hyperphagia, obesity and health outcomes in paediatric individuals with Bardet-Biedl syndrome: A CRIBBS data analysis.","authors":"Jeremy Pomeroy, Uzoma Okorie, Jesse G Richardson, Ariane Faucher, Raluca Ionescu-Ittu, Francis Vekeman, Caroline Huber, Robert M Haws","doi":"10.1111/ijpo.70026","DOIUrl":"10.1111/ijpo.70026","url":null,"abstract":"<p><strong>Background: </strong>To date, research on the natural history of hyperphagia, weight gain and health outcomes in individuals with Bardet-Biedl syndrome (BBS) has been limited. Understanding these characteristics is important for disease burden management.</p><p><strong>Objectives: </strong>The international Clinical Registry Investigating BBS (CRIBBS) is a registry of individuals with BBS to investigate the severity of hyperphagia, the natural history of weight gain and the frequency of obesity-associated health outcomes in paediatric individuals with BBS.</p><p><strong>Methods: </strong>Paediatric participants (<18 years of age) enrolled in CRIBBS were evaluated to assess weight and weight loss interventions, hyperphagia and the frequency of cardiac, endocrine/diabetic and renal health outcomes.</p><p><strong>Results: </strong>Of 331 children, 81.0% had obesity at baseline and 22.7% reported use of weight loss diet or medication at baseline or later. Among participants with ≥2 weight measurements ≥2 years apart (n = 186), 17.2% had a higher weight classification from the first to the last assessment. Increasing hyperphagia severity was associated with increasing obesity. The prevalence of cardiac, diabetic, endocrine and renal health outcomes increased with obesity class.</p><p><strong>Conclusion: </strong>Hyperphagia and obesity are highly prevalent in children with BBS. Many children with BBS also experience adverse health outcomes. Timely diagnosis and targeted treatment of hyperphagia and obesity are needed.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70026"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A school-based intervention for obesity prevention and management: Effectiveness and determinants of its success. The Feel4Diabetes study.","authors":"Matzourana Argyropoulou, Costas A Anastasiou, Maria Papamichael, Greet Cardon, Stavros Liatis, Jaana Lindstrom, Luis A Moreno, Violeta Iotova, Yuliya Bazdarska, Tsvetalina Tankova, Imre Rurik, Peter Toprzsa, Katja Wikström, Konstantinos Makrilakis, Yannis Manios","doi":"10.1111/ijpo.70025","DOIUrl":"10.1111/ijpo.70025","url":null,"abstract":"<p><strong>Background: </strong>Curbing the rise in overweight and obesity in childhood is of top priority in the public health agenda.</p><p><strong>Objective: </strong>To examine the effectiveness of a 2-year school-based intervention on children's body mass index (BMI) z-score, considering children's baseline weight status, as well as to identify socio-demographic factors that could predict a positive weight outcome.</p><p><strong>Methods: </strong>Data were collected from 9255 children 5-12 years, from six European countries, participating in the Feel4Diabetes study. The intervention group received a lifestyle intervention, aiming to promote a healthy and active lifestyle. Children's anthropometrics were measured at baseline and 2-year follow-up.</p><p><strong>Results: </strong>Children with overweight, but not with obesity, at baseline randomized in the intervention group had a higher reduction in BMI z-scores compared to the control group. In logistic regression models, older age, female sex, overweight or obesity increased the likelihood of any decrease in BMI z-score in the intervention group. Mother's obesity and a lower family income were associated with a decreased probability of a positive weight outcome from the intervention.</p><p><strong>Conclusions: </strong>The Feel4Diabetes school-based intervention demonstrated that it could effectively improve the BMI z-score among children with overweight, but not with obesity. Family's characteristics (mother's weight and family income) may affect the effectiveness of such interventions and should be considered in relevant public health efforts.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70025"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferences and willingness to pay for early childhood healthy lifestyle initiative outcomes: A discrete choice experiment.","authors":"Vicki Brown, Brittany J Johnson, Thomas Lung, Alison Hayes, Karen Matvienko-Sikar, Konsita Kuswara, Elisabeth Huynh","doi":"10.1111/ijpo.70033","DOIUrl":"10.1111/ijpo.70033","url":null,"abstract":"<p><strong>Background: </strong>Understanding stakeholder preferences and values for early childhood initiatives to support healthy diets, physical activity and reduce sedentary behaviour is key for effective intervention design and resource allocation. This study aims to estimate the preferences for and value of outcomes from the perspectives of parents/caregivers of Australian children aged from birth to 5 years.</p><p><strong>Methods: </strong>Discrete choice experiment, 466 parent/caregivers recruited from online platform. Participants selected between two healthy lifestyle initiatives or a \"neither\" option. Initiatives were described by attributes including cost, participation and outcomes. Mixed multinomial logistic models were used to determine preferences and willingness-to-pay per annum framed as an increase in income taxes.</p><p><strong>Results: </strong>Effect on diet was the most important influence on parent/caregiver choice to participate (p < 0.01), followed by effect on physical activity (p < 0.01), wellbeing (p < 0.01) and healthy growth (p < 0.01). Parents/caregivers were less sensitive to cost for initiatives aimed at specific children (e.g., targeted initiatives for a priority population). Willingness-to-pay estimates ranged from AUD$176 for improved wellbeing to $219 for healthier diets.</p><p><strong>Conclusions: </strong>Results suggest that leveraging the potential for healthier diets, followed by healthier physical activity behaviours, as a key benefit of participation may be particularly attractive to parents/caregivers. In addition, some level of equity preference could be acceptable to parents/caregivers in the allocation of scarce resources.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70033"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}