Kylie Hesketh

Kylie Hesketh
Deakin University · Institute for Physical Activity and Nutrition

PhD

About

239
Publications
41,310
Reads
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11,631
Citations
Additional affiliations
January 2005 - present
Deakin University
January 1997 - December 2004
January 1997 - December 2004
Education
August 2000 - November 2004
University of Melbourne
Field of study
  • Paediatric epidemiology
March 1992 - November 1995
La Trobe University
Field of study
  • Behavioural Sciences

Publications

Publications (239)
Preprint
Children’s engagement in screen time is a complex issue. While some forms of screen time have consistently been associated with harm, others have been associated with gains, making it difficult to weigh the risks and benefits of use. In this umbrella review, we systematically collate and synthesise meta-analyses examining the effects of screen use...
Article
Full-text available
Food fussiness is associated with non-responsive parent feeding practices, such as persuasive and instrumental feeding. Although most children described as 'fussy eaters' are likely exhibiting developmentally typical behaviours, up to half of the parents of children 2-5 years old express concerns. Concern for fussy eating may mediate the use of non...
Article
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Introduction: Behavioural interventions in early life appear to show some effect in reducing childhood overweight and obesity. However, uncertainty remains regarding their overall effectiveness, and whether effectiveness differs among key subgroups. These evidence gaps have prompted an increase in very early childhood obesity prevention trials wor...
Article
Background Little is known about how activity patterns change throughout childhood. This study examined changes and tracking of total volume and bouts of physical activity (PA) and sedentary time (SED) from early to late childhood. Methods Volume and bouts of SED and light-, moderate- and vigorous-intensity PA (LPA, MPA and VPA) were assessed by a...
Preprint
BACKGROUND Food fussiness is common in toddlerhood. Fussiness is associated with nonresponsive parent feeding practices, such as persuasive and instrumental feeding. Such feeding practices may reinforce fussy eating behaviors and are associated with poorer dietary intake and suboptimal growth trajectories. Parent feeding practices are known to clus...
Article
This cross-sectional study examined theoretical effects of reallocating sedentary time (SED) with total physical activity, and physical activity bouts of varying intensities, on children's cardiometabolic biomarkers. Baseline data from the Transform-Us! trial (Melbourne, Australia) was used. Participant data were included if accelerometer and blood...
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Introduction Limited evidence exists on the cost-effectiveness of interventions to prevent obesity and promote healthy body image in adolescents. The SHINE (Supporting Healthy Image, Nutrition and Exercise) study is a cluster randomised control trial (cRCT) aiming to deliver universal education about healthy nutrition and physical activity to adole...
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Background: The few health behavior interventions commencing in infancy have shown promising effects. Greater insight into their longer-term benefits is required. This study aimed to assess post-intervention effects of the Melbourne INFANT Program to child age 5y on diet, movement and adiposity. Methods: Two and 3.5y post-intervention follow-up...
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Background: While exclusive breastfeeding is recommended to 6 months of age, just 15% of mothers in Australia achieve this. The rate appears to be even lower among mothers born in China, where 90% have introduced infant formula by this time. This study aimed to examine infant feeding patterns in the first 12 months of life and the factors associat...
Article
Background In the absence of rigorous evidence of cost‐effectiveness for early childhood obesity prevention interventions, the next‐best option may be for decision‐makers to consider the relevant costs of interventions when allocating resources. Objectives This study aimed to estimate systematically the cost of five obesity prevention intervention...
Article
Diet, physical activity, sedentary behaviour and sleep are typically examined independently with childhood adiposity; however, their combined influence remains uncertain. This review aims to systematically summarize evidence on the clustering of these behaviours through lifestyle patterns and evaluate associations with adiposity in children aged 5–...
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Background: Several countries have released movement guidelines for children under 5 that incorporate guidelines for sleep, physical activity and sedentary behavior. This study examines prospective associations of preschool children's compliance with the 24-Hour Australian movement guidelines (sleep, physical activity, screen time) and physiologic...
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Traditional approaches to understanding the behavioural determinants of adiposity have considered diet, physical activity and sedentary behaviour in isolation. Although integrative approaches have identified a variety of lifestyle patterns in children at preschool-age or older, along with some variability by socio-economic positions, this has rarel...
Article
Background Chinese Australian mothers are more likely than the general Australian mothers to introduce formula in the first month of age. A better understanding of the context of formula introduction in the early weeks of birth can provide a deeper insight into how Chinese Australian mothers can be supported to continue exclusive breastfeeding. Me...
Article
Background: Childhood obesity is a significant global problem. Childhood obesity prevention interventions may be more effective when started very early in life before metabolic and behavioural patterns are established. Methods and findings: A prospectively planned, individual participant data meta-analysis of four randomized controlled trials. P...
Article
Parks typically offer opportunities for physical activity among children. Therefore, understanding features of parks that attract children is important for public health. Previous research suggests that children often visit parks other than the one closest to home, most likely because of appealing features. This study compared features present at t...
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Background: Fundamental motor skills (FMS) are important for physical activity and healthy weight status in children, yet it is unclear which early childhood factors facilitate subsequent motor skill. The aim of this prospective study was to investigate which modifiable family and home environment factors in the early years predict children's FMS...
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Background: Relationships with others can have an impact on the attitudes of new mums to the obesity-related behaviours of their children. The aim of this study was to understand the degree to which other new mums (from their mothers' group), friends, partners, and other family members have an influence on maternal attitudes to child feeding, phys...
Article
Background: Play equipment at home could be targeted in interventions to increase children's physical activity (PA), but evidence is mixed, potentially because current methods do not reflect children's lived experience. This study investigated associations between combinations of equipment and PA. Methods: Data were from the Mothers and their Ch...
Article
Background: Although there is increasing evidence regarding children's screen time, little is known about children's sitting. This study aimed to determine the correlates of screen time and sitting in 6- to 8-year-old children. Methods: In 2011-2012, parents in the Healthy Active Preschool and Primary Years (HAPPY) study (n = 498) reported their...
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Background: Understanding the early roots of physical activity and sedentary behaviors is critical to developing intervention programs that promote healthy lifestyle habits in infants and children. There is, however, no evidence on how these behaviors cluster and develop together during early childhood. The aim of this study was to identify single...
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Objective: Fathers' parenting behaviours contribute to the development of children's dietary behaviours and subsequent weight outcomes, yet the majority of research focusses on maternal influences. Understanding fathers' perceptions of their effectiveness to influence children's dietary behaviours will allow the development of whole-of-family inte...
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Background Active breaks in the classroom have been shown to be effective for increasing children’s physical activity, while simultaneously improving classroom behaviour outcomes. However, there is limited evidence on the feasibility and fidelity of these programs outside of the research context. The purpose of this study was to conduct a process e...
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Background Understanding changes in physical activity and sedentary time (SED) during early childhood may provide insights into how to effectively promote a healthy start to life. This study examined changes in total volume and bouts of SED, light- (LPA), and moderate- to vigorous-intensity physical activity (MVPA) across early childhood, and explo...
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Parks provide an opportunity for children to be physically active, but are rarely fully utilised. A better understanding of which park features attract children of varying ages is needed. This study examined which features are present at parks that children visit most often at different stages throughout childhood. Parents reported the park their c...
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Knowledge of the impact of health messages as an intervention strategy is sparse. The aim of this study was to explore recall and use of health behaviour messages among mothers, and whether recall is associated with child health behaviours. Intervention group data from the 15 months Melbourne Infant Feeding, Activity and Nutrition Trial (InFANT) we...
Article
Purpose: Examine objectively measured environmental correlates of physical activity and sedentary behavior in toddlers (12-35 mo). Methods: Participants were recruited at immunization appointments in Edmonton, Canada. Physical activity and sedentary time were objectively measured via accelerometers (n = 149). The parents reported screen time and...
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Early childhood provides an opportunity to support parents to promote a range of healthy behaviours at a time of high engagement with family-focused health services. The Infant Program is believed to be the first of its kind to address healthy behaviours and obesity risk in the first year of life using a universally delivered service. The program i...
Article
Background A range of postnatal and maternal factors influences childhood obesity, but their relative importance remains unclear. This study aimed to assess the relative impact of postnatal rapid growth and maternal factors on early childhood growth trajectories. Subjects Secondary longitudinal analysis of pooled data from the Melbourne Infant Fee...
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Background The growth and development that occurs in early childhood has long-term implications, therefore understanding the relevant determinants is needed to inform early prevention and intervention. The objectives of the study were to examine: 1) the longitudinal associations of physical activity and sedentary behavior with social skills and 2)...
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Introduction Physical activity is positively associated with children’s classroom behaviour. However, less is known about how different types of physical activity contribute to these outcomes. This study examines associations between sport participation and classroom behaviour among primary school-aged children. Methods Parents of 568 children age...
Technical Report
Full-text available
The 2018 AHKA Report Card on Physical Activity for Children and Young People was developed using synthesised data from a number of national and state/territory based surveys. The AHKA Research Working Group evaluated all the data in order to assign letter grades to each of the 12 indicators using pre-determined criteria and benchmarks and provided...
Article
Introduction Valid and reliable tools for measuring obesity‐related behaviours in young children that are brief and can be administered quickly and cost‐effectively in large‐scale population studies are needed. The objectives of this systematic review were to describe brief tools that measure dietary intake, physical activity, sedentary behaviour,...
Article
Objectives Higher physical activity (PA) levels in adults are associated with lower cardiovascular disease risk, however it is unclear whether this association is evident in children younger than five years. Given that cardiovascular disease has early life origins, this study systematically reviews evidence of associations between PA and cardiovasc...
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Background Parents influence their children’s weight-related behaviours through their parenting practices, which are often a focal point of obesity prevention interventions. This study examined associations of maternal concern about their child’s weight, dietary intake, physical activity, and media use with maternal food, physical activity, and med...
Article
Objective The objective of the study is to evaluate the effectiveness of interventions to increase physical activity (PA) in 0–5 year olds and to determine what works, for whom, in what circumstances. Design Systematic review, meta‐analysis and realist synthesis. Data sources Embase and EBSCOhost (Academic Search Complete, CINAHL Complete, Global...
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Objectives: To assess the feasibility and efficacy of a 6-week pilot active break program (ACTI-BREAK) on academic achievement, classroom behaviour and physical activity. Design: Pilot cluster randomised controlled trial. Methods: 374 children in Year 3 and 4 (74% response) were recruited from six schools across Melbourne, Australia. Schools w...
Preprint
BACKGROUND In early life, both mothers and fathers are important influences on their children’s diet, active play and obesity risk. Parents are increasingly relying on the internet and social media as a source of information on all aspects of parenting. However, little is known about the use of online sources of information relevant to family lifes...
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Background In early life, both mothers and fathers are important influences on their children’s diet, active play, and obesity risk. Parents are increasingly relying on the internet and social media as a source of information on all aspects of parenting. However, little is known about the use of Web-based sources of information relevant to family l...
Article
MatCH (Mothers and their Children’s Health) is a nationwide Australian study to investigate the links between the history of health, wellbeing and living conditions of mothers and the health and development of their children. MatCH builds on the Australian Longitudinal Study on Women’s Health (ALSWH), which began in 1996 and has surveyed more than...
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Background Chinese immigrants are the third largest immigrant group in Australia. Recent qualitative evidence from Victorian Maternal and Child Health nurses indicate that infants of Chinese parents commonly have rapid growth trajectories and that high value is placed on rapid growth and having a fatter child; with low breastfeeding rates and overf...
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Jump tests assess lower body power production capacity, and can be used to evaluate athletic ability and development during growth. Wearable inertial measurement units (IMU) seem to offer a feasible alternative to laboratory‐based equipment for jump height assessments. Concurrent validity of these devices for jump height assessments has only been e...
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Background: Guided by the Socialization Model of Child Behavior (SMCB), this cross-sectional study examined direct and indirect associations of parental cognitions and behavior, the home and neighborhood environment, and toddlers’ personal attributes with toddlers’ physical activity and screen time. Methods: Participants included 193 toddlers (1....
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Background: Despite public health guidelines to limit sedentary behavior, many young children spend large amounts of time sedentary (eg, screen and sitting time) during waking hours. Objective: The objective of this study was to test the feasibility and efficacy of a parent-focused, predominantly text message-delivered intervention to support pa...
Article
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Background: Physical activity is considered to have health benefits across the lifespan but levels, patterns, and correlates have not been well described in infants and toddlers under the age of two years. Methods: This study aimed to describe objectively and subjectively measured physical activity in a group of South African infants aged 3- to...
Article
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Background Physical activity is considered to have health benefits across the lifespan but levels, patterns, and correlates have not been well described in infants and toddlers under the age of two years. Methods This study aimed to describe objectively and subjectively measured physical activity in a group of South African infants aged 3- to 24-mo...
Article
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Background: Canada has recently released guidelines that include toddler-specific recommendations for physical activity, screen-based sedentary behaviour, and sleep. This study examined the proportions of toddlers meeting the new Canadian 24-Hour Movement Guidelines for the Early Years (0-4 years) and associations with body mass index (BMI) z-scor...
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Background: Little information is available on the movement behaviours of infants, despite evidence that these are important for development. The release of new Australian 24-hour Movement Guidelines provides an opportunity to document the current state of movement behaviours in infants relative to these guidelines. The aim of this study was to re...
Article
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Background: In 2017, the Australian Government funded the update of the National Physical Activity Recommendations for Children 0-5 years, with the intention that they be an integration of movement behaviours across the 24-h period. The benefit for Australia was that it could leverage research in Canada in the development of their 24-h guidelines...
Article
Background: Postpartum weight retention (PPWR) increases the risk for obesity and complications during subsequent pregnancies. Few interventions have been successful in limiting PPWR in mothers. The present study assessed the effectiveness of the mums OnLiNE (Online, Lifestyle, Nutrition & Exercise) intervention with respect to reducing PPWR and i...
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Background Levels of overall physical activity have been shown to decline across childhood. Schools are considered ideal settings to promote physical activity as children spend a large amount of their waking hours at school. Time-efficient physical activity strategies that demonstrate a positive impact on academic-related outcomes are needed to ena...
Article
Background: maternal postpartum weight retention (PPWR) has implications for short and long term weight-related health of both the mother and child. Little is known about how mothers perceive they may be best supported to achieve a healthy postpartum weight and healthy lifestyle behaviours. Evaluating existing postpartum weight focussed interventi...
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Background Physical activity is associated with many physical and mental health benefits, however many children do not meet the national physical activity guidelines. While schools provide an ideal setting to promote children’s physical activity, adding physical activity to the school day can be difficult given time constraints often imposed by com...
Article
Background: Social networking sites such as Facebook afford new opportunities for behavior-change interventions. Although often used as a recruitment tool, few studies have reported the use of Facebook as an intervention component to facilitate communication between researchers and participants. The aim of this study was to examine facilitator and...