Impact of Dietary and Exercise Interventions on Weight Change and Metabolic Outcomes in Obese Children and Adolescents

Ho, Mandy; Garnett, Sarah P.; Baur, Louise A.; Burrows, Tracy; Stewart, Laura; Neve, Melinda; Collins, Clare E.

doi:10.1001/jamapediatrics.2013.1453

Cited by 210 publications

(186 citation statements)

References 41 publications

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“…A positive correlation between milk consumption and bone mineral density has also been reported in young girls [53]. Dietary interventions for obesity management in adolescents include caloric restriction [54] and/or traffic light diet (low added sugar and increased fiber intake) [55], which have shown to have significant reductions in BMI and waist circumference [56]. The NEAT (Nutrition and Enjoyable Activities in Teen Girls) trial to prevent obesity in girls from a low socioeconomic background reported an insignificant effect on body composition but may still have potential clinical importance [57].…”

Section: Adolescentsmentioning

confidence: 94%

Nutrition for the Next Generation: Older Children and Adolescents

et al. 2018

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This paper reviews information on why the nutrition of older children (5–9 years) and adolescents (10–19 years) is important and the consequences that it can have over generations. Developing countries still face a high burden of undernutrition and anemia, while the burden of overweight and obesity is on the rise in both developing and developed countries. There are evidence-based interventions which can improve the nutritional status and these include interventions for a balanced and diverse diet and micronutrient supplementation, especially iron and multiple micronutrient supplementation where there is sufficient evidence to reduce anemia. There is mixed evidence for the effective strategies to prevent and control obesity and a dearth of evidence from developing countries. Adolescent pregnancy also poses greater challenges to the health of mother and child, and advocacy should be rampant to delay the age of marriage and pregnancy. Interventions targeted to improving the nutritional status among “pregnant adolescents” have shown improvement in birth weight and a reduction in low birth weight and preterm delivery. Traditional platforms including school-based and community-based approaches offer a mixed picture of effectiveness, but emerging avenues of mHealth and social media could also be channelized to reach this population. The population of this age group is on the rise globally, and failure to invest in improving the nutrition of older children and adolescents will further increase the number of dependents in coming generations and negatively influence the health of future generations and progress of nations.

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Section: Adolescentsmentioning

confidence: 94%

Nutrition for the Next Generation: Older Children and Adolescents

et al. 2018

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“…Luttikhuis et al (2009) encouraged more research be conducted to identify the most effective strategies for treating childhood overweight or obesity. Systematic reviews of childhood overweight or obesity focused on a variety of single potentially important influencing factors including parental involvement (Pinquart, 2014;Yavuz, Van Ijzendoorn, Mesman, & Van der Veek, 2014), schoolbased studies (Gonzalez-Suarez, Worley, Grimmer-Somers, & Dones, 2009;Lavelle, Mackay, & Pell, 2012;Sobol-Goldberg, Rabinowitz, & Gross, 2013), and types of treatment (Ho et al, 2013;Perez-Morales, Bacardi-Gascon, & Jimenz-Cruz, 2012), among others. However, no meta-analysis was found which, in addition to examining weight loss, focused on intervention studies conducted in other countries in over a decade (2002( -September 2015, the nurse's role within interdisciplinary teams conducting this research, or the cost of the interventions.…”

Section: Introductionmentioning

confidence: 99%

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

Snethen

Broome

Treisman

et al. 2016

Worldviews Ev Based Nurs

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“…Multidisciplinary and behavior-oriented lifestyle interventions constitute the cornerstone of therapy in pediatric obesity [6,7]. Several systematic reviews of the treatment of childhood obesity showed clinically meaningful effects of short-term lifestyle interventions [8,9,10]. As obesity is a chronic disease, maintenance of a stable weight after an initial weight loss constitutes a considerable challenge [11].…”

Section: Introductionmentioning

confidence: 99%

Predicting Weight Loss and Maintenance in Overweight/Obese Pediatric Patients

et al. 2014

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Background: Pediatric lifestyle interventions have positive short-term effects on obese patients. Studies on long-term effects are still scarce in Europe. We investigated long-term weight patterns and sociodemographic predictors of a weight change in a large Central European (Germany, Austria and Switzerland) overweight pediatric cohort. Methods: The APV (Adiposity Patients Verlaufsbeobachtung) database was retrospectively analyzed; 157 specialized childhood obesity centers contributed standardized data of 29,181 patients [body mass index (BMI) ≥90th percentile; 5-25 years old] presenting between 2000 and 2012. BMI standard deviation scores (BMI-SDS) were analyzed in a 2-year follow-up and grouped according to BMI-SDS changes. Multiple logistic regression analyses were conducted to assess associations between sociodemographic factors and weight patterns. Results: 2-year follow-up data were available in 3,135 patients (54.6% female). Five distinct weight trajectories ‘rapid weight loss' (n = 735, 23.4%), ‘delayed success' (n = 697, 22.2%), ‘cycling weight' (n = 43, 1.4%), ‘initial weight loss' and ‘weight rebound' (n = 383, 12.2%) and ‘no weight loss throughout' (n = 1,277, 40.7%) best characterized long-term BMI-SDS changes. Younger and male patients were more likely to reduce weight and maintain weight loss. Conclusions: Our results suggest that an intervention before the onset of puberty seems promising for long-term weight maintenance in overweight children. Thus, new concepts are needed to improve long-term treatment success in patients with lower success rates.

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Impact of Dietary and Exercise Interventions on Weight Change and Metabolic Outcomes in Obese Children and Adolescents

Cited by 210 publications

References 41 publications

Nutrition for the Next Generation: Older Children and Adolescents

Nutrition for the Next Generation: Older Children and Adolescents

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

Predicting Weight Loss and Maintenance in Overweight/Obese Pediatric Patients

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