Cochrane · systematic review · CD011779
Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services
Wolfenden, L, Barnes, C, Jones, J, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 33.3%Moderate 3 · 50%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyComparison
Population: children up to the age of 6 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Implementation of policies, practices or programmes that promote child healthy eating, physical activity and/or obesity prevention | SMD 0.49 [0.19, 0.79] | 9 studies · 495 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Cost or cost‐effectiveness of strategies to improve the implementation of policies, practices or programmes in childcare services | no estimate extracted | NR | No studies |
Adverse consequences of strategies to improve the implementation of policies, practices or programmes in childcare services | no estimate extracted | 2 studies · 148 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Measures of child diete | no estimate extracted | 2 studies · 134 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Measures of child physical activityf | no estimate extracted | 2 studies · 53 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Measures of child weight status | no estimate extracted | 2 studies · 298 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Comparison
Population: children up to the age of 6 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Implementation of policies, practices or programmes that promote child healthy eating, physical activity and/or obesity prevention | no estimate extracted | 10 studies · 1053 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Childcare service staff knowledge, skills or attitudes related to the implementation of policies, practices or programmes that promote child healthy eating, physical activity | no estimate extracted | 2 studies · 457 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Cost or cost‐effectiveness of strategies to improve the implementation of policies, practices or programmes in childcare services | no estimate extracted | NR | No studies |
Adverse consequences of strategies to improve the implementation of policies, practices or programmes in childcare services | no estimate extracted | 1 study · 20 participants | Very low Downgraded: imprecision, inconsistency, indirectness |
Measures of child diet, physical activity or weight status | no estimate extracted | 3 studies · 2829 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |