Revisión sistemática sobre programas de prevención de obesidad infantil

Isabel García Romero; Diego Gomez Baya

doi:10.33776/amc.v50i185.8348

Isabel García Romero Universidad de Huelva
Diego Gomez Baya Universidad de Huelva

DOI: https://doi.org/10.33776/amc.v50i185.8348

Palabras clave:

Programa de prevención, obesidad infantil, hábitos saludables, intervención, educación nutricional, habilidades parentales

Resumen

La obesidad infantil es un problema sanitario en auge, pues está aumentando de forma significativa en diferentes países desarrollados últimamente. Hay estudios que consideran esta problemática la pandemia actual de nuestra sociedad. A su vez, está asociada a una serie de consecuencias negativas que afectan tanto a la salud física como a la salud mental, a corto y a largo plazo. También, está relacionada con varios factores de riesgo que son necesarios paliar para evitar que la tasa de obesidad aumente en la sociedad. Ya que, la incidencia de obesidad en menores es cada vez mayor, esta revisión bibliográfica trata de localizar programas actuales de prevención infantil, publicados desde 2019 a 2024. Para realizar la misma, se consultó la plataforma Web Of Science y se utilizaron los operadores boleanos “AND” y “OR”. De los 554 artículos localizados, se seleccionaron 19 programas de prevención, los cuales están todos evaluados y presentan cuatro tipos de enfoque de intervención diferentes. Tras el análisis de todos estos artículos, se concluyó que es recomendable realizar intervenciones directas con los menores, fomentando todos los factores protectores posibles, o intervenciones con los padres y madres, tratando de mejorar los hábitos alimentarios de sus hijos e hijas.

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Biografía del autor/a

Diego Gomez Baya, Universidad de Huelva

Assistant Professor Department of Social, Developmental and Educational Psychology

Citas

Allender, S., Orellana, L., Crooks, N., Bolton, K.A., Fraser, P., Brown, A.D., Le, H., Lowe, J., de la Haye, K., Millar, L., Moodie, M., Swinburn, B., Bell, C., y Strugnell, C. (2021). Four-Year Behavioral, Health-Related Quality of Life, and BMI Outcomes from a Cluster Randomized Whole of Systems Trial of Prevention Strategies for Childhood Obesity. Pediatric Obesity, 29(6), 1022-1035. https://doi.org/10.1002/oby.23130

Alonso, F.J., Carranza, M.D., Rueda, J.D., y Naranjo, J. (2014). Composición corporal en escolares de primaria y su relación con el hábito nutricional y la práctica reglada de actividad deportiva. Revista Andaluza de Medicina del Deporte, 7(4), 137-142. https://doi.org/10.1016/j.ramd.2014.08.001

Bell, L., Ullah, S., Leslie, E., Magarey, A., Olds, T., Ratcliffe, J., Chen, G., Miller, M., Jones, M., y Cobiac, L. (2019). Changes in weight status, quality of life and behaviours of South Australian primary school children: results from the Obesity Prevention and Lifestyle (OPAL) community intervention program. BMC Public Health, 19, 1-14. https://doi.org/10.1186/s12889-019-7710-4

Birch, L.L., Fisher, J.O., Grimm-Thomas, K., Markey, C.N., Sawyer, R., y Johnson, S.L. (2001). Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite, 36(3), 201-210. https://doi.org/10.1006/appe.2001.0398

Browning, L.M., Hsieh, S.D., y Ashwell, M. (2010).A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0·5 could be a suitable global boundary value. Nutrition Research Reviews, 23(2), 247-269. https://doi.org/10.1017/S0954422410000144

Bryant, M., Burton, W., Collinson, M., Farrin, A., Nixon, J., Stevens, J., Roberts, K., Foy, R., Rutter, H., Copsey, B., Hartley, S., Tubeuf, S., y Brown, J. (2021). A cluster RCT and process evaluation of an implementation optimisation intervention to promote parental engagement enrolment and attendance in a childhood obesity prevention programme: results of the Optimising Family Engagement in HENRY (OFTEN) trial. Trials, 22(1), 773. https://doi.org/10.1186/s13063-021-05757-w

Cao, Z., Hua, J., Zhang, D., Thapa, J. R., y Wang, S. (2019). A cohort study assessing the sustainable long-term effectiveness of a childhood-obesity intervention in China. International journal of epidemiology, 48(1), 108-115. https://doi.org/

1093/ije/dyy145

Centers for Disease Control and Prevention. (15 de septiembre, 2021). Peso saludable: ¡No es una dieta, es un estilo de vida! CDC. https://www.cdc.gov/healthyweight/spanish/assessing/bmi/childrens_bmi/acerca_indi

ce_masa_corporal_ninos_adolescentes.html

Centers for Disease Control and Prevention. (17 de mayo de 2022). Overweight&Obesity.

CDC. https://www.cdc.gov/obesity/data/childhood.html#

Centers for Disease Control and Prevention. (30 de mayo, 2000). Niñas, percentiles del Índice de Masa Corporal por Edad. CDC. https://www.cdc.gov/growthcharts/data/spanishpdf97/co06l032.pdf

Centers for Disease Control and Prevention. (30 de mayo, 2000). Niños, percentiles del Índice de Masa Corporal por Edad. CDC. https://www.cdc.gov/growthcharts/data/spanishpdf95/co06l023.pdf

Cheah, W. L., Poh, B. K., Ruzita, A. T., Lee, J. A. C., Koh, D., Reeves, S., Essau, C., Summerbell, C., Hafizah, Y.N., Anchang, G.N.J., y Gibson, E. L. (2023). Process evaluation of a kindergarten-based intervention for obesity prevention in early childhood: the Toybox study Malaysia. BMC public health, 23(1), 1082. https://doi.org./10.1186/s12889-023-16023-w

Consejería de Salud y Consumo. (2021). Plan Integral de Obesidad Infantil de Andalucía. https://www.juntadeandalucia.es/export/drupaljda/2021_Informe_PIOBIN.pdf

Cook, E.J., Powell, F.C., Ali, N., Penn-Jones, C.P., Ochieng, B., Constantinou, G., y Randhawa, G. (2021). They Are Kids, Let Them Eat: A Qualitative Investigation into the Parental Beliefs and Practices of Providing a Healthy Diet for Young Children among a Culturally Diverse and Deprived Population in the UK. Environmental Research and Public Health, 18(24), 13087. https://doi.org/10.3390/ijerph182413087

Dalrymple, K. V., Tydeman, F. A., Taylor, P. D., Flynn, A. C., O'Keeffe, M., Briley, A. L., Santosh, P., Hayes, L., Robson, S.C., Nelson, S.M., Sttar, N., Whitworth, M.K., Mills, H.L., Singh, C., Seed CStat, P.T., White, S.L., Lawlor, D.A., Godfrey, K.M., y Poston, L., (2021). Adiposity and cardiovascular outcomes in three‐year‐old children of participants in UPBEAT, an RCT of a complex intervention in pregnant women with obesity. Pediatric obesity, 16(3), e12725 https://doi.org/10.1111/ijpo.12725

De Onís, M., Onyango, A.W., Borghi, E., Siyam, A., Nashida, C., y Siekmann, J. (2007). Elaboración de un patrón OMS de crecimiento de escolares y adolescentes. Bull WorldHealthOrgan, 85(9), 660-667. https://doi.org/10.2471/blt.07.043497

Díaz Ruiz, R., y Aladro Castañeda, M. (2016). Relación entre uso de las nuevas tecnologías y sobrepeso infantil, como problema de salud pública. Enfermería comunitaria, 4(1), 46- 51.

Dodd, J. M., Deussen, A. R., & Louise, J. (2020). Effects of an antenatal dietary intervention in women with obesity or overweight on child outcomes at 3–5 years of age: LIMIT randomised trial follow-up. International Journal of Obesity, 44(7), 1531-1535. https://doi.org/10.1038/s41366-020-0560-4

Dodd, J. M., Deussen, A. R., Peña, A. S., Mitchell, M., y Louise, J. (2023). Effects of an antenatal dietary intervention in women with obesity or overweight on child outcomes at 8–10 years of age: LIMIT randomised trial follow-up. BMC pediatrics, 23(1), 643. https://doi.org/10.1186/s12887-023-04466-4

Döring, N., Ghaderi, A., Enö Persson, J., Tynelius, P., Rasmussen, F., y Bohman, B. (2021). Effects of the PRIMROSE prevention trial of childhood obesity on parental self- efficacy. BMC pediatrics, 21, 1-5. https://doi.org/10.1186/s12887-021-02862-2

Duelo, M., Escribano, E., y Muñoz, F. (2009). Obesidad. Pediatría Atención Primaria, 11,

-257.

Gago, C., Aftosmes-Tobio, A., Beckerman-Hsu, J. P., Oddleifson, C., Garcia, E. A., Lansburg, K., Figueroa, R., Yu, X.T., Kitos, N., Torrico, M., Leonard, J., Jurkowski, J-K., Mattei, J., Kenney, E.L., Haneuse, S., y Davison, K. K. (2023). Evaluation of a cluster- randomized controlled trial: Communities for Healthy Living, family-centered obesity

prevention program for Head Start parents and children. International Journal of Behavioral Nutrition and Physical Activity, 20(1), 4. https://doi.org/10.1186/s12966-

-01400-2

García Mérida, M.J., y Castell Miñana, M. (3 de marzo, 2023). Obesidad infantil: la otra pandemia [Comunicación en congreso]. 19º Congreso Actualización Pediatría 2023. https://www.aepap.org/sites/default/files/pag_127_139_obesidad_infantil.pdf

García-Solano, M., Gutiérrez-González, E., López-Solaber, A.M., Ruiz-Álvarez, M., Bermejo López, L.M., Aparicio, A., García-López, M.A., Yusta-Boyo, M.J., Robledo, V., Villar, C., y Dal Re, M.A. (2021). Situación ponderal de la población escolar de 6 a 9 años en España: resultados del estudio ALADINO

Hesketh, K. D., Salmon, J., McNaughton, S. A., Crawford, D., Abbott, G., Cameron, A. J., Lioret, S., Gold, L., Downing, K.L., y Campbell, K. J. (2020). Long-term outcomes (2 and 3.5 years post-intervention) of the INFANT early childhood intervention to improve health behaviors and reduce obesity: cluster randomised controlled trial follow-up. International Journal of Behavioral Nutrition and Physical Activity, 17, 1- 10.2019. Nutrición Hospitalaria, 38(5), 943-953. https://dx.doi.org/10.20960/nh.03618

Hruska, V., Darlington, G., Haines, J., y Ma, D.W.L. (2020). Parent Stress as a Consideration in Childhood Obesity Prevention: Results from the Guelph Family Health Study, a Pilot Randomized Controlled Trial. Nutrients, 12(6), 1835. https://doi/10.3390/nu12061835

Instituto Nacional de Estadística y Geografía [INEGI]. (2020). Estadísticas a propósito del día mundial contra la obesidad (12 de noviembre). INEGI. https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2020/EAP_Obesidad20

.pdf

Lazarou, C., Kalavana, T., y Matalas., A.L. (2008). The influence of parents’ dietary beliefs and behaviours on children's dietary beliefs and behaviours. The CYKIDS study. Appetite, 51(3), 690-696. https://doi.org/10.1016/j.appet.2008.06.006

Liu, Z., Gao, P., Gao, A. Y., Lin, Y., Feng, X. X., Zhang, F., Xu, L.Q., Niu., W.Y., Fang, H.,

Zhou, S., Li, W.H., Yuan, J.H., Xu, C.X., Wu, N., Li, H.J., Wen, L.M., Patton, G.C.,

Wang, H.J., y Wu, Y.F.(2022). Effectiveness of a multifaceted intervetion for prevention of obesity in primary school children in China: a cluster randomized clinical trial. JAMA pediatrics, 176(1), e214375-e214375. https://doi.org/10.1001/jamapediatrics.2021.4375

Martos-Moreno, G.A., y Argente, J. (2011). Obesidades pediátricas: de la lactancia a la adolescencia. Anales de Pediatría, 75(1), 63.e1-63-e20. https://doi.org/10.1016/j.anpedi.2011.03.018

Muñoz Muñoz, F. L., y Arango Álzate, C. (2017). Childhood obesity: a new approach to its study. Revista Salud Uninorte, 33(3), 492-503.

Olsen, N. J., Ängquist, L., Frederiksen, P., Lykke Mortensen, E., & Heitmann, B. L. (2021). Primary prevention of fat and weight gain among obesity susceptible healthy weight preschool children. Main results from the “Healthy Start” randomized controlled intervention. Pediatric obesity, 16(4), e12736. https://doi/10.1111/ijpo.12736

Organización Mundial de la Salud [OMS]. (9 de junio, 2021). Obesidad y sobrepeso.

Organización Mundial de la Salud. https://www.who.int/es/news-room/fact-

sheets/detail/obesity-and-overweight

Ospina, M.C., Ortega, D.C., y Navarrete, C.E. (2018). Factores de riesgo en el crecimiento y desarrollo de niños preescolares Cali 2018. Archivos venezolanos de farmacología y terapéutica, 38(4), 495-500.

Pretto, A.D.B., Correa, C., Ferreira, G., y Pinto, E. (2015). Prevalence of factors associated to metabolic syndrome in a cohort of children in South Brazil. NutriciónHospitalaria, 32(1), 118-123.

Redsell, S.A., Atkinson, P., Nathan, D., Siriwardena, A.N., Swift, J.A., y Glazebrook, C. (2010). Parents’ beliefs about appropriate infant size, growth and feeding behaviour: implications for the prevention of childhood obesity. BCM PublicHealth, 10(1), 1-10.

Rojas-Rámirez, A.T., Reséndiz-Gómez, E.I., y García-Cortés, J.M. (2020). Programa de intervención de la figura materna para el cuidado y prevención de la obesidad infantil. Know and share psychology, 1(3), 29-35. https://doi.org/10.25115/kasp.vli3.3734

Ruiter, E. L., Fransen, G. A., Molleman, G. R., van der Velden, K., y Engels, R. C. (2015). The effectiveness of a web-based Dutch parenting program to prevent overweight in children 9–13 years of age: study protocol for a two-armed cluster randomized controlled trial. BMC public health, 15, 1-9.

https://doi.org/10.1371/journal.pone.0276168

Sánchez-Martínez, F., Juárez, O., Serral, G., Valyamor, S., Puigpinós, R., Pasarín, M.I., Díez, E., y Eriza, C. (2018). A childhood obesity prevention programme in Barcelona (POIBA Project): Study protocol of the intervention. Journal of public health research, 7(1), 14-21. https://doi.org/10.4081/jphr.2018.1129

Schuler, B. R., Fowler, B., Rubio, D., Kilby, S., Wang, Y., Hager, E. R., y Black, M. M. (2019). Building blocks for healthy children: Evaluation of a child care center–based obesity

prevention pilot among low-income children. Journal of nutrition education and behavior, 51(8), 958-966. https://doi.org/10.1016/j.jneb.2019.04.017

Skouteris, H., McCabe, M., Swinburn, B., y Hill,B. (2010). Healthy eating and obesity prevention for preschoolers: a randomised controlled trial. BCM Public Health, 10(1), 1-9.

Swindle, T., McBride, N.M., Selig, P.S., Johnson, S.L., Whiteside-Mansell, L., Martin, J., Staley, A., y Curran, G.M. (2021). Stakeholder selected strategies for obesity prevention in childcare: results from a small-scale cluster randomized hybrid type III trial. Inmplementation Science, 16(1), 48. https://doi.org/10.1186/s13012-021-01119-

X

Simmonds, M., Llewellyn, A., Owen, G.G., y Woolacott, N. (2016). Predicting adult obesity from childhood obesity: a systematic review and meta-analysis. Obesity reviews, 17(2), 95-107. https://doi.org/10.1111/obr.12334

Sobradillo, B., Aguirre, A., Aresti, U., Bilbao, A., Fernández-Ramos, C., Lizárraga, A., Lorenzo, H., Madariaga, L., Rica, I., Ruiz, I., Sánchez, E., Santamaría, C., Serrano, J.M., Zabala, A., Zurimendi, B., y Hernández, M. (2004). Curvas y tablas de crecimiento (Estudios Longitudinal y Transversal). Fundación Faustino OrbegozoEizaguirre.

Vlasblom, E., van Grieken, A., Beltman, M., L’Hoir, M. P., Raat, H., & Boere-Boonekamp,

M. M. (2020). Parenting support to prevent overweight during regular well-child visits in 0-3 year old children (BBOFT+ program), a cluster randomized trial on the effectiveness on child BMI and health behaviors and parenting. PLoS One, 15(8), 1-18. https://doi.org/10.1371/journal.pone.0237564

Wijnhoven, T.M.A., van Raaij, J.M.A., Spinelli, A., Rito, A.I., Hovengen, R., Kunesova, M., Starc, G., Rutter, H., Sjöver, A., Petrauskiene, A., O’Dwyer, U., Petrova, S., FarrugiaSant’angelo, V., Wauters, M., Yngve, A., Rubana, I.M., y Breda, J. (2012). WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6–9-year-old children. Pediatric Obesity, 8(2), 79-97. https://doi.org/10.1111/j.2047-6310.2012.00090.x.

World Health Organization [WHO]. (2006). WHO child growth standards: length/height-for- age, weight-for-age, weight-for-length, weight-for-height and body mass index-for- age: methods and development. World Health Organization.