1932

Abstract

A seminal report, released in 2001 by the Institute of Medicine, spurred research on the design, implementation, and evaluation of multilevel interventions targeting obesity and related behaviors. By addressing social and environmental factors that support positive health behavior change, interventions that include multiple levels of influence (e.g., individual, social, structural) aim to bolster effectiveness and, ultimately, public health impact. With more than 20 years of multilevel obesity intervention research to draw from, this review was informed by published reviews ( = 51) and identified intervention trials ( = 103), inclusive of all ages and countries, to elucidate key learnings about the state of the science. This review provides a critical appraisal of the scientific literature related to multilevel obesity interventions and includes a description of their effectiveness on adiposity outcomes and prominent characteristics (e.g., population, setting, levels). Key objectives for future research are recommended to advance innovations to improve population health and reduce obesity.

Loading

Article metrics loading...

/content/journals/10.1146/annurev-nutr-122123-020340
2024-08-29
2024-10-13
Loading full text...

Full text loading...

/deliver/fulltext/nutr/44/1/annurev-nutr-122123-020340.html?itemId=/content/journals/10.1146/annurev-nutr-122123-020340&mimeType=html&fmt=ahah

Literature Cited

  1. 1.
    Agurs-Collins T, Persky S, Paskett ED, Barkin SL, Meissner HI, et al. 2019.. Designing and assessing multilevel interventions to improve minority health and reduce health disparities. . Am. J. Public Health 109::S8693
    [Crossref] [Google Scholar]
  2. 2.
    Ajzen I. 1985.. A theory of planned behavior. . In Action Control, ed. J Kuhl, J Beckmann , pp. 1139. Berlin:: Springer
    [Google Scholar]
  3. 3.
    Al-Khudairy L, Loveman E, Colquitt JL, Mead E, Johnson RE, et al. 2017.. Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years. . Cochrane Database Syst. Rev. 6::CD012691
    [Google Scholar]
  4. 4.
    Aldana SG, Greenlaw RL, Diehl HA, Salberg A, Merrill RM, et al. 2006.. The behavioral and clinical effects of therapeutic lifestyle change on middle-aged adults. . Prev. Chronic Dis. 3::A05
    [Google Scholar]
  5. 5.
    An R, Yan H, Shi X, Yang Y. 2017.. Childhood obesity and school absenteeism: a systematic review and meta-analysis. . Obes. Rev. 18::141224
    [Crossref] [Google Scholar]
  6. 6.
    Bartholomew LK, Parcel GS, Kok G. 1998.. Intervention mapping: a process for developing theory- and evidence-based health education programs. . Health Educ. Behav. 25::54563
    [Crossref] [Google Scholar]
  7. 7.
    Beresford SA, Thompson B, Feng Z, Christianson A, McLerran D, Patrick DL. 2001.. Seattle 5 a Day worksite program to increase fruit and vegetable consumption. . Prev. Med. 32::23038
    [Crossref] [Google Scholar]
  8. 8.
    Bice MR, Brown SL, Parry T. 2014.. Retrospective evaluation of factors that influence the implementation of CATCH in southern Illinois schools. . Health Promot. Pract. 15::70613
    [Crossref] [Google Scholar]
  9. 9.
    Braveman PA, Kumanyika S, Fielding J, Laveist T, Borrell LN, et al. 2011.. Health disparities and health equity: the issue is justice. . Am. J. Public Health 101:(Suppl. 1):S14955
    [Crossref] [Google Scholar]
  10. 10.
    Bray GA. 2023.. Beyond BMI. . Nutrients 15::2254
    [Crossref] [Google Scholar]
  11. 11.
    Bronfenbrenner U. 1977.. Toward an experimental ecology of human development. . Am. Psychol. 32::51331
    [Crossref] [Google Scholar]
  12. 12.
    Brown AW, Altman DG, Baranowski T, Bland JM, Dawson JA, et al. 2019.. Childhood obesity intervention studies: a narrative review and guide for investigators, authors, editors, reviewers, journalists, and readers to guard against exaggerated effectiveness claims. . Obes. Rev. 20::152341
    [Crossref] [Google Scholar]
  13. 13.
    Brown HS 3rd, Pérez A, Li YP, Hoelscher DM, Kelder SH, Rivera R. 2007.. The cost-effectiveness of a school-based overweight program. . Int. J. Behav. Nutr. Phys. Act. 4::47
    [Crossref] [Google Scholar]
  14. 14.
    Burke LE, Styn MA, Glanz K, Ewing LJ, Elci OU, et al. 2009.. SMART trial: a randomized clinical trial of self-monitoring in behavioral weight management-design and baseline findings. . Contemp. Clin. Trials 30::54051
    [Crossref] [Google Scholar]
  15. 15.
    Burton WM, White AN, Knowlden AP. 2017.. A systematic review of culturally tailored obesity interventions among African American adults. . Am. J. Health Educ. 48::18597
    [Crossref] [Google Scholar]
  16. 16.
    Butel J, Braun KL. 2019.. The role of collective efficacy in reducing health disparities: a systematic review. . Fam. Community Health 42::819
    [Crossref] [Google Scholar]
  17. 17.
    Cardel MI, Atkinson MA, Taveras EM, Holm JC, Kelly AS. 2020.. Obesity treatment among adolescents: a review of current evidence and future directions. . JAMA Pediatr. 174::60917
    [Crossref] [Google Scholar]
  18. 18.
    Cawley J, Biener A, Meyerhoefer C, Ding Y, Zvenyach T, et al. 2021.. Job absenteeism costs of obesity in the United States: national and state-level estimates. . J. Occupat. Environ. Med. 63::56573
    [Crossref] [Google Scholar]
  19. 19.
    Cent. Dis. Control Prev. (CDC). 2011.. Principles of community engagement. NIH Publ. 11-7782 , CDC, Atlanta, GA:. Accessed on Aug. 24, 2023. 2nd ed. https://www.atsdr.cdc.gov/communityengagement/pdf/PCE_Report_508_FINAL.pdf
    [Google Scholar]
  20. 20.
    Cent. Dis. Control Prev. (CDC). 2023.. The social-ecological model: a framework for prevention. . Violence Prevention. Accessed on Aug. 24. https://www.cdc.gov/violenceprevention/about/social-ecologicalmodel.html
    [Google Scholar]
  21. 21.
    Chong B, Jayabaskaran J, Kong G, Chan YH, Chin YH, et al. 2023.. Trends and predictions of malnutrition and obesity in 204 countries and territories: an analysis of the Global Burden of Disease Study 2019. . EClinicalMedicine 57::101850
    [Crossref] [Google Scholar]
  22. 22.
    Chooi YC, Ding C, Magkos F. 2019.. The epidemiology of obesity. . Metabolism 92::610
    [Crossref] [Google Scholar]
  23. 23.
    Ciampa PJ, Kumar D, Barkin SL, Sanders LM, Yin HS, et al. 2010.. Interventions aimed at decreasing obesity in children younger than 2 years: a systematic review. . Arch. Pediatr. Adolesc. Med. 164::1098104
    [Crossref] [Google Scholar]
  24. 24.
    Cioana M, Deng J, Nadarajah A, Hou M, Qiu Y, et al. 2022.. The prevalence of obesity among children with type 2 diabetes: a systematic review and meta-analysis. . JAMA Network Open. 5::e2247186
    [Crossref] [Google Scholar]
  25. 25.
    Cochrane Libr. 2023.. Cochrane reviews. Cochrane Database of Systematic Reviews, London:. Accessed on Nov. 11. https://www.cochranelibrary.com/cdsr/reviews
    [Google Scholar]
  26. 26.
    Coffield E, Nihiser A, Carlson S, Collins J, Cawley J, et al. 2019.. Shape Up Somerville's return on investment: multi-group exposure generates net-benefits in a child obesity intervention. . Prev. Med. Rep. 16::100954
    [Crossref] [Google Scholar]
  27. 27.
    Collins LM. 2018.. Conceptual introduction to the multiphase optimization strategy (MOST). . In Optimization of Behavioral, Biobehavioral, and Biomedical Interventions: The Multiphase Optimization Strategy (MOST), pp. 134. Cham, Switz:.: Springer
    [Google Scholar]
  28. 28.
    Collins LM, Murphy SA, Strecher V. 2007.. The multiphase optimization strategy (MOST) and the sequential multiple assignment randomized trial (SMART): new methods for more potent ehealth interventions. . Am. J. Prev. Med. 32::S11218
    [Crossref] [Google Scholar]
  29. 29.
    Community Prev. Serv. Task Force (CPSTF). 2016.. Physical activity: family-based interventions. Rep. , CPSTF, Atlanta, GA:. Accessed on Aug. 24, 2023. https://www.thecommunityguide.org/media/pdf/PA-Family-based-Interventions.pdf
    [Google Scholar]
  30. 30.
    Community Prev. Serv. Task Force (CPSTF). 2023.. The Community Guide. Accessed on Nov. 21. https://www.thecommunityguide.org
    [Google Scholar]
  31. 31.
    Compernolle S, De Cocker K, Lakerveld J, Mackenbach JD, Nijpels G, et al. 2014.. A RE-AIM evaluation of evidence-based multi-level interventions to improve obesity-related behaviours in adults: a systematic review (the SPOTLIGHT project). . Int. J. Behav. Nutr. Phys. Activity 11::147
    [Crossref] [Google Scholar]
  32. 32.
    Cty. Health Rank. Roadmaps. 2018.. College-based obesity prevention educational interventions. . County Health Rankings & Roadmaps. Accessed on Aug. 24, 2023. https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/college-based-obesity-prevention-educational-interventions
    [Google Scholar]
  33. 33.
    Cty. Health Rank. Roadmaps. 2018.. Multi-component obesity prevention interventions. . County Health Rankings & Roadmaps. Accessed on Aug. 24, 2023. https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/multi-component-obesity-prevention-interventions
    [Google Scholar]
  34. 34.
    Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. 2012.. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. . Med. Care 50::21726
    [Crossref] [Google Scholar]
  35. 35.
    D'Agostino EM, Day SE, Konty KJ, Armstrong SC, Skinner AC, Neshteruk CD. 2023.. Longitudinal association between weight status, aerobic capacity, muscular strength, and endurance among New York City youth, 2010–2017. . Child Obes. 19::20312
    [Crossref] [Google Scholar]
  36. 36.
    Daepp MIG, Gortmaker SL, Wang YC, Long MW, Kenney EL. 2019.. WIC food package changes: trends in childhood obesity prevalence. . Pediatrics 143::e20182841
    [Crossref] [Google Scholar]
  37. 37.
    Damschroder LJ, Reardon CM, Widerquist MAO, Lowery J. 2022.. The updated Consolidated Framework for Implementation Research based on user feedback. . Implement Sci. 17::75
    [Crossref] [Google Scholar]
  38. 38.
    Derose KP, Williams MV, Florez KR, Griffin BA, Payan DD, et al. 2019.. Eat, pray, move: a pilot cluster randomized controlled trial of a multilevel church-based intervention to address obesity among African Americans and Latinos. . Am. J. Health Promot. 33::58696
    [Crossref] [Google Scholar]
  39. 39.
    Dorame Lopez NA, Esparza Romero J. 2022.. Effectiveness of multicomponent lifestyle intervention programs on adiposity indicators in schoolchildren from vulnerable groups: a review article. . Nutr. Hosp. 39::112234
    [Google Scholar]
  40. 40.
    Economos CD, Hyatt RR, Must A, Goldberg JP, Kuder J, et al. 2013.. Shape Up Somerville two-year results: a community-based environmental change intervention sustains weight reduction in children. . Prev. Med. 57::32227
    [Crossref] [Google Scholar]
  41. 41.
    Elliot DL, Goldberg L, Kuehl KS, Moe EL, Breger RK, Pickering MA. 2007.. The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) firefighter study: outcomes of two models of behavior change. . J. Occup. Environ. Med. 49::20413
    [Crossref] [Google Scholar]
  42. 42.
    Estrade M, van Dongen EJI, Trude ACB, Poirier L, Fleischhacker S, et al. 2021.. Exposure to a multilevel, multicomponent obesity prevention intervention (OPREVENT2) in rural Native American communities: variability and association with change in diet quality. . Int. J. Environ. Res. Public Health 18::12128
    [Crossref] [Google Scholar]
  43. 43.
    Ewart-Pierce E, Mejia Ruiz MJ, Gittelsohn J. 2016.. “ Whole-of-community” obesity prevention: a review of challenges and opportunities in multilevel, multicomponent interventions. . Curr. Obes. Rep. 5::36174
    [Crossref] [Google Scholar]
  44. 44.
    Fielding J, Kumanyika S. 2009.. Recommendations for the concepts and form of Healthy People 2020. . Am. J. Prev. Med. 37::25557
    [Crossref] [Google Scholar]
  45. 45.
    Finkelstein EA, Chodavadia PA, Strombotne K. 2023.. A systematic review of the economic value proposition for commercially available nonsurgical weight-loss interventions. . Obesity 31::172533
    [Crossref] [Google Scholar]
  46. 46.
    Flegal KM, Panagiotou OA, Graubard BI. 2015.. Estimating population attributable fractions to quantify the health burden of obesity. . Ann. Epidemiol. 25::2017
    [Crossref] [Google Scholar]
  47. 47.
    Florez KR, Payan DD, Palar K, Williams MV, Katic B, Derose KP. 2020.. Church-based interventions to address obesity among African Americans and Latinos in the United States: a systematic review. . Nutr. Rev. 78::30422
    [Crossref] [Google Scholar]
  48. 48.
    Gentile DA, Welk G, Eisenmann JC, Reimer RA, Walsh DA, et al. 2009.. Evaluation of a multiple ecological level child obesity prevention program: Switch what you do, view, and chew. . BMC Med. 7::49
    [Crossref] [Google Scholar]
  49. 49.
    Glasgow RE, Harden SM, Gaglio B, Rabin B, Smith ML, et al. 2019.. RE-AIM planning and evaluation framework: adapting to new science and practice with a 20-year review. . Front. Public Health 7::64
    [Crossref] [Google Scholar]
  50. 50.
    Gorin SS, Badr H, Krebs P, Prabhu Das I. 2012.. Multilevel interventions and racial/ethnic health disparities. . J. Natl. Cancer Inst. Monogr. 2012::10011
    [Crossref] [Google Scholar]
  51. 51.
    Griffith DM, Efird CR, Baskin ML, Webb Hooper M, Davis RE, Resnicow K. 2024.. Cultural sensitivity and cultural tailoring: lessons learned and refinements after two decades of incorporating culture in health communication research. . Annu. Rev. Public Health 45::195212
    [Crossref] [Google Scholar]
  52. 52.
    Hoelscher DM, Feldman HA, Johnson CC, Lytle LA, Osganian SK, et al. 2004.. School-based health education programs can be maintained over time: results from the CATCH Institutionalization Study. . Prev. Med. 38::594606
    [Crossref] [Google Scholar]
  53. 53.
    Inst. Med. 2001.. Health and Behavior: The Interplay of Biological, Behavioral, and Societal Influences. Washington, DC:: Natl. Acad. Press. https://doi.org/10.17226/9838
    [Google Scholar]
  54. 54.
    Inzeo PT, Christens BD, Hilgendorf A, Sambo A. 2019.. Advancing coalition health equity capacity using a three-dimensional framework. . Health Equity 3::16976
    [Crossref] [Google Scholar]
  55. 55.
    Johnson-Jennings MD, Rink E, Stotz SA, Magarati M, Moore RS. 2023.. All systems are interrelated: multilevel interventions with indigenous communities. . Contemp. Clin. Trials 124::107013
    [Crossref] [Google Scholar]
  56. 56.
    Katz ML, Young GS, Reiter PL, Pennell ML, Plascak JJ, et al. 2017.. Process evaluation of cancer prevention media campaigns in Appalachian Ohio. . Health Promot. Pract. 18::20110
    [Crossref] [Google Scholar]
  57. 57.
    Khan SS, Coresh J, Pencina MJ, Ndumele CE, Rangaswami J, et al. 2023.. Novel prediction equations for absolute risk assessment of total cardiovascular disease incorporating cardiovascular-kidney-metabolic health: a scientific statement from the American Heart Association. . Circulation 148::19822004
    [Crossref] [Google Scholar]
  58. 58.
    Kokka I, Mourikis I, Bacopoulou F. 2023.. Psychiatric disorders and obesity in childhood and adolescence—a systematic review of cross-sectional studies. . Children 10::285
    [Crossref] [Google Scholar]
  59. 59.
    Kumanyika SK. 2022.. Advancing health equity efforts to reduce obesity: changing the course. . Annu. Rev. Nutr. 42::45380
    [Crossref] [Google Scholar]
  60. 60.
    Larsen LT. 2022.. Not merely the absence of disease: a genealogy of the WHO's positive health definition. . Hist. Hum. Sci. 35::11131
    [Crossref] [Google Scholar]
  61. 61.
    Loveman E, Al-Khudairy L, Johnson RE, Robertson W, Colquitt JL, et al. 2015.. Parent-only interventions for childhood overweight or obesity in children aged 5 to 11 years. . Cochrane Database Syst. Rev. 2015::CD012008
    [Google Scholar]
  62. 62.
    Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, et al. 2010.. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. . Arch. Gen. Psychiatry 67::22029
    [Crossref] [Google Scholar]
  63. 63.
    Marcus BH, Simkin LR. 1994.. The transtheoretical model: applications to exercise behavior. . Med. Sci. Sports Exerc. 26::14004
    [Crossref] [Google Scholar]
  64. 64.
    McElroy SL, Kotwal R, Malhotra S, Nelson EB, Keck PE, Nemeroff CB. 2004.. Are mood disorders and obesity related? A review for the mental health professional. . J. Clin. Psychiatry 65::63451
    [Crossref] [Google Scholar]
  65. 65.
    McLeroy KR, Bibeau D, Steckler A, Glanz K. 1988.. An ecological perspective on health promotion programs. . Health Educ. Q. 15::35177
    [Crossref] [Google Scholar]
  66. 66.
    McLoughlin GM, Candal P, Vazou S, Lee JA, Dzewaltowski DA, et al. 2020.. Evaluating the implementation of the SWITCH® school wellness intervention and capacity-building process through multiple methods. . Int. J. Behav. Nutr. Phys. Act. 17::162
    [Crossref] [Google Scholar]
  67. 67.
    Menon K, de Courten B, Ademi Z, Owen AJ, Liew D, Zomer E. 2022.. Estimating the benefits of obesity prevention on productivity: an Australian perspective. . Int. J. Obes. 46::146369
    [Crossref] [Google Scholar]
  68. 68.
    Methley AM, Campbell S, Chew-Graham C, McNally R, Cheraghi-Sohi S. 2014.. PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. . BMC Health Serv. Res. 14::579
    [Crossref] [Google Scholar]
  69. 69.
    Michie S, Richardson M, Johnston M, Abraham C, Francis J, et al. 2013.. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. . Ann. Behav. Med. 46::8195
    [Crossref] [Google Scholar]
  70. 70.
    Michie S, Thomas J, Mac Aonghusa P, West R, Johnston M, et al. 2020.. The Human Behaviour-Change Project: an artificial intelligence system to answer questions about changing behaviour. . Wellcome Open. Res. 5::122
    [Crossref] [Google Scholar]
  71. 71.
    Milat AJ, King L, Bauman AE, Redman S. 2013.. The concept of scalability: increasing the scale and potential adoption of health promotion interventions into policy and practice. . Health Promot. Int. 28::28598
    [Crossref] [Google Scholar]
  72. 72.
    Morton D, Rankin P, Kent L, Dysinger W. 2016.. The Complete Health Improvement Program (CHIP): history, evaluation, and outcomes. . Am. J. Lifestyle Med. 10::6473
    [Crossref] [Google Scholar]
  73. 73.
    Nader PR, Stone EJ, Lytle LA, Perry CL, Osganian SK, et al. 1999.. Three-year maintenance of improved diet and physical activity: the CATCH cohort. . Arch. Pediatr. Adolescent Med. 153::695704
    [Crossref] [Google Scholar]
  74. 74.
    Natl. Acad. Sci. Eng. Med. 2019.. A Health Equity Approach to Obesity Efforts: Proceedings of a Workshop. Washington, DC:: Natl. Acad. Press. https://doi.org/10.17226/25409
    [Google Scholar]
  75. 75.
    Natl. Cancer Inst. (NCI). 2023.. Evidence-based cancer control programs (EBCCP). . National Cancer Institute. Accessed on Nov. 21. https://ebccp.cancercontrol.cancer.gov/
    [Google Scholar]
  76. 76.
    Oh AY, Rising CJ, Gaysynsky A, Tsakraklides S, Huang GC, et al. 2022.. Advancing multi-level health communication research: a Delphi study on barriers and opportunities. . Transl. Behav. Med. 12::113345
    [Crossref] [Google Scholar]
  77. 77.
    Ory MG, Lee Smith M, Mier N, Wernicke MM. 2010.. The science of sustaining health behavior change: the health maintenance consortium. . Am. J. Health Behav. 34::64759
    [Crossref] [Google Scholar]
  78. 78.
    Ought. 2023.. Elicit: the AI research assistant. . Elicit. Accessed on Aug. 16. https://elicit.org
    [Google Scholar]
  79. 79.
    Pollack Porter KM, Rutkow L, McGinty EE. 2018.. The importance of policy change for addressing public health problems. . Public Health Rep. 133::9S14S
    [Crossref] [Google Scholar]
  80. 80.
    Puder JJ, Marques-Vidal P, Schindler C, Zahner L, Niederer I, et al. 2011.. Effect of multidimensional lifestyle intervention on fitness and adiposity in predominantly migrant preschool children (Ballabeina): cluster randomised controlled trial. . BMJ 343::d6195
    [Crossref] [Google Scholar]
  81. 81.
    Raciborski RA, Woodward EN, Painter JT. 2022.. Economic analyses of behavioral health intervention implementation: perspective on stakeholder engagement. . Front. Psychiatry 13::1031325
    [Crossref] [Google Scholar]
  82. 82.
    Rao W-W, Zong Q-Q, Zhang J-W, An F-R, Jackson T, et al. 2020.. Obesity increases the risk of depression in children and adolescents: results from a systematic review and meta-analysis. . J. Affect. Disorders 267::7885
    [Crossref] [Google Scholar]
  83. 83.
    Redmond LC, Wensel CR, Estrade M, Fleischhacker SE, Poirer L, et al. 2023.. Dietary outcomes of a multilevel, multicomponent, cluster randomized obesity intervention in 6 Native American communities in the Upper Midwest and Southwest United States. . Curr. Dev. Nutr. 7::100043
    [Crossref] [Google Scholar]
  84. 84.
    Rozjabek H, Fastenau J, LaPrade A, Sternbach N. 2020.. Adult obesity and health-related quality of life, patient activation, work productivity, and weight loss behaviors in the United States. . Diabetes Metab. Syndrome Obes. 13::204955
    [Crossref] [Google Scholar]
  85. 85.
    Rycroft-Malone J. 2015.. It's more complicated than that. Comment on “Translating evidence into healthcare policy and practice: single versus multi-faceted implementation strategies—Is there a simple answer to a complex question?. Int. J. Health Policy Manag. 4::4812
    [Crossref] [Google Scholar]
  86. 86.
    Schwartz MB, Leider J, Cohen JFW, Turner L, Chriqui JF. 2020.. Association between nutrition policies and student body mass index. . Nutrients 13:(1):13
    [Crossref] [Google Scholar]
  87. 87.
    Schwimmer JB, Burwinkle TM, Varni JW. 2003.. Health-related quality of life of severely obese children and adolescents. . JAMA 289::181319
    [Crossref] [Google Scholar]
  88. 88.
    Scott KM, Bruffaerts R, Simon GE, Alonso J, Angermeyer M, et al. 2008.. Obesity and mental disorders in the general population: results from the world mental health surveys. . Int. J. Obes. 32::192200
    [Crossref] [Google Scholar]
  89. 89.
    Seguin RA, Eldridge G, Graham ML, Folta SC, Nelson ME, Strogatz D. 2016.. Strong Hearts, Healthy Communities: a rural community-based cardiovascular disease prevention program. . BMC Public Health 16::86
    [Crossref] [Google Scholar]
  90. 90.
    Seguin RA, Paul L, Folta SC, Nelson ME, Strogatz D, et al. 2018.. Strong Hearts, Healthy Communities: a community-based randomized trial for rural women. . Obesity 26::84553
    [Crossref] [Google Scholar]
  91. 91.
    Seguin-Fowler RA, Eldridge GD, Rethorst CD, Graham ML, Demment M, et al. 2022.. Improvements and maintenance of clinical and functional measures among rural women: Strong Hearts, Healthy Communities-2.0 cluster randomized trial. . Circ. Cardiovasc. Qual. Outcomes 15::e009333
    [Crossref] [Google Scholar]
  92. 92.
    Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ. 2008.. Tracking of childhood overweight into adulthood: a systematic review of the literature. . Obes. Rev. 9::47488
    [Crossref] [Google Scholar]
  93. 93.
    Souza LMS, Chaves SCL, Santana JM, Pereira M. 2023.. Public policy interventions for preventing and treating obesity: scoping review. . Nutr. Rev. 81::165364
    [Crossref] [Google Scholar]
  94. 94.
    Squires JE, Sullivan K, Eccles MP, Worswick J, Grimshaw JM. 2014.. Are multifaceted interventions more effective than single-component interventions in changing health-care professionals' behaviours? An overview of systematic reviews. . Implement. Sci. 9::152
    [Crossref] [Google Scholar]
  95. 95.
    Sriram U, Graham ML, Folta S, Paul L, Seguin-Fowler RA. 2023.. Integrating civic engagement into a lifestyle intervention for rural women—a mixed methods process evaluation. . Am. J. Health Promot. 37::80720
    [Crossref] [Google Scholar]
  96. 96.
    Sriram U, Sandreuter K, Graham M, Folta S, Pullyblank K, et al. 2019.. Process evaluation of Strong Hearts, Healthy Communities: a rural community-based cardiovascular disease prevention program. . J. Nutr. Educ. Behav. 51::13849
    [Crossref] [Google Scholar]
  97. 97.
    Stewart AL, Verboncoeur CJ, McLellan BY, Gillis DE, Rush S, et al. 2001.. Physical activity outcomes of CHAMPS II: a physical activity promotion program for older adults. . J. Gerontol. A Biol. Sci. Med. Sci. 56::M46570
    [Crossref] [Google Scholar]
  98. 98.
    Stokols D. 1996.. Translating social ecological theory into guidelines for community health promotion. . Am. J. Health Promot. 10::28298
    [Crossref] [Google Scholar]
  99. 99.
    Sultana M, Nichols M, Moodie M, Allender S, Brown V. 2023.. A systematic review of economic evidence for community-based obesity prevention interventions in children. . Obes. Rev. 24::e13592
    [Crossref] [Google Scholar]
  100. 100.
    Szeszulski J, Craig DW, Walker TJ, Foster M, Mullen PD, Fernandez ME. 2022.. Applying evidence-based intervention (EBI) mapping to identify the components and logic of colorectal cancer screening interventions. . Transl. Behav. Med. 12::30423
    [Crossref] [Google Scholar]
  101. 101.
    Texas Educ. Agency. 2023.. Approved coordinated school health programs. . Texas Education Agency. Accessed on Nov. 11. https://tea.texas.gov/texas-schools/health-safety-discipline/coordinated-school-health/approved-coordinated-school-health-programs
    [Google Scholar]
  102. 102.
    Tseng E, Zhang A, Shogbesan O, Gudzune KA, Wilson RF, et al. 2018. Effectiveness of policies and programs to combat adult obesity: a systematic review. . J. Gen. Intern. Med. 33::19902001
    [Crossref] [Google Scholar]
  103. 103.
    U. S. Dep. Agric. (USDA), Natl. Inst. Food Agric. (NIFA). 2023.. Extension. . National Institute of Food and Agriculture. Accessed on Nov. 11. https://www.nifa.usda.gov/about-nifa/how-we-work/extension
    [Google Scholar]
  104. 104.
    Vo L, Albrecht SS, Kershaw KN. 2019.. Multilevel interventions to prevent and reduce obesity. . Curr. Opin. Endocr. Metab. Res. 4::6269
    [Crossref] [Google Scholar]
  105. 105.
    Walker TJ, Foster M, Szeszulski J, Craig DW, Mullen PD, Fernandez ME. 2022.. Evidence-based intervention (EBI) mapping: a systematic approach to understanding the components and logic of EBIs. . BMC Public Health 22::1300
    [Crossref] [Google Scholar]
  106. 106.
    Wang H, Kenkel D, Graham ML, Paul LC, Folta SC, et al. 2019.. Cost-effectiveness of a community-based cardiovascular disease prevention intervention in medically underserved rural areas. . BMC Health Serv. Res. 19::315
    [Crossref] [Google Scholar]
  107. 107.
    Ward ZJ, Bleich SN, Long MW, Gortmaker SL. 2021.. Association of body mass index with health care expenditures in the United States by age and sex. . PLOS ONE 16::e0247307
    [Crossref] [Google Scholar]
  108. 108.
    Wis. Popul. Health Inst. 2023.. What works for health. . County Health Rankings & Roadmaps. Accessed on Nov. 21. https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health
    [Google Scholar]
  109. 109.
    Wolfenden L, Goldman S, Stacey FG, Grady A, Kingsland M, et al. 2018.. Strategies to improve the implementation of workplace-based policies or practices targeting tobacco, alcohol, diet, physical activity and obesity. . Cochrane Database Syst. Rev. 11::CD012439
    [Google Scholar]
  110. 110.
    Writ. Group Natl. Collab. Child. Obes. Res. 2018.. Developing a partnership for change: the National Collaborative on Childhood Obesity Research. . Am. J. Prev. Med. 54::46574
    [Crossref] [Google Scholar]
/content/journals/10.1146/annurev-nutr-122123-020340
Loading
/content/journals/10.1146/annurev-nutr-122123-020340
Loading

Data & Media loading...

Supplemental Materials

Supplemental Materials

Supplemental Materials

Supplemental Materials

  • Article Type: Review Article
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error