So I think this is probably the reasons why wherever we see

Behavioural interventions a tricky path for preventing obesity

Norman Swan: Two trials which aim to reduce the risk of childhood obesity have just been published. One seemed to work a bit and one didn’t, and of course childhood obesity is a huge issue, so interventions that could make a difference are urgently needed. Boyd Swinburn is internationally recognised for his work on the public health effects of obesity and how to prevent it. Boyd is Professor of Population Nutrition and Global Health at the University of Canada Goose Outlet Auckland. And I spoke to him on the line from Auckland.

Canada Goose Outlet What are the statistics on childhood obesity in Australia? I thought it was tailing off a bit. canada goose coats Canada Goose Outlet

canada goose clearance sale Boyd Swinburn: Well, it seems to be potentially plateauing, and the data that we have for the under fives, which is admittedly not a lot, but it does seem to be coming down in the under fives. So the turning point, if you like, uk canada goose outlet of the epidemic, if it’s occurring and if it’s real, buy canada goose jacket cheap is starting in the under fives age group. canada goose clearance sale

Norman Swan: Do we know why?

buy canada goose jacket Boyd Swinburn: Well, I think that that age group of population, first of all they are very uk canada goose environmentally responsive, everybody else is determining what they eat and what they do, they are the ones that obviously society puts the most store by protecting canada goose clearance sale and looking after, parents are highly engaged compared with older children and so on, and also they are growing the fastest. So I think this is probably the reasons why wherever we see the start of the flattening or turning around in the obesity epidemic, it’s starting with these very young children. buy canada goose store canada goose jacket

Canada Goose sale Norman Swan: But it’s still a problem later on when the children don’t do necessarily what you tell them. So tell us about these two studies and their findings. Canada Goose sale

canada goose black friday sale Boyd Swinburn: So two studies published in the Journal canada goose uk black friday of the American Medical Association, so that’s a prestigious journal, two big trials. So I’ll talk about the one that was unsuccessful first. So that was a trial of young children aged between canada goose about three, 3 to 5, who are overweight but not yet obese, so the risk of becoming obese, they are divided into two groups, about 300 in each, so good size numbers in each arm of the trial, and most of them were Latino, so they were Hispanic Americans and they had relatively low education. So I guess, if you like, picking off the group that is really at most risk, the most disadvantaged populations and the kids about to head into the obesity zone, if you like. canada goose black friday sale

Canada Goose Jackets So the interventions that they ran, and they followed them for three years, which is a good time, a good length of time to Canada Goose online see an effect, but the interventions that they used were Canada Goose Online very behavioural interventions focused on particular behaviours of children and how to deal with those Canada Goose Jackets

canada goose coats Norman Swan: To get them canada goose factory sale eating better, taking more exercise and all that sort of thing. canada goose coats

Canada Goose Parka Boyd Swinburn: Eating better, physical activity, sleep, media use, that kind of thing. Canada Goose Parka

canada goose deals Norman Swan: And that didn’t work? canada goose deals

canadian goose jacket Boyd Swinburn: Well, it had no effect on the trajectory of their weight Canada Goose Parka gain, of their weight over time. canadian goose jacket

Canada Goose online Norman Swan: So tell me about cheap Canada Goose the other study. Canada Goose online

buy canada goose jacket cheap Boyd Swinburn: So the other study took children of parentsthey randomised first time pregnancy and they randomised them into two different types of interventions. One was basically a parenting one, canadian goose jacket how to be a more responsive parent, and then they had a comparison group as well. But the responsive parenting one delved a bit deeper into what we might call the determinants of health, canada goose uk shop the underlying factors, not just the more superficial things that you see like behaviour. And so this fits into this theory which has quite a bit of weight behind it, around to different styles of parenting. The ones which seemed to be cheap canada goose uk responsive to canada goose outlet children but set boundaries as well buy canada goose jacket cheap

Norman Swan: Firm but loving parenting basically.

canada goose store Boyd Swinburn: Yes, it did, a modest reduction I have to say but nevertheless a reduction, so it was very promising. So I think the idea that if you get a little bit Canada Goose sale belowget into the causes of the causes, not just thinking about the behaviours, then you might get closer to some kind of intervention which will have an effect. canada goose coats on sale canada goose store

canada goose clearance Norman Swan: Pretty intensive though. Is this the answer for childhood obesity? canada goose clearance

cheap Canada Goose Coats On Sale Canada Goose Boyd Swinburn: It wasn’t so intensive. There was quite a lot of follow up I guess as part of the study but it was mainly DVD and CD type of education material and support. It has potentially got a wider application at scale, but that is always the challenge in going from these trials where they have very selective people in the trial to something that would apply across the whole population. And of course this was a much different population that was largely white, reasonably well educated and not just taking kids canada goose black friday sale at risk of obesity of course, it was all comers. So canada goose clearance it was somewhat Canada Goose Jackets a different population which tells us also about perhaps the need for horses for courses. cheap Canada Goose

Norman Swan: We haven’t got time that we need to get onto environmental stuff as well such as advertising and sugar taxes and all that stuff, which you are strong on. Boyd, we have to go, but thank you very much for joining us.

canada goose coats on sale Boyd Swinburn: Okay, you’re very welcome, thanks Norman. canada goose coats on sale

Norman Swan: Boyd Swinburn is Professor of Population Nutrition and Global Health at the University of Auckland, and is also the director of the WHO Collaborating Centre for Obesity Prevention at Deakin University in Melbourne.

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