Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

Mead, Emma; Brown, Tamara; Rees, Karen; Azevedo, Liane B.; Whittaker, Victoria; Jones, Dan; Olajide, Joan; Mainardi, Giulia Marcelino; Corpeleijn, Eva; O’Malley, Claire; Beardsmore, Elizabeth; Al-Khudairy, Lena; Baur, Louise A.; Metzendorf, Maria‐Inti; Demaio, Alessandro; Ells, Louisa

doi:10.1002/14651858.cd012651

Cited by 349 publications

(374 citation statements)

References 538 publications

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“…Severe obesity is a serious public health issue and the results of this study show that a large number of children in Europe suffer from it. Given its impact on education, health, social care, and the economy, obesity needs to be addressed via a range of approaches, from prevention to early diagnosis and treatment [65, 66]. …”

Section: Resultsmentioning

confidence: 99%

Prevalence of Severe Obesity among Primary School Children in 21 European Countries

et al. 2019

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Background: The World Health Organization (WHO) European Childhood Obesity Surveillance Initiative (COSI) was established more than 10 years ago to estimate prevalence and monitor changes in overweight and obesity in children aged 6–9 years. Since then, there have been five rounds of data collection in more than 40 countries involving more than half a million children. To date, no comparative studies with data on severe childhood obesity from European countries have been published. Objectives: The aim of this work was to present the prevalence of severe obesity in school-aged children from 21 countries participating in COSI. Method: The data are from cross-sectional studies in 21 European WHO member states that took part in the first three COSI rounds of data collection (2007/2008, 2009/2010, 2012/2013). School-aged children were measured using standardized instruments and methodology. Children were classified as severely obese using the definitions provided by WHO and the International Obesity Task Force (IOTF). Analyses overtime, by child’s age and mother’s educational level, were performed in a select group of countries. Results:A total of 636,933 children were included in the analysis (323,648 boys and 313,285 girls). The prevalence of severe obesity varied greatly among countries, with higher values in Southern Europe. According to the WHO definition, severe obesity ranged from 1.0% in Swedish and Moldovan children (95% CI 0.7–1.3 and 0.7–1.5, respectively) to 5.5% (95% CI 4.9–6.1) in Maltese children. The prevalence was generally higher among boys compared to girls. The IOTF cut-offs lead to lower estimates, but confirm the differences among countries, and were more similar for both boys and girls. In many countries 1 in 4 obese children were severely obese. Applying the estimates of prevalence based on the WHO definition to the whole population of children aged 6–9 years in each country, around 398,000 children would be expected to be severely obese in the 21 European countries. The trend between 2007 and 2013 and the analysis by child’s age did not show a clear pattern. Severe obesity was more common among children whose mother’s educational level was lower. Conclusions: Severe obesity is a serious public health issue which affects a large number of children in Europe. Because of the impact on educational, health, social care, and economic systems, obesity needs to be addressed via a range of approaches from early prevention of overweight and obesity to treatment of those who need it.

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Section: Resultsmentioning

confidence: 99%

Prevalence of Severe Obesity among Primary School Children in 21 European Countries

et al. 2019

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“…The current golden standard for tackling childhood weight problems is an outpatient, family-based multidisciplinary obesity treatment (MOT; Al-Khudairy et al, 2017;Mead et al, 2017). It primarily aims at a healthy lifestyle via changes in eating behaviour and physical activity, through cognitive behavioural techniques and parental involvement (Batterham, 2014).…”

Section: Introductionmentioning

confidence: 99%

Adherence and barriers in e‐health self‐control training for enhancing childhood multidisciplinary obesity treatment

Naets

Vervoort

Tanghe³

et al. 2019

Clin Psychology and Psychoth

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Training self-control as the assumed underlying mechanism for weight loss is a promising pathway for improving long-term outcomes of childhood multidisciplinary obesity treatment (MOT). The present study is the first to analyse adherence to ehealth self-control training in paediatric obesity. We hypothesized that low adherence would relate to child characteristics and to contextual treatment barriers. Participants were recruited as a part of a larger randomized controlled trial, evaluating an e-health self-control training during inpatient MOT (intensive phase) and its outpatient aftercare (booster phase). A number of 68 youngsters with severe obesity between 11 to 19 years old were included in the present study. Excellent adherence was observed in the intensive phase during inpatient MOT, but rates decreased in the booster phase. As predicted, the low adherence group had a significantly higher weight status throughout the entire study period. Differences in contextual treatment barriers did not appear. Further in-depth analysis showed that the low adherence group frequently experienced practical obstacles. The end of inpatient MOT and high weight status can be considered important risk factors for low adherence in an additional self-control training aimed at facilitating weight loss.

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“…Recent systematic reviews and meta-analyses, however, showed limited effectiveness on weight loss [5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Reduction of Portion Size and Eating Rate Is Associated with BMI-SDS Reduction in Overweight and Obese Children and Adolescents: Results on Eating and Nutrition Behaviour from the Observational KgAS Study

Torbahn

Gellhaus²,

Koch³

et al. 2017

Obes Facts

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Objective: Treatment of paediatric obesity focuses on changes of nutrition and eating behaviour and physical activity. The evaluation of the patient education programme by KgAS was utilised to analyse the association of changes of portion size, eating rate and dietary habits with BMI-SDS reductions. Methods: Patients (n = 297) were examined at the beginning and at the end of treatment and after 1-year follow-up at different out-patient centres. Their parents completed questionnaires including estimation of children's portion size, eating rate and frequency of food intake. Associations of 1-and 2-year changes in BMI-SDS and behaviour were calculated for patients with complete data in BMI-SDS, portion size, eating rate, frequency of green, yellow and red food intake (n = 131) by multiple linear regression models. Results: Significant changes were found in the desired direction for BMI-SDS, portion size, eating rate and the intake of unfavourable red food items both after 1 and 2 years as well as for the consumption of favourable green food items after 1 year. Significant positive associa- tions with BMI-SDS reduction after 1 and 2 years were detected for portion size (Cohen's f 2 0.13 and 0.09) and eating rate (Cohen's f 2 0.20 and 0.10), respectively. Conclusion: Reduced portion sizes and eating rates are associated with BMI-SDS reduction after 1 and 2 years. These findings suggest to focus on appropriate portion sizes and reduced eating rates in patient education programmes.

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Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

Cited by 349 publications

References 538 publications

Prevalence of Severe Obesity among Primary School Children in 21 European Countries

Prevalence of Severe Obesity among Primary School Children in 21 European Countries

Adherence and barriers in e‐health self‐control training for enhancing childhood multidisciplinary obesity treatment

Reduction of Portion Size and Eating Rate Is Associated with BMI-SDS Reduction in Overweight and Obese Children and Adolescents: Results on Eating and Nutrition Behaviour from the Observational KgAS Study

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