Effects of Intervention Programs on Child and Adolescent BMI: A Meta-Analysis Study

Vasques, Catarina; Magalhães, Pedro Vieira da Silva; Cortinhas, António; Mota, P.; Leitão, José Carlos; Lopes, Vítor P.

doi:10.1123/jpah.2012-0035

Cited by 42 publications

(38 citation statements)

References 64 publications

(68 reference statements)

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“…A separate overlap analysis was conducted for the 26 meta-analyses included in the meta-synthesis (n = 26). A few studies overlapped considerably (70% (33,34), 71% (39,57), 71% (37,39), 80% (37,57), 80% (71,83)), however, the average overlap here was also modest at 8% (SD = 0.13, median = 0). We conducted analyses including and excluding these studies and evaluate differences wherever substantial.…”

Section: Overlapmentioning

confidence: 73%

“…Moderator analyses might explain why some interventions are more effective than others and could increase the effectiveness of future interventions. In this respect, a broad framework for moderator analyses (28) that has been adopted often (29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39) and includes participant features (i.e. participant age, gender, ethnicity and overweight/obesity risk) and intervention features (e.g.…”

mentioning

confidence: 99%

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Interventions aimed at preventing and reducing overweight/obesity among children and adolescents: a meta-synthesis

Kobes¹,

Kretschmer²,

Timmerman³

et al. 2018

Preprint

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The prevalence of childhood and adolescent obesity has been a major worldwide problem for decades. To stop the number of children and adolescents with overweight or obesity from increasing, numerous interventions focusing on improving children’s weight status have been designed and implemented. This vastly growing body of research on weight-related interventions for children and adolescents has been summarized by several meta-analyses that aim to provide an overview of the effectiveness of these interventions. Yet, the number of meta-analyses is expanding so quickly and overall results differ, making a comprehensive synopsis of the literature difficult. To tackle this problem, a meta- synthesis was conducted to draw informed conclusions about the state of the effectiveness of interventions targeting child and adolescent overweight. The results of the quantitative synthesis of 26 meta-analyses resulted in a standardized mean difference of -0.12 (95%CI: -0.16;-0.08). Several moderator analyses (e.g., gender, age, duration of the intervention, parental involvement) showed that participant and intervention characteristics had little impact on the overall effect size. Overall, the results of this meta-synthesis suggest that interventions result in statistically significant effects albeit of relatively little clinical relevance.

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Section: Overlapmentioning

confidence: 73%

mentioning

confidence: 99%

Interventions aimed at preventing and reducing overweight/obesity among children and adolescents: a meta-synthesis

Kobes¹,

Kretschmer²,

Timmerman³

et al. 2018

Preprint

View full text Add to dashboard Cite

show abstract

“…4 Reviews have summarized the results of different aspects of youth obesity treatment, including nutrition education, exercise, dietary interventions, behavioral therapy, and medication trials, [10][11][12] though the majority of interventions produce only modest effects. 13,14 Currently, there is limited evidence for clinically effective, long-term weight management interventions that are sustainable in community settings, 4,13 and the examination of mind-body therapies in youth weight loss research is practically nonexistent. 15,16 Thus, a critical need exists to expand treatment development efforts beyond traditional education and behavioral programs and explore alternative treatment models for youth obesity.…”

Section: Efficacy Of Traditional Weight Loss Interventionsmentioning

confidence: 99%

A Conceptual Framework for the Expansion of Behavioral Interventions for Youth Obesity: A Family-Based Mindful Eating Approach

et al. 2015

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Background: Currently, over 30% of US youth are overweight and 1 in 6 have metabolic syndrome, making youth obesity one of the major global health challenges of the 21st century. Few enduring treatment strategies have been identified in youth populations, and the majority of standard weight loss programs fail to adequately address the impact of psychological factors on eating behavior and the beneficial contribution of parental involvement in youth behavior change.Methods: A critical need exists to expand treatment development efforts beyond traditional education and cognitive-behavioral programs and explore alternative treatment models for youth obesity. Meditation-based mindful eating programs represent a unique and novel scientific approach to the current youth obesity epidemic given that they address key psychological variables affecting weight.Results: The recent expansion of mindfulness programs to include family relationships shows the immense potential for broadening the customarily individual focus of this intervention to include contextual factors thought to influence youth health outcomes.Conclusions: This article provides an overview of how both mindful eating and family systems theory fits within a conceptual framework in order to guide development of a comprehensive family-based mindful eating program for overweight youth.

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“…Searching for "childhood obesity intervention", we selected ten review articles focusing on obesity-related prevention studies (not treatment) in children (35,37,42,(44)(45)(46)(47)(48)(49)(50). Eight of the selected reviews comprised interventions targeting childhood obesity prevention (encompasing 314 studies meeting the respective inclusion criteria of reviewers in total, not corrected for double-listing), two reviews focused on interventions to improve physical activity (37,50).…”

Section: Methodsmentioning

confidence: 99%

Obesogenic environments: environmental approaches to obesity prevention

Lipek¹,

Igel

Gausche³

et al. 2015

Journal of Pediatric Endocrinology and Metabolism

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Childhood obesity is a major concern for public health. There are multiple factors (e.g., genetic, social, and environmental) that contribute to unhealthy weight gain. Drawing from findings on "obesogenic environments" and core principles of preventive strategies to reduce health inequalities, this paper gives an overview of recent childhood prevention programs that target aspects of the physical environment ("environmental changes"). Out of the ten reviews we screened (including more than 300 studies), we identified very few that addressed aspects of the environment. We focus here on 14 programs that follow different approaches to environmental changes (e.g., access to/quality of playgrounds, changes in school cafeterias). Altering the environment offers opportunities for healthier behaviors and seems to be an effective strategy to prevent childhood obesity. However, the evaluation of those (mostly) multidimensional interventions does not allow drawing firm conclusions about the single effect of environmental changes. We conclude that obesity prevention programs should combine person-based and environmental approaches.

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Effects of Intervention Programs on Child and Adolescent BMI: A Meta-Analysis Study

Cited by 42 publications

References 64 publications

Interventions aimed at preventing and reducing overweight/obesity among children and adolescents: a meta-synthesis

Interventions aimed at preventing and reducing overweight/obesity among children and adolescents: a meta-synthesis

A Conceptual Framework for the Expansion of Behavioral Interventions for Youth Obesity: A Family-Based Mindful Eating Approach

Obesogenic environments: environmental approaches to obesity prevention

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