Effective Weight Loss for Children: A Meta‐analysis of Intervention Studies 2002–2015

Snethen, Julia; Broome, Marion E.; Treisman, Pamela E.; Castro, Erica; Kelber, Sheryl T.

doi:10.1111/wvn.12156

Cited by 16 publications

(19 citation statements)

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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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“…In this manner, ENTREN‐F was designed to work on family environment and communication and was administered separately in six 2‐hr sessions to parents and nine 2‐hr sessions to their children, with a further three 2‐hr sessions attended by both families and children (see Appendix B). The rationale to develop content for the parallel six parent sessions was based on the following reason: Parental degree of motivation is the key factor for child obesity intervention dropout (Braet et al, ; Gunnarsdottir et al, ), and thus, intervention motivation must be addressed to achieve a greater effectiveness of the promotion of healthy life habits (Snethen et al, ; Wilfley et al, ) and greater stability of the changes (Quattrin & Wilfley, ). Content and new material have been developed on the basis of the techniques of motivational interviewing (Miller & Rollnick, ) and models on educational styles, which concluded that there were four: responsible (democratic), authoritarian, permissive, and negligent (Maccoby & Martin, ).…”

Section: Entren‐f Interventionmentioning

confidence: 99%

“…Although the scientific community has strived to develop effective treatments for childhood obesity (Epstein, Paluch, Roemmich, & Beecher, ; Snethen, Broome, Treisman, Castro, & Kelber, ), there is clear evidence of the difficulty in obtaining moderate results beyond a slight weight loss (Knop et al, ; Skjåkødegård et al, 2014). These results tend to worsen throughout the adolescent stage and with increasing severity of the obesity.…”

Section: Introductionmentioning

confidence: 99%

“…Recent systematic reviews have described the predictor variables for a treatment to be more effective. Specifically, treatments focused on the promotion of healthy life habits, including family participation and working from behavioural techniques, have proved to be the most effective (Altman & Wilfley, ; Snethen et al, ; Wilfley et al, ). In this sense, the involvement of the family in the treatment is associated with long‐term stable changes compared with other types of interventions (Epstein, Valoski, Wing, & McCurley, ; Quattrin & Wilfley, ; Wilfley et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Feasibility, acceptability, and effectiveness of a multidisciplinary intervention in childhood obesity from primary care: Nutrition, physical activity, emotional regulation, and family

Sepúlveda

Solano

Blanco

et al. 2019

Euro Eating Disorders Rev

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Childhood obesity is a growing problem with a complex aetiology, for which multidisciplinary interventions are required. Our programme describes a novel structured psychosocial family-based intervention targeting the emotional regulation in childhood obesity, using a train trip metaphor aimed at improving healthy lifestyles for the family. The aims were (a) to describe the feasibility and acceptability of this psychosocial family-based intervention among children with overweight or obesity in primary care and (b) to examine the effectiveness of the "ENTREN-F" programme (with family intervention) compared with the "ENTREN" programme (without family intervention) among Spanish children regarding anthropometric variables, physical activity, emotional wellbeing, and family functioning. Children were randomly allocated to either ENTREN-F programme (n = 30) or psychological intervention for children (ENTREN, n = 40), and assessments were carried out over time (T 0 baseline vs. T 1 post/6-month vs. T 2 6-month follow-up). Both parent groups expressed high levels of satisfaction with the interventions. ENTREN-F resulted in higher adherence to treatment and was more effective in improving z-body mass index, reducing children's anxiety, and increasing family adaptability than the ENTREN programme. There were no significant changes in parents' emotional well-being and expressed emotion. Both groups improved in the children's emotional well-being and light physical activity. In summary, this multidisciplinary psychosocial family-based intervention was succesful.

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“…, Snethen et al . ). Parents are considered very important to intervention‐related lifestyle changes, as they are responsible for the child's eating habits and physical environment and, ultimately, behaviours.…”

Section: Introductionmentioning

confidence: 97%

How family interactions about lifestyle changes affect adolescents' possibilities for maintaining weight loss after a weight‐loss intervention: a longitudinal qualitative interview study

Frederiksen

Vámosi

et al. 2017

Journal of Advanced Nursing

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Effective Weight Loss for Children: A Meta‐analysis of Intervention Studies 2002–2015

Cited by 16 publications

References 50 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

Feasibility, acceptability, and effectiveness of a multidisciplinary intervention in childhood obesity from primary care: Nutrition, physical activity, emotional regulation, and family

How family interactions about lifestyle changes affect adolescents' possibilities for maintaining weight loss after a weight‐loss intervention: a longitudinal qualitative interview study

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