title: [Childhood obesity prevention from a community view].
abstract: The percentage of failure and relapse in the treatment of obesity is high. Where possible, the preferred strategy for preventing obesity is to modify eating habits and lifestyles. This article aims to provide a framework for evidence on the most effective interventions for addressing childhood obesity, both from a prevention point of view, as well as reducing it, when it is already established. After a review of the scientific literature, the issues that must be considered both in the universal and selective prevention of childhood obesity are presented. Also, in light of the controversy over the tools for measuring and controlling the problem, some clarification is provided on the criteria. Finally, the approach to the prevention of overweight and obesity with a community perspective is separated, with two short protocols being offered with diagrams of the basic procedure to follow.
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; Ciber de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomédica Sant Pau (IIB Sant Pau), Barcelona, España. Electronic address: cariza@aspb.cat.
authors.forename: Carles
authors.initials: C
authors.lastname: Ariza
authors.affiliation: Area Básica de Salut Nova Lloreda (Badalona Serveis Assistencials), Badalona, Barcelona, España.
authors.forename: Eduard
authors.initials: E
authors.lastname: Ortega-Rodríguez
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; Ciber de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomédica Sant Pau (IIB Sant Pau), Barcelona, España.
authors.forename: Francesca
authors.initials: F
authors.lastname: Sánchez-Martínez
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España.
authors.forename: Sara
authors.initials: S
authors.lastname: Valmayor
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España.
authors.forename: Olga
authors.initials: O
authors.lastname: Juárez
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; Ciber de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomédica Sant Pau (IIB Sant Pau), Barcelona, España.
authors.forename: M Isabel
authors.initials: MI
authors.lastname: Pasarín
mesh_terms: D000293:Adolescent; D000465:Algorithms; D002648:Child; D003153:Community Health Services; D006801:Humans; D063766:Pediatric Obesity / Q000517:prevention & control*; D017410:Practice Guidelines as Topic
keywords: Abordaje comunitario; Childhood obesity; Community approach; Obesidad infantil; Prevención selectiva; Prevención universal; Selective prevention; Universal prevention
references.citation: Am J Clin Nutr. 2007 Jun;85(6):1533-9
references.pmid: 17556689
references.citation: Obes Rev. 2011 May;12(5):e219-35
references.pmid: 20630025
references.citation: BMJ. 2000 May 6;320(7244):1240-3
references.pmid: 10797032
references.citation: J Public Health (Oxf). 2012 Aug;34(3):360-9
references.pmid: 22267291
references.citation: Obes Rev. 2006 Feb;7(1):111-36
references.pmid: 16436107
references.citation: Cochrane Database Syst Rev. 2009 Jan 21;(1):CD001872
references.pmid: 19160202
references.citation: Bull World Health Organ. 2007 Sep;85(9):660-7
references.pmid: 18026621
references.citation: J Clin Endocrinol Metab. 2008 Dec;93(12):4600-5
references.pmid: 18782881
references.citation: Obes Rev. 2009 Jan;10(1):110-41
references.pmid: 18673306
references.citation: J Clin Endocrinol Metab. 2008 Dec;93(12):4606-15
references.pmid: 18782880
references.citation: World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253
references.pmid: 11234459
references.citation: Pediatrics. 2007 Dec;120 Suppl 4:S164-92
references.pmid: 18055651
references.citation: J Consult Clin Psychol. 2013 Apr;81(2):347-60
references.pmid: 23127288
references.citation: Int J Obes (Lond). 2006 Jul;30(7):1027-40
references.pmid: 16534526
references.citation: N Engl J Med. 1997 Sep 25;337(13):869-73
references.pmid: 9302300
references.citation: Cochrane Database Syst Rev. 2011 Dec 07;(12):CD001871
references.pmid: 22161367
references.citation: Obes Rev. 2006 Feb;7 Suppl 1:7-66
references.pmid: 16371076
references.citation: J Res Adolesc. 2011 Mar;21(1):129-152
references.pmid: 21625328
references.citation: Med Clin (Barc). 2008 Sep 6;131(7):245-9
references.pmid: 18775214
references.citation: Med Clin (Barc). 2007 Feb 10;128(5):184-96; quiz 1 p following 200
references.pmid: 17298782