Intervention empowerment of families in preventing and controlling overweight and obesity in children: A systematic review
  • Fransiskus Geroda Mado
    Hasanuddin University, Makassar; Faculty of Public Health, Nusa Cendana University, Kupang, Indonesia.
  • Saifuddin Sirajuddin
    Faculty of Health Public, Hasanuddin University, Makassar, Indonesia.
  • Masyta Muis
    Faculty of Health Public, Hasanuddin University, Makassar, Indonesia.
  • Ida Leida Maria
    Faculty of Health Public, Hasanuddin University, Makassar, Indonesia.
  • Darmawansyah Darmawansyah
    Faculty of Health Public, Hasanuddin University, Makassar, Indonesia.
  • Muhammad Alwi Arifin
    Faculty of Health Public, Hasanuddin University, Makassar, Indonesia.


There have been an increasing overweight and obesity in very anxious children. Furthermore, obesity is a condition that occurs due to the accumulation of excess or abnormal fat. This disorder is believed to be the most significant public health problem that affects children in the 21st century. This study aimed to examine the literature review, articles and research results analyzing the effectiveness of family or parent empowerment interventions through health education. Many research articles were searched on several databases such as PubMed and PreQuest, using the following keywords which include “family empowerment”, “overweight”, “obesity”, “health lifestyle”, “BMI”, “children”, “RCT” starting from 2014 to 2019. The searched results obtained 162 articles on family empowerment, overweight and obesity. Out of the 162 articles, 20 were selected that discussed family empowerment interventions for overweight and obesity. Critical analysis of the 20 articles was carried out based on design, sample, treatment, parameters, findings and conclusions. The literature review analysis showed that family empowerment interventions in the form of health education or promotion activities vary widely in terms of methods, components, duration, individuals involved, specificity and effectiveness. Furthermore, this intervention consists of training activities, courses, and teaching practices. Statistical analysis showed that all these methods significantly increased the ability and independence of the family in controlling overweight and obesity. In conclusion, health education interventions that are packaged in various programs are proven to significantly improve the ability of families or parents in preventing and controlling overweight and obesity in children.


Fransiskus Geroda Mado, Hasanuddin University, Makassar; Faculty of Public Health, Nusa Cendana University, Kupang

PAGEPress Scientific Publications


Shloim N, Edelson LR, Martin N, et al. Parenting styles, feeding styles, feeding practices, and weight status in 4-12 year-old children: A systematic review of the literature. Front Psychol 2015;6:1849. DOI:

Reilly KC, Briatico D, Irwin JD, et al. Participants’ perceptions of “C.H.A.M.P. families”: A parent-focused intervention targeting paediatric overweight and obesity. Int J Environ Res Public Health 2019;16:2171. DOI:

Mwaikambo SA, Leyna GH, Killewo J, et al. Why are primary school children overweight and obese? A cross sectional study undertaken in Kinondoni district, Dar-es-salaam. BMC Public Health 2015;15:1–10. DOI:

Cao Z, Wang S, Chen Y. A Randomized trial of multiple interventions for childhood obesity in China. Am J Prev Med. 2015;48:552–60. DOI:

Lloyd J, Wyatt K. The Healthy Lifestyles Programme (HeLP) – An overview of and recommendations arising from the conceptualisation and development of an innovative approach to promoting healthy lifestyles for children and their families. Int J Environ Res Public Health 2015;12:1050–3. DOI:

Zhai L, Dong Y, Bai Y, et al. Trends in obesity, overweight, and malnutrition among children and adolescents in Shenyang, China in 2010 and 2014: a multiple cross-sectional study. BMC Public Health 2017;17:1–7. DOI:

Pakpour AH, Gellert P, Dombrowski SU, et al. Motivational interviewing with parents for obesity: An RCT. Pediatrics 2015;135:e644-52. DOI:

Soskolne V, Cohen-Dar M, Obeid S, et al. Risk and protective factors for child overweight/obesity among low socio-economic populations in Israel: A cross sectional study. Front Endocrinol (Lausanne) 2018;9:456. DOI:

Nasreddine L, Hwalla N, Saliba A, et al. Prevalence and correlates of preschool overweight and obesity amidst the nutrition transition: Findings from a national cross-sectional study in Lebanon. Nutrients 2017;9:266. DOI:

Warschburger P, Kroeller K, Haerting J, et al. Empowering Parents of Obese Children (EPOC): A randomized controlled trial on additional long-term weight effects of parent training. Appetite 2016;103:148-56. DOI:

Larsen LM, Ledderer L, Jarbøl DE. Management of overweight during childhood: A focus group study on health professionals’ experiences in general practice. Int J Family Med 2015;2015:248985. DOI:

Wen LM, Rissel C, Xu H, et al. Linking two randomised controlled trials for healthy beginnings: optimising early obesity prevention programs for children under 3 years. BMC Public Health 2019;19:739. DOI:

Daniels LA, Mallan KM, Nicholson JM, et al. An early feeding practices intervention for obesity prevention. Pediatrics 2019;136:e40-9. DOI:

Iii W, Davison KK. The empowerment of low-income parents engaged in a childhood obesity PubMed Commons. Fam Community Health 2014;37:104-18. DOI:

Lim J, Davison KK, Jurkowski JM, et al. Correlates of resource empowerment among parents of children with overweight or obesity. Child Obes 2017;13:63-71. DOI:

Adamo KB, Brett KE. Parental perceptions and childhood dietary quality. Matern Child Health J 2014;18:978-95. DOI:

Small L, Ii LT, Aldrich H, et al. A pilot intervention designed to address behavioral factors that place overweight/Obese young children at risk for later-life obesity. West J Nurs Res 2017;39:1192-12. DOI:

Resnicow K, McMaster F, Bocian A, et al. Motivational interviewing and dietary counseling for obesity in primary care: an RCT. Pediatrics 2015;135:649-57. DOI:

Döring N, Ghaderi A, Bohman B, et al. Motivational interviewing to prevent childhood obesity: A cluster RCT. Pediatrics 2016;137:e20153104. DOI:

Benestad B, Lekhal S, Småstuen MC, et al. Camp-based family treatment of childhood obesity: randomised controlled trial. Arch Dis Child 2017;102:303-10. DOI:

Wu S, Ding Y, Wu F, et al. Socio-economic position as an intervention against overweight and obesity in children: A systematic review and meta-analysis. Sci Rep 2015;5:11354. DOI:

Stern M, Ewing L, Davila E, et al. Design and rationale for NOURISH-T : A randomized control trial targeting parents of overweight children off cancer treatment. Contemp Clin Trials 2015;41:227-37. DOI:

Warkentin S, Mais LA, Latorre MDRDDO, et al. Relationships between parent feeding behaviors and parent and child characteristics in Brazilian preschoolers: A cross-sectional study. BMC Public Health 2018;18:1–11. DOI:

Taylor BJ, Gray AR, Hons B, et al. Targeting sleep, food, and activity in infants for obesity prevention: An RCT. Pediatrics 2017;139:e20162037. DOI:

Williams SL, Lippevelde W Van, Magarey A, et al. Parent engagement and attendance in PEACH TM QLD – an up-scaled parent-led childhood obesity program. BMC Public Health 2017;17:559. DOI:

Karmali S, Ng V, Battram D, et al. Coaching and/or education intervention for parents with overweight/obesity and their children: Study protocol of a single-centre randomized controlled trial. BMC Public Health 2019;19:1-12. DOI:

Fagg J, Cole TJ, Cummins S, et al. After the RCT: who comes to a family-based intervention for childhood overweight or obesity when it is implemented at scale in the community? J Epidemiol Community Health 2015;69:142-8. DOI:

Robertson W, Fleming J, Kamal A, et al. Randomised controlled trial and economic evaluation of the ‘Families for Health’ programme to reduce obesity in children. Arch Dis Child 2017;102:416-26. DOI:

Buscemi J, Blumstein L, Kong A, et al. Retaining traditionally hard to reach participants: lessons learned from three childhood obesity studies. Contemp Clin Trials 2015;42:98-104. DOI: