A controlled, class‐based multicomponent intervention to promote healthy lifestyle and to reduce the burden of childhood obesity

Centis, Elena; Marzocchi, Rebecca; Luzio, Raffaella Di; Moscatiello, Simona; Salardi, S; Villanova, Nicola; Marchesini, Giulio

doi:10.1111/j.2047-6310.2012.00079.x

Cited by 28 publications

(68 citation statements)

References 46 publications

(48 reference statements)

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“…Consistent support was found for changes to the family psycho‐social environment as a target for intervention for positive changes in physical activity behaviour, either directly , or via the child as the agent of change (see Fig. e).…”

Section: Resultssupporting

confidence: 56%

“…Forty‐seven interventions met inclusion criteria (Fig. ), of which 31 (66%) demonstrated a significant positive effect on physical activity.…”

Section: Resultsmentioning

confidence: 99%

“…Although all 47 studies were potentially eligible for inclusion in the realist synthesis, only 28 provided sufficient information to describe outcome patterns (defined as being of adequate 'relevance' and 'rigour' (26,29)) and hence contributed to the realist synthesis (31,(33)(34)(35)(36)(38)(39)(40)(41)(44)(45)(46)(47)49,51,52,(59)(60)(61)(62)(64)(65)(66)(68)(69)(70)74,76,77). These studies displayed great variation in the context within which interventions were conducted, the intervention strategies employed and the (implicit) mechanisms targeted.…”

Section: Realist Synthesismentioning

confidence: 99%

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Family‐based interventions to increase physical activity in children: a systematic review, meta‐analysis and realist synthesis

et al. 2016

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SummaryObjectiveFamily‐based interventions represent a potentially valuable route to increasing child physical activity (PA) in children. A dual meta‐analysis and realist synthesis approach examined existing interventions to assist those developing programmes to encourage uptake and maintenance of PA in children.DesignStudies were screened for inclusion based on including participants aged 5–12 years, having a substantive aim of increasing PA by engaging the family and reporting on PA outcome. Duplicate data extraction and quality assessment were conducted. Meta‐analysis was conducted in STATA. Realist synthesis included theory development and evidence mapping.ResultsForty‐seven studies were included, of which three received a ‘strong’ quality rating, 21 ‘moderate’ and 23 ‘weak’. The meta‐analysis (19 studies) demonstrated a significant small effect in favour of the experimental group (standardized mean difference: 0.41; 95%CI 0.15–0.67). Sensitivity analysis, removing one outlier, reduced this to 0.29 (95%CI 0.14–0.45). Realist synthesis (28 studies) provided insight into intervention context (particularly, family constraints, ethnicity and parental motivation), and strategies to change PA (notably, goal‐setting and reinforcement combined).ConclusionThis review provides key recommendations to inform policy makers and other practitioners in developing evidence‐based interventions aimed at engaging the family to increase PA in children, and identifies avenues for future research.

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Section: Resultssupporting

confidence: 56%

“…Forty‐seven interventions met inclusion criteria (Fig. ), of which 31 (66%) demonstrated a significant positive effect on physical activity.…”

Section: Resultsmentioning

confidence: 99%

Section: Realist Synthesismentioning

confidence: 99%

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Family‐based interventions to increase physical activity in children: a systematic review, meta‐analysis and realist synthesis

et al. 2016

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“…Two studies were omitted, as they did not contain a precise measure of outdoor play. 19,20 Two studies were excluded as results had too great a focus on environment and playground features that impact activity rather than the measure of outdoor play. 21,22 Ultimately, twenty-four studies were selected and data were extracted in terms of sample and location, age of participants, sampling, objective measure and/or subjective measure of outdoor play and details.…”

Section: Methodsmentioning

confidence: 99%

Measures of outdoor play and independent mobility in children and youth: A methodological review

Bates

Stone

2015

Journal of Science and Medicine in Sport

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“…For example in a study of Holzapfel et al [ 33 ] on the 'Long-term eff ects of a lifestyle intervention in obesity and genetic infl uence in children (LOGIC)', the BMI-SDS loss over a period of 4-6 weeks was 0.36 (Standard deviation score 0.10), which is comparable to the BMI-SDS reduction of 0.3 in our sample. In a 5 months life-style intervention of Centis et al [ 34 ] , BMI-SDS decreased only by 0.08 in the intervention group. The lifestyle intervention 'Obeldicks' can therefore be regarded as very successful compared to other lifestyle interventions in children and adolescents.…”

mentioning

confidence: 97%

Analyses of Non-Synonymous Obesity Risk Alleles in SH2B1 (rs7498665) and APOB48R (rs180743) in Obese Children and Adolescents Undergoing a 1-year Lifestyle Intervention

Volckmar

Pütter

Song

et al. 2013

Exp Clin Endocrinol Diabetes

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Association of obesity risk alleles of single nucleotide polymorphisms (SNPs) near or in the SH2B adaptor protein 1 gene (SH2B1) and increased body mass index (BMI) has been often described. A gene in close proximity, apolipoprotein B48 receptor gene (APOB48R), is tagged by the same SNP(s).We analyzed 454 overweight and obese children and adolescents (10.8±2.6 years, BMI-SDS 2.4±0.5; 55% girls) who completed a 1-year lifestyle intervention ('Obeldicks' program). Carriers of obesity risk alleles of non-synonymous SNPs in SH2B1 (rs7498665, Thr484Ala) or APOB48R (rs180743, Pro419Ala), as genotyped by TaqMan, were analysed for changes in anthropometrics (body-mass index (BMI), and standardized BMI (BMI-SDS)), blood pressure (systolic and diastolic) and plasma parameters (total cholesterol, LDL-cholesterol, HDL-cholesterol, triacylglycerides, glucose, insulin, and HOMA).We observed no evidence for an association of the obesity risk alleles to alterations in any of the analyzed phenotypes. Both mean BMI and BMI-SDS improved during the intervention independent of genotype. The mean systolic blood pressure was lowered and concentrations of HDL-cholesterol increased significantly.The obesity risk alleles of non-synonymous SNPs at SH2B1 and APOB48R have no strong effect on weight loss-related phenotypes in overweight children after a 1-year lifestyle intervention.

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A controlled, class‐based multicomponent intervention to promote healthy lifestyle and to reduce the burden of childhood obesity

Abstract: A multicomponent school-based intervention addressing the needs of children, teachers and families produced a significant and favourable short-term effect on overweight/obese schoolchildren.

Cited by 28 publications

References 46 publications

Family‐based interventions to increase physical activity in children: a systematic review, meta‐analysis and realist synthesis

Family‐based interventions to increase physical activity in children: a systematic review, meta‐analysis and realist synthesis

Measures of outdoor play and independent mobility in children and youth: A methodological review

Analyses of Non-Synonymous Obesity Risk Alleles in SH2B1 (rs7498665) and APOB48R (rs180743) in Obese Children and Adolescents Undergoing a 1-year Lifestyle Intervention

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