Tag Archives: obesity

Association of Exposure to Formula in the Hospital and Subsequent Infant Feeding Practices With Gut Microbiota and Risk of Overweight in the First Year of Life – JAMA Pediatrics

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Key Points

Question  How do infant feeding practices influence gut microbiota and risk of overweight?

Findings  Among 1087 infants from the Canadian Healthy Infant Longitudinal Development (CHILD) cohort, earlier cessation of breastfeeding and supplementation with formula (more so than complementary foods) were associated with a dose-dependent increase in risk of overweight by age 12 months; this association was partially explained by specific gut microbiota features at 3 to 4 months. Subtle but significant microbiota differences were observed after brief exposure to formula limited to the birth hospital stay, but these differences were not associated with overweight.

Meaning  Breastfeeding may contribute to protection against overweight by modifying the gut microbiota, particularly during early infancy.

Link to article page here


Effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6 and 7 year olds: cluster randomised controlled trial (WAVES study) (BMJ)


The aim of this study was to assess the effectiveness of a school and family based healthy lifestyle programme (WAVES intervention) compared with usual practice, in preventing childhood obesity. The primary analyses suggest that this experiential focused intervention had no statistically significant effect on BMI z score or on preventing childhood obesity. Schools are unlikely to impact on the childhood obesity epidemic by incorporating such interventions without wider support across multiple sectors and environments. Included in a response to these findings from the Royal College of Paediatrics and Child Health (RCPCH), the Officer for Health Promotion said, ‘This study is disappointing but it only suggests this particular school-based intervention didn’t have the positive results we’d have hoped for. That doesn’t mean we should stop developing interventions in schools, nor does it mean that all schools interventions won’t be successful. Schools are a key place of action on childhood obesity. But it does confirm what we already know – that programmes in schools will not on their own combat childhood obesity.

Link to article here 

Government response to ‘Childhood obesity: follow-up’ report

This command paper sets out the government’s response to the conclusions and recommendations in the Health Select Committee’s report Childhood obesity: follow-up.

This follows the previous Health Committee inquiry and report Childhood obesity: brave and bold action, published in November 2015. The government responded to the previous inquiry with Childhood obesity: a plan for action, published in August 2016, and in a command paper in September 2016.

Published 11 January 2018
Link to article page here

PHE child Weight Management Services


Public Health England has published the following documents relating to commissioning child weight management services:

Let’s Talk About Weight: a step –by-step guide to conversations about weight management with children and families for health and care professionals – tools to support health and care professionals have conversations about weight management with children and their families.

NIHR Signal: Intensive lifestyle interventions can help obese young people lose weight


March Madness comes to a close
Image: health.mil


Obese children and adolescents can lose up to seven pounds over six to 12 months when they engage in at least 52 hours of behaviour-based lifestyle interventions. Minimal benefit was seen with shorter contact time, with less than 25 hours ineffective. The control group gained weight.

Rising obesity in the young is a global concern, which may lead to high rates of obesity-related diseases in adulthood. This review identified trials covering various weight management strategies. Lifestyle-based-interventions with sufficient contact time – as recommended by UK guidelines – showed clear benefits with no evidence of harms.

Investing in effective strategies to manage child obesity will ultimately save healthcare costs. Behaviour-based support should now be assessed for long-term weight loss and maintenance.

The evidence is still lacking whether universal child screening for obesity should be performed in the UK.

Link to review here

Cochrane Review: Drug interventions for the treatment of obesity in children and adolescents

This systematic review is part of a series of associated Cochrane reviews on interventions for obese children and adolescents and has shown that pharmacological interventions (metformin, sibutramine, orlistat and fluoxetine) may have small effects in reduction in BMI and bodyweight in obese children and adolescents. However, many of these drugs are not licensed for the treatment of obesity in children and adolescents, or have been withdrawn.

Cochrane Library, 29th November 2016