L’integrazione degli interventi sulle modifiche comportamentali, sociali ed ambientali nei programmi di prevenzione attiva: il caso dell'obesità infantile

Translated title of the contribution: [Autom. eng. transl.] The integration of interventions on behavioral, social and environmental changes in active prevention programs: the case of childhood obesity

Research output: Chapter in Book/Report/Conference proceedingConference contribution


[Autom. eng. transl.] INTRODUCTION: Childhood obesity is one of the major public health problems. It is an independent risk factor for adult obesity and leads to numerous complications not only physical, but also psychological and social, with a significant impact also from an economic point of view. The aim of this work was to verify the presence, on an international level, of large-scale coordinated programs, such as to combine the various existing experiences and activities aimed at enhancing knowledge and empowerment, based on innovative approaches and aimed at achieving the common goal of preventing childhood obesity. MATERIALS AND METHODS: In March 2013, a literature search was conducted within the PubMed scientific database, using the following keywords: "prevention and control", "childhood obesity", "coordinated program". Subsequently a "snowballing" was carried out starting from the references identified within the full text taken into consideration for the research focused on the obesity prevention programs existing at international level, in order to identify the characterizing elements. This with the specific objective of finding programs that aim not only to education, but also to have an impact in terms of real environmental changes as well as stakeholder involvement in the practical implementation of prevention actions. RESULTS: The EPODE programs (Ensemble Prévenons l'Obésité De Enfants) activated in France, “Healthy Weight Communities” developed in Scotland and JOGG, widespread in the Netherlands, emerged from the research carried out in the most complete way to the objective of the study. EPODE was born in France in 2004 with the aim of reducing childhood obesity through a social process in which the local environment, childhood settings and family norms are directed and encouraged to facilitate the adoption of healthy lifestyles in the 'childhood. The program envisages a public-private partnership, which contributes to its sustainability thanks to the involvement of the private sector in financing the projects / initiatives envisaged for the purpose of achieving the objectives set. EPODE is characterized by the conception and implementation of a large-scale, coordinated and capacity-building approach, aimed at communities, set up to implement sustainable and effective strategies to prevent childhood obesity. From a quantitative point of view, in the EPODE program the outcome indicators referring to the results obtained on children have already shown 95% in the response rate to program activities, with a 1.8% reduction in the prevalence of obesity in children aged 5-12 years (p <0.0001). The program "Healthy Weight Communities (HWC)" was born within the action plan of the Scottish Government "Healthy Eating, Active Living", and started in 2009, with the selection of 8 communities in the country. The aim of the program was to demonstrate that community involvement in a series of synergistic actions aimed at promoting healthy nutrition, physical activity and maintaining a healthy weight can have a greater impact in terms of health outcomes compared to individual interventions. In other words, the program wanted to promote innovative approaches based on combining and coordinating a series of existing activities to achieve a common goal. Finally, the Dutch program JOGG follows in an almost identical manner the objectives of EPODE, represented by 4 pillars: political commitment, resources, support services, evidences. CONCLUSIONS: To cope with obes
Translated title of the contribution[Autom. eng. transl.] The integration of interventions on behavioral, social and environmental changes in active prevention programs: the case of childhood obesity
Original languageItalian
Title of host publicationATTI del 47° Congresso Nazionale SItI - Comunicazioni brevi
Number of pages2
Publication statusPublished - 2014
Event47° Congresso Nazionale SItI - Riccione
Duration: 1 Oct 20144 Oct 2014


Conference47° Congresso Nazionale SItI


  • obesità infantile
  • prevenzione attiva

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