Effectiveness of educational and lifestyle interventions to prevent paediatric obesity: systematic review and meta‐analyses of randomized and non‐randomized controlled trials
Summary Objective This review and meta‐analysis aim at updating a previous meta‐analysis carried out by Waters et al. on the efficacy of interventions aimed at preventing childhood obesity and at identifying predictors of outcome. Methods Using an ad‐hoc search string, PubMed database was searched f...
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| Veröffentlicht in: | Obesity science & practice 2017-09, Vol.3 (3), p.235-248 |
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| creator | Gori, D. Guaraldi, F. Cinocca, S. Moser, G. Rucci, P. Fantini, M. P. |
| description | Summary
Objective
This review and meta‐analysis aim at updating a previous meta‐analysis carried out by Waters et al. on the efficacy of interventions aimed at preventing childhood obesity and at identifying predictors of outcome.
Methods
Using an ad‐hoc search string, PubMed database was searched for studies assessing body mass index reduction associated with programmes lasting ≥12 weeks in overweight and obese children aged 2–18 years. Studies designed for children with eating disorders or relevant comorbidities were excluded. Studies meeting inclusion criteria were classified according to patient age (1 year). The search was also extended to other databases. Hand‐searching techniques were also applied. The Cochrane ‘risk of bias’ was applied for quality assessment.
Results
Seventy‐two studies were meta‐analysed. Overall, the best results were achieved by programmes combining diet and physical activity (n = 39). With regard to the setting, programmes involving both school and family and lasting ≤1 year were the most efficacious for 6‐ to 12‐year‐old children (n = 26); family‐based‐only interventions were also effective in children |
| doi_str_mv | 10.1002/osp4.111 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5649699</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1956088266</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4331-86198f57b805c5f48bdaa42962b80f60ab89a311bbb9db08cb6dc00c11eb18143</originalsourceid><addsrcrecordid>eNpdkk1u1TAQxyMEolWpxAmQJTZsUmwncW0WSKgqH1KlIgFry3Ym4MqJg-20SlccoWfpkTgJ815L9WA145mf__Z8VNVzRo8Ypfx1zHN7xBh7VO1z2nU15418vOPvVYc5X1BKWacE4-xptccVPWZ4eb-6PR0GcMVfwgQ5kzgQ6Bdnio-TCcRMPQl-gFzWAMRPBRKCm2QmJZI5weZIZgO9NyV5R6KF7Mv6huQ1FxhRyBGkPFxtxUYo5vevG4Pia4btewnjcfTX0G-JKU4I7ARdnEqKIaCLL5iQn1VPBjRweG8Pqm_vT7-efKzPzj98Onl3Vru2aVgtBVNy6I6tpJ3rhlba3piWK8ExMghqrFSmYcxaq3pLpbOid5Q6xsAyydrmoHp7pzsvdoTeYaXJBD0nP5q06mi8_jcz-R_6e7zUnWiVUAoFXt0LpPhzwSbq0WcHIZgJ4pI1U52gUnIhEH35H3oRl4RdyprjsBrWYjVIvdj90cNX_o4TgfoOuPIB1oc8o3qzKXqzKRo3RZ9_-dyibf4AEyq4AA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2290314619</pqid></control><display><type>article</type><title>Effectiveness of educational and lifestyle interventions to prevent paediatric obesity: systematic review and meta‐analyses of randomized and non‐randomized controlled trials</title><source>Wiley Online Library Open Access</source><source>PMC (PubMed Central)</source><source>DOAJ Directory of Open Access Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Gori, D. ; Guaraldi, F. ; Cinocca, S. ; Moser, G. ; Rucci, P. ; Fantini, M. P.</creator><creatorcontrib>Gori, D. ; Guaraldi, F. ; Cinocca, S. ; Moser, G. ; Rucci, P. ; Fantini, M. P.</creatorcontrib><description>Summary
Objective
This review and meta‐analysis aim at updating a previous meta‐analysis carried out by Waters et al. on the efficacy of interventions aimed at preventing childhood obesity and at identifying predictors of outcome.
Methods
Using an ad‐hoc search string, PubMed database was searched for studies assessing body mass index reduction associated with programmes lasting ≥12 weeks in overweight and obese children aged 2–18 years. Studies designed for children with eating disorders or relevant comorbidities were excluded. Studies meeting inclusion criteria were classified according to patient age (<6, 6–12 and 13–18 years), and intervention type (physical activity, diet or both), setting (educational, family or both) and duration (≤1 or >1 year). The search was also extended to other databases. Hand‐searching techniques were also applied. The Cochrane ‘risk of bias’ was applied for quality assessment.
Results
Seventy‐two studies were meta‐analysed. Overall, the best results were achieved by programmes combining diet and physical activity (n = 39). With regard to the setting, programmes involving both school and family and lasting ≤1 year were the most efficacious for 6‐ to 12‐year‐old children (n = 26); family‐based‐only interventions were also effective in children <6 years old (n = 2), although results have to be interpreted cautiously because of the small number of patients enrolled and the high study heterogeneity. In 13‐ to 18‐year‐old patients, interventions delivered at school (n = 8) were substantially unsuccessful.
Conclusions
Interventions for childhood obesity prevention should include both diet and physical activity, be preferentially targeted towards school age children and involve both the school and family setting. However, because of the important methodological limitations associated with currently available literature, additional studies are needed to draw definite conclusions.</description><identifier>ISSN: 2055-2238</identifier><identifier>EISSN: 2055-2238</identifier><identifier>DOI: 10.1002/osp4.111</identifier><identifier>PMID: 29071100</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Body mass index ; Body weight ; Childhood obesity ; Children ; Clinical trials ; Diet ; Eating disorders ; educational programmes ; Obesity ; Original ; Overweight ; Physical activity ; Quality control ; Studies ; Teenagers</subject><ispartof>Obesity science & practice, 2017-09, Vol.3 (3), p.235-248</ispartof><rights>2017 The Authors. Obesity Science & Practice published by John Wiley & Sons Ltd, World Obesity and The Obesity Society.</rights><rights>2017. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4331-86198f57b805c5f48bdaa42962b80f60ab89a311bbb9db08cb6dc00c11eb18143</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649699/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649699/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11541,27901,27902,45550,45551,46027,46451,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29071100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gori, D.</creatorcontrib><creatorcontrib>Guaraldi, F.</creatorcontrib><creatorcontrib>Cinocca, S.</creatorcontrib><creatorcontrib>Moser, G.</creatorcontrib><creatorcontrib>Rucci, P.</creatorcontrib><creatorcontrib>Fantini, M. P.</creatorcontrib><title>Effectiveness of educational and lifestyle interventions to prevent paediatric obesity: systematic review and meta‐analyses of randomized and non‐randomized controlled trials</title><title>Obesity science & practice</title><addtitle>Obes Sci Pract</addtitle><description>Summary
Objective
This review and meta‐analysis aim at updating a previous meta‐analysis carried out by Waters et al. on the efficacy of interventions aimed at preventing childhood obesity and at identifying predictors of outcome.
Methods
Using an ad‐hoc search string, PubMed database was searched for studies assessing body mass index reduction associated with programmes lasting ≥12 weeks in overweight and obese children aged 2–18 years. Studies designed for children with eating disorders or relevant comorbidities were excluded. Studies meeting inclusion criteria were classified according to patient age (<6, 6–12 and 13–18 years), and intervention type (physical activity, diet or both), setting (educational, family or both) and duration (≤1 or >1 year). The search was also extended to other databases. Hand‐searching techniques were also applied. The Cochrane ‘risk of bias’ was applied for quality assessment.
Results
Seventy‐two studies were meta‐analysed. Overall, the best results were achieved by programmes combining diet and physical activity (n = 39). With regard to the setting, programmes involving both school and family and lasting ≤1 year were the most efficacious for 6‐ to 12‐year‐old children (n = 26); family‐based‐only interventions were also effective in children <6 years old (n = 2), although results have to be interpreted cautiously because of the small number of patients enrolled and the high study heterogeneity. In 13‐ to 18‐year‐old patients, interventions delivered at school (n = 8) were substantially unsuccessful.
Conclusions
Interventions for childhood obesity prevention should include both diet and physical activity, be preferentially targeted towards school age children and involve both the school and family setting. However, because of the important methodological limitations associated with currently available literature, additional studies are needed to draw definite conclusions.</description><subject>Body mass index</subject><subject>Body weight</subject><subject>Childhood obesity</subject><subject>Children</subject><subject>Clinical trials</subject><subject>Diet</subject><subject>Eating disorders</subject><subject>educational programmes</subject><subject>Obesity</subject><subject>Original</subject><subject>Overweight</subject><subject>Physical activity</subject><subject>Quality control</subject><subject>Studies</subject><subject>Teenagers</subject><issn>2055-2238</issn><issn>2055-2238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkk1u1TAQxyMEolWpxAmQJTZsUmwncW0WSKgqH1KlIgFry3Ym4MqJg-20SlccoWfpkTgJ815L9WA145mf__Z8VNVzRo8Ypfx1zHN7xBh7VO1z2nU15418vOPvVYc5X1BKWacE4-xptccVPWZ4eb-6PR0GcMVfwgQ5kzgQ6Bdnio-TCcRMPQl-gFzWAMRPBRKCm2QmJZI5weZIZgO9NyV5R6KF7Mv6huQ1FxhRyBGkPFxtxUYo5vevG4Pia4btewnjcfTX0G-JKU4I7ARdnEqKIaCLL5iQn1VPBjRweG8Pqm_vT7-efKzPzj98Onl3Vru2aVgtBVNy6I6tpJ3rhlba3piWK8ExMghqrFSmYcxaq3pLpbOid5Q6xsAyydrmoHp7pzsvdoTeYaXJBD0nP5q06mi8_jcz-R_6e7zUnWiVUAoFXt0LpPhzwSbq0WcHIZgJ4pI1U52gUnIhEH35H3oRl4RdyprjsBrWYjVIvdj90cNX_o4TgfoOuPIB1oc8o3qzKXqzKRo3RZ9_-dyibf4AEyq4AA</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Gori, D.</creator><creator>Guaraldi, F.</creator><creator>Cinocca, S.</creator><creator>Moser, G.</creator><creator>Rucci, P.</creator><creator>Fantini, M. P.</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>NPM</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201709</creationdate><title>Effectiveness of educational and lifestyle interventions to prevent paediatric obesity: systematic review and meta‐analyses of randomized and non‐randomized controlled trials</title><author>Gori, D. ; Guaraldi, F. ; Cinocca, S. ; Moser, G. ; Rucci, P. ; Fantini, M. P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4331-86198f57b805c5f48bdaa42962b80f60ab89a311bbb9db08cb6dc00c11eb18143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Body mass index</topic><topic>Body weight</topic><topic>Childhood obesity</topic><topic>Children</topic><topic>Clinical trials</topic><topic>Diet</topic><topic>Eating disorders</topic><topic>educational programmes</topic><topic>Obesity</topic><topic>Original</topic><topic>Overweight</topic><topic>Physical activity</topic><topic>Quality control</topic><topic>Studies</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gori, D.</creatorcontrib><creatorcontrib>Guaraldi, F.</creatorcontrib><creatorcontrib>Cinocca, S.</creatorcontrib><creatorcontrib>Moser, G.</creatorcontrib><creatorcontrib>Rucci, P.</creatorcontrib><creatorcontrib>Fantini, M. P.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity science & practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gori, D.</au><au>Guaraldi, F.</au><au>Cinocca, S.</au><au>Moser, G.</au><au>Rucci, P.</au><au>Fantini, M. P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of educational and lifestyle interventions to prevent paediatric obesity: systematic review and meta‐analyses of randomized and non‐randomized controlled trials</atitle><jtitle>Obesity science & practice</jtitle><addtitle>Obes Sci Pract</addtitle><date>2017-09</date><risdate>2017</risdate><volume>3</volume><issue>3</issue><spage>235</spage><epage>248</epage><pages>235-248</pages><issn>2055-2238</issn><eissn>2055-2238</eissn><abstract>Summary
Objective
This review and meta‐analysis aim at updating a previous meta‐analysis carried out by Waters et al. on the efficacy of interventions aimed at preventing childhood obesity and at identifying predictors of outcome.
Methods
Using an ad‐hoc search string, PubMed database was searched for studies assessing body mass index reduction associated with programmes lasting ≥12 weeks in overweight and obese children aged 2–18 years. Studies designed for children with eating disorders or relevant comorbidities were excluded. Studies meeting inclusion criteria were classified according to patient age (<6, 6–12 and 13–18 years), and intervention type (physical activity, diet or both), setting (educational, family or both) and duration (≤1 or >1 year). The search was also extended to other databases. Hand‐searching techniques were also applied. The Cochrane ‘risk of bias’ was applied for quality assessment.
Results
Seventy‐two studies were meta‐analysed. Overall, the best results were achieved by programmes combining diet and physical activity (n = 39). With regard to the setting, programmes involving both school and family and lasting ≤1 year were the most efficacious for 6‐ to 12‐year‐old children (n = 26); family‐based‐only interventions were also effective in children <6 years old (n = 2), although results have to be interpreted cautiously because of the small number of patients enrolled and the high study heterogeneity. In 13‐ to 18‐year‐old patients, interventions delivered at school (n = 8) were substantially unsuccessful.
Conclusions
Interventions for childhood obesity prevention should include both diet and physical activity, be preferentially targeted towards school age children and involve both the school and family setting. However, because of the important methodological limitations associated with currently available literature, additional studies are needed to draw definite conclusions.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>29071100</pmid><doi>10.1002/osp4.111</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Obesity science & practice, 2017-09, Vol.3 (3), p.235-248 |
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| source | Wiley Online Library Open Access; PMC (PubMed Central); DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Body mass index Body weight Childhood obesity Children Clinical trials Diet Eating disorders educational programmes Obesity Original Overweight Physical activity Quality control Studies Teenagers |
| title | Effectiveness of educational and lifestyle interventions to prevent paediatric obesity: systematic review and meta‐analyses of randomized and non‐randomized controlled trials |
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