Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years

Al-Khudairy, Lena; Loveman, Emma; Colquitt, Jill L; Mead, Emma; Johnson, Ronald W.; Fraser, Hannah; Olajide, Joan; Murphy, Marie; Velho, Rochelle; O’Malley, Claire; Azevedo, Liane B.; Ells, Louisa; Metzendorf, Maria‐Inti; Rees, Karen

doi:10.1002/14651858.cd012691

Cited by 315 publications

(326 citation statements)

References 176 publications

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“…In addition, a potentially differential effect of physical activity, diet and other behavioural interventions on cognition and school achievement of children with obesity or overweight growing up in a socio-economically deprived environment remains to be investigated. The evidence on the association between obesity and poverty (Hardy 2017; Lissner 2016; Wang 2012), and the associations between lower education and cognitive skills and poverty (Cooper 2013; Marteau 2013) support further efforts in identifying who could benefit most from obesity-related health behaviour interventions.…”

Section: Discussionmentioning

confidence: 87%

Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight

Martin

Booth

Laird

et al. 2018

Cochrane Database of Systematic Reviews

131

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Background The global prevalence of childhood and adolescent obesity is high. Lifestyle changes towards a healthy diet, increased physical activity and reduced sedentary activities are recommended to prevent and treat obesity. Evidence suggests that changing these health behaviours can benefit cognitive function and school achievement in children and adolescents in general. There are various theoretical mechanisms that suggest that children and adolescents with excessive body fat may benefit particularly from these interventions. Objectives To assess whether lifestyle interventions (in the areas of diet, physical activity, sedentary behaviour and behavioural therapy) improve school achievement, cognitive function (e.g. executive functions) and/or future success in children and adolescents with obesity or overweight, compared with standard care, waiting‐list control, no treatment, or an attention placebo control group. Search methods In February 2017, we searched CENTRAL, MEDLINE and 15 other databases. We also searched two trials registries, reference lists, and handsearched one journal from inception. We also contacted researchers in the field to obtain unpublished data. Selection criteria We included randomised and quasi‐randomised controlled trials (RCTs) of behavioural interventions for weight management in children and adolescents with obesity or overweight. We excluded studies in children and adolescents with medical conditions known to affect weight status, school achievement and cognitive function. We also excluded self‐ and parent‐reported outcomes. Data collection and analysis Four review authors independently selected studies for inclusion. Two review authors extracted data, assessed quality and risks of bias, and evaluated the quality of the evidence using the GRADE approach. We contacted study authors to obtain additional information. We used standard methodological procedures expected by Cochrane. Where the same outcome was assessed across different intervention types, we reported standardised effect sizes for findings from single‐study and multiple‐study analyses to allow comparison of intervention effects across intervention types. To ease interpretation of the effect size, we also reported the mean difference of effect sizes for single‐study outcomes. Main results We included 18 studies (59 records) of 2384 children and adolescents with obesity or overweight. Eight studies delivered physical activity interventions, seven studies combined physical activity programmes with healthy lifestyle education, and three studies delivered dietary interventions. We included five RCTs and 13 cluster‐RCTs. The studies took place in 10 different countries. Two were carried out in children attending preschool, 11 were conducted in primary/elementary school‐aged children, four studies were aimed at adolescents attending secondary/high s...

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Section: Discussionmentioning

confidence: 87%

Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight

Martin

Booth

Laird

et al. 2018

Cochrane Database of Systematic Reviews

131

View full text Add to dashboard Cite

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“…Ensuring that an initial assessment opportunity is given to adolescents may reduce their prior fears of attending by managing expectations. Although widely recognized that a multi‐component intervention is the most evidence‐based approach for child obesity interventions, this review highlighted the importance of exercise. Allowing adolescents an opportunity to try new and varied activities in a non‐forceful manner may help to improve uptake and attrition rates.…”

Section: Discussionmentioning

confidence: 99%

Viewpoints of adolescents with overweight and obesity attending lifestyle obesity treatment interventions: a qualitative systematic review

et al. 2018

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Summary Background Current UK guidance recommends that adolescents with obesity attend a family‐based multi‐component obesity intervention. However, these programmes suffer from low recruitment and high rates of attrition. Understanding the views of adolescents is necessary for developing future interventions. The aim of this systematic review was to synthesize and explore the views of adolescents who have attended an obesity intervention. Methods Published literature was identified by searching six databases. Studies of adolescents (12–17 years) who attended an obesity intervention were examined. Only studies that collected and analysed data qualitatively were included. Full texts were analysed using thematic synthesis. Results Twenty‐eight studies were included. Thirty‐five analytical themes were developed that were broadly divided into seven domains. Key themes included ensuring adolescents receive a ‘tailored intervention’ that involves ‘active engagement’. Support from professionals, family and peers were valued highly. Adolescents expressed ‘prior fears of attending interventions’ and wanted ‘longer term support’. ‘Enjoyment of sport and physical activity’ was evident, and adolescents were strongly motivated by improving body image and social desirability. Discussion Considering the views of adolescents attending obesity interventions may help to inform policy makers in the development of future interventions. This may lead to an improvement in recruitment and attrition rates.

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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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Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years

Cited by 315 publications

References 176 publications

Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight

Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight

Viewpoints of adolescents with overweight and obesity attending lifestyle obesity treatment interventions: a qualitative systematic review

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

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