Review Article

Obesity Prevention: A Systematic Review of Setting-Based Interventions from Nordic Countries and the Netherlands

Table 3

Summary of key characteristics of setting-based interventions.

SettingStudy typeTotal follow-upGender as percentage (%) of femalesOutcome measuresIntervention componentsTheory basedBMI change

Community-based, n = 7Pre-post studies (no control), n = 2
Quasiexperimental, n = 5
3–8 years
Cohort and cross-sectional samples, n = 4
46.0% to 57.2%. FemaleCVD risk factors, n = 7
BMI change
(Adults), n = 7
Multicomponent, n = 5
Individual component, n = 7
Diet, PA, and other risk factors, n =  6
PA only, n = 1
Worksite, n = 2
Schools and worksites, n = 1
Organised activities, n = 6
Awareness campaigns, n = 7
Food stores, n = 4
Infrastructure, n = 2
Policy (smoking) = 2
Capacity building = 1
Explicitly theory-based, n = 1
Mentioned theory only, n = 1
Positive, n = 2
Negative, n = 2
No effect, n = 3

Worksite-based, n = 3Quasiexperimental, n = 31–2 years
Cohorts n = 3
37.4% to 50.7% female (2/3)
100% male drivers, n = 1
CVD risk factors, n = 2
Body Mass composition, n = 1
BMI change (adults), n = 3
Multicomponent, n = 1
Single component, n = 1
Individual component, n = 2
Diet and PA, n = 3
Organised activities, n = 2
Awareness campaigns, n = 2
Canteens, n = 2
Theory-based and built upon a multilevel approach, n = 1No effect, n = 3

School-based, n = 23Cluster randomised, n = 9
Historical controls used, n = 1
Quasiexperimental, n = 13
4 months-8 years
Cohort and cross-sectional samples, n = 1
Cross-sectional samples only, n = 1
39.7% to 60.1% female (22/23)
100% female, n = 1
Obesity, n = 12
Body composition, n = 6
CVD risk factors, n = 5
BMI change (children and adolescents), n = 23
Weight prevention was a secondary outcome, n = 5
Multicomponent, n = 14
Single component, n = 7
Diet, PA, and other risk factors, n = 5
Diet, PA, n = 9
PA only, n = 6
Diet only, n = 6
Components for the parents, n = 5
Components for the teachers, n = 2
Components for parents and teachers, n = 8
Curriculum changes, n = 19
Food provision, n = 9
School-wide, n = 5
Awareness campaigns, n = 4
Policy, n = 4
Community, n = 3
Capacity building, n = 2
School infrastructure, n = 2
Curriculum component only for increase in PA, n = 4
Actions or changes related to diet, n = 3
Explicitly theory-based using a multilevel approach; like intervention mapping and whole school participation, n = 10Negative, n = 1
Positive, n = 4
No effect, n = 15
Positive for control group only, n = 1
No data available, n = 3

n: number; CVD: cardiovascular disease; BMI: body mass index; PA: physical activity; multicomponent studies: 3 or more components; positive: significantly lower increase in BMI; negative: significantly higher increase in BMI; no effect: no significant effect; positive for control group only: significant increase in BMI for control group only; no data available, n = 3.