Comparing Active Pediatric Obesity Treatments Using Meta-Analysis

Gilles, Allyson; Cassano, Michael; Shepherd, Elizabeth; Higgins, Diana M.; Hecker, Jeffrey E.; Nangle, Douglas W.

doi:10.1080/15374410802359833

Cited by 22 publications

(13 citation statements)

References 26 publications

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“…The reference lists of the remaining 45 meta‐analyses were scanned and another six meta‐analyses were added to the data set. This resulted in a collection of 51 meta‐analyses , of which relevant information was extracted using the PICOC method.…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2018

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The prevalence of child and adolescent obesity has been a major worldwide problem for decades. To stop the number of youth with overweight/obesity from increasing, numerous interventions focusing on improving children's weight status have been implemented. The growing body of research on weight-related interventions for youth has been summarized by several meta-analyses aiming to provide an overview of the effectiveness of 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 (SMD) of -0.12 (95%CI: -0.16, -0.08). Several moderator analyses showed that participant and intervention characteristics had little impact on the overall effect size. However, a moderator analysis distinguishing between obesity treatment and obesity prevention studies showed that obesity treatment interventions (SMD: -0.048, 95%CI: -0.60, -0.36) were significantly more effective in reducing body mass index than obesity prevention interventions (SMD: -0.08, 95%CI: -0.11, -0.06). 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: Resultsmentioning

confidence: 99%

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

et al. 2018

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“…The parents' active involvement allows acting on the various multiple factors affecting childhood obesity disease. Evidence suggests that the adherence of the entire family to an intervention program represents an important predictor of the intervention success [26, 27]. …”

Section: Introductionmentioning

confidence: 99%

Effects of an Intensive Lifestyle Intervention to Treat Overweight/Obese Children and Adolescents

Ranucci

Pippi

Buratta

et al. 2017

BioMed Research International

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Objective The purpose of the present study is to examine the effects of a multidisciplinary lifestyle intervention to treat overweight/obese children and adolescents. The main outcome was cardiometabolic risk based on the waist-to-height ratio (WHTR) measurement. Secondary outcomes were (1) changes in body composition; (2) adherence to a Mediterranean diet; and (3) physical performance. Method The study involved 74 overweight/obese children or adolescents. The intervention was multidisciplinary including nutrition, exercise, and psychological aspects based on a family-based approach; it was delivered for six months for children and three months for adolescents. Before and after the intervention, several anthropometric measures (height, body weight, body mass index or BMI, waist circumference, and body composition), cardiometabolic risk index (waist-to-height ratio or WHTR), and nutrition habits of the participants and their families were evaluated. In addition, a set of functional motor fitness tests was performed to evaluate physical performance measures. Results After the intervention both children and adolescents showed a significant reduction in body weight, BMI, waist circumference, fat mass, and WHTR index and an improvement of fat-free mass, adherence to the Mediterranean diet, and physical fitness performance. Conclusion A family-based multidisciplinary approach is effective in the short term in ameliorating the health status, the nutrition habits, and physical performance in children and adolescents.

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“…As a result, treatment providers have been encouraged to address broader contextual factors (11,12) with specific attention to general, non-food-related, parenting (13,14) . In the past, research linking parenting to child obesity has focused on food-related parenting (e.g.…”

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confidence: 99%

Maternal depression and socio-economic status moderate the parenting style/child obesity association

Topham

Page

Hubbs‐Tait

et al. 2009

Public Health Nutr.

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Objective: The purpose of the study was to test the moderating influence of two risk factors, maternal depression and socio-economic status (SES), on the association between authoritarian and permissive parenting styles and child obesity. Design: Correlational, cross-sectional study. Parenting style was measured with the Parenting Styles and Dimensions Questionnaire (PSDQ). Maternal depression was measured using the Center for Epidemiologic Studies Depression Scale (CES-D). BMI-for-age percentile was used to categorize children by weight status (children with BMI-for-age $95th percentile were classified as obese). SES was computed from parent education and occupational status using the four-factor Hollingshead index. Setting: Rural public schools in a mid-western state in the USA. Subjects: One hundred and seventy-six mothers of first-grade children (ninety-one boys, eighty-five girls) enrolled in rural public schools. Results: Both maternal depression and SES were found to moderate the permissive parenting style/child obesity association, but not the authoritarian/child obesity association. For depressed mothers, but not for non-depressed mothers, more permissive parenting was predictive of child obesity. Similarly more permissive parenting was predictive of child obesity among higher SES mothers, but not for lower SES mothers. Conclusions: Maternal depression and SES interact with permissive parenting style to predict child obesity. Future research should examine the relationship among these variables using a longitudinal design.

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Comparing Active Pediatric Obesity Treatments Using Meta-Analysis

Cited by 22 publications

References 26 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

Effects of an Intensive Lifestyle Intervention to Treat Overweight/Obese Children and Adolescents

Maternal depression and socio-economic status moderate the parenting style/child obesity association

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