A systematic review of community‐based interventions for the treatment of adolescents with overweight and obesity

Abstract

Adolescent obesity is a risk factor for obesity and other chronic disease in adulthood. Evidence for the effectiveness of community-based obesity treatment programs for adolescents is required to inform policy and clinical decisions. This systematic review aims to evaluate recent effective and scalable community-based weight management programs for adolescents (13-17 years) who are overweight or obese. Eight databases (Medline, Embase, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Informit, and Scopus) were searched for studies published between January 2011-2 March 2017 which are scalable in a community setting and reported primary outcome measures relating to weight. Following deduplication, 10,074 records were screened by title/abstract with 31 publications describing 21 programs included in this review. Programs were heterogeneous in nature (including length, number and frequency of sessions, parent-involvement and technology involvement). Reduction in adolescent BMIz ranged from 2 to 9% post-program and from 2 to 11% after varied lengths of follow-up. Study quality varied (n = 5 weak; n = 8 moderate; n = 8 high), and findings are limited by the risk of selection and retention bias in the included studies. Factors including the effectiveness and acceptability to the target population must be considered when selecting such community programs.

Patterns of Obesity and Overweight in the Iranian Population: Findings of STEPs 2016

“…The Global Burden of Diseases (GBD) study has reported the obesity prevalence in Iranian adult females and males (≥20 years) at 29.3 and 13.6%, respectively; significantly lower than our estimates (3). Considering the multifactorial nature of obesity, in order to investigate the causes of change and reported values, both medical and non-medical predisposing factors such as age, gender, race/ethnicity, socioeconomic status, andunderstandably-lifestyle patterns have been discussed (1,16). Moreover, given the effects of epidemiological changes, many sources of differences can be extracted from data quality and our approaches toward applying data-driven estimates or relying on the estimates that were derived from different modeling methods (1,9).…”

“…In this regard, literature confirms that primary care systems with trained community healthcare workers together with well-developed guidelines can be effective in preventing and managing non-communicable diseases and risk factors (2,23,25). Moreover, a wide range of interventions for prevention or treatment may be selected based on comprehensive plans that involve different aspects of individual and population interventions aimed at specific target groups (16,26). Given the gaps in the relevant evidence needed, more research on individual and social obesity-related behaviors should be conducted through complementary studies (16,26).…”

“…Moreover, a wide range of interventions for prevention or treatment may be selected based on comprehensive plans that involve different aspects of individual and population interventions aimed at specific target groups (16,26). Given the gaps in the relevant evidence needed, more research on individual and social obesity-related behaviors should be conducted through complementary studies (16,26).…”

Effects of a Community‐Based Diabetes Prevention Program for Latino Youth with Obesity: A Randomized Controlled Trial

“…Community‐based lifestyle interventions for youth with obesity have demonstrated positive effects on weight outcomes, but few have included cardiometabolic risk indicators as primary outcomes . Extending these interventions, the current study was designed to enhance insulin sensitivity as a proximal physiologic risk factor for T2D.…”

Protocol for economic evaluation alongside the SHINE (Supporting Healthy Image, Nutrition and Exercise) cluster randomised controlled trial

“…10 The adolescent years introduce greater autonomy over food choice, a decrease in breakfast consumption, increased frequency of snacking and eating outside the home environment, more disposable income, stronger influence from peers and changes in physical activity behaviours. 11 Adolescence may therefore present a window for intervention to reduce body weight and image concerns, and to improve nutrition and physical activity behaviours.…”