Impact of weight management nutrition interventions on dietary outcomes in children and adolescents with overweight or obesity: a systematic review with meta‐analysis

Duncanson, Kerith; Shrewsbury, Vanessa A.; Burrows, Tracy; Chai, Li Kheng; Ashton, Lee; Taylor, Robert D.; Gow, Megan L.; Ho, Mandy; Ells, Louisa; Stewart, Laura; Garnett, Sarah P.; Jensen, Megan E.; Nowicka, Paulina; Littlewood, Robyn; Demaio, Alessandro; Coyle, Daisy H.; Walker, Jacqueline L.; Collins, Clare E.

doi:10.1111/jhn.12831

Cited by 23 publications

(43 citation statements)

References 135 publications

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“…For instance, children and adolescents usually consume fewer FV and other fiber sources [85,86] than adults. Notably, evidence from systematic reviews [87,88] showed that children and adolescents had lower adherence to national FBDGs, and that families play an important role in influencing their eating behaviors [89,90]. Thus, family aspects of eating behavior might be included as key messages on public health initiatives and other resources for the population.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Food-Based Dietary Guidelines: A Systemic Review of High-Income and Low- and Middle-Income Countries

et al. 2021

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Research comparing the adherence to food-based dietary guidelines (FBDGs) across countries with different socio-economic status is lacking, which may be a concern for developing nutrition policies. The aim was to report on the adherence to FBDGs in high-income (HIC) and low-and-middle-income countries (LMIC). A systematic review with searches in six databases was performed up to June 2020. English language articles were included if they investigated a population of healthy children and adults (7–65 years), using an observational or experimental design evaluating adherence to national FBDGs. Findings indicate that almost 40% of populations in both HIC and LMIC do not adhere to their national FBDGs. Fruit and vegetables (FV) were most adhered to and the prevalence of adhering FV guidelines was between 7% to 67.3%. HIC have higher consumption of discretionary foods, while results were mixed for LMIC. Grains and dairy were consumed below recommendations in both HIC and LMIC. Consumption of animal proteins (>30%), particularly red meat, exceeded the recommendations. Individuals from HIC and LMIC may be falling short of at least one dietary recommendation from their country’s guidelines. Future health policies, behavioral-change strategies, and dietary guidelines may consider these results in their development.

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Section: Discussionmentioning

confidence: 99%

Adherence to Food-Based Dietary Guidelines: A Systemic Review of High-Income and Low- and Middle-Income Countries

et al. 2021

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“…The high rates of overweight and obesity continue to be an important public health concern among adolescents. 1 In Canada, 24.5% of adolescents aged between 12 and 17 report being overweight or obese. 2 Prior research has well-established that overweight and obesity are negatively associated with adolescents’ health and well-being.…”

Section: Purposementioning

confidence: 99%

Weight, Weight Perceptions, and Health and Well-Being Among Canadian Adolescents: Evidence From the 2017-2018 Canadian Community Health Survey

Chai

Xue

2021

Am J Health Promot

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Purpose: The present study examines the extent to which (mis)matched weight and weight perceptions predict adolescents’ self-rated health, mental health, and life satisfaction. Design: Quantitative, cross-sectional study. Setting: Data from the 2017-2018 Canadian Community Health Survey (CCHS)—a nationally representative sample collected by Statistics Canada. Participants: Canadian adolescents aged between 12 and 17 (n = 8,081). Measures: The dependent variables are self-rated health, mental health, and life satisfaction. The independent variable is (mis)matched weight and weight perceptions. Analysis: We perform a series of ordinary least squares (OLS) regression models. Results: Overweight adolescents with overweight perceptions are associated with poorer self-rated health (b = −.546, p < .001 for boys; b = −.476, p < .001 for girls), mental health (b = −.278, p < .001 for boys; b = −.433, p < .001 for girls), and life satisfaction (b = −.544, p < .001 for boys; b = −.617, p < .001 for girls) compared to their counterparts with normal weight and normal weight perceptions. Similar patterns have also been observed among normal weight adolescents with overweight perceptions (e.g., normal weight adolescents with overweight perceptions are associated with poorer self-rated health (b = −.541, p < .01 for boys; b = −.447, p < .001 for girls)). Conclusion: Normal weight adolescents are not immune to adverse self-rated health, mental health, and life satisfaction because their weight perceptions are also a contributing factor to health and well-being consequences.

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“…Obesity is classified as a chronic disease and it is of great importance that children receive treatment [2,3]. While obesity treatment for young children is rare, treatment at an early age seems to have the most beneficial effect [4,5], and interventions have shown promising results with clinically significant weight loss [4] and a lower energy intake up to 1 year after starting treatment [6].…”

Section: Introductionmentioning

confidence: 99%

Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child

Nowicka

Keres

et al. 2021

IJERPH

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Changing the home food environment is key to childhood obesity treatment. However, new challenges arise as the child grows older. This study investigates parents’ views on the longer-term management of the home food environment, 4 years after starting obesity treatment for their preschool-aged child. Semi-structured interviews were conducted with 33 parents (85% mothers, 48% with a university degree) of 33 children (mean age 9.3 (SD 0.7), 46% girls) from Sweden. The interviews were analyzed using thematic analysis. Two main themes were developed. Making changes in the home food environment illustrates the types of changes families make over time in relation to child development. It consists of three subthemes: covert changes, overt changes and child-directed changes. The second theme, an ongoing negotiation, captures parents’ experiences of managing the home food environment as a continuous process of balancing and recalibrating in relation to present challenges and concerns about the future. It includes three subthemes: concern and care, two steps forward one back and maintaining everyday balance. Managing the home food environment is a constant process affected by everyday life, parents’ strategies and the child’s development. Our findings can strengthen childhood obesity treatment and help prepare parents for challenges that lie ahead.

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Impact of weight management nutrition interventions on dietary outcomes in children and adolescents with overweight or obesity: a systematic review with meta‐analysis

Abstract: Impact of weight management nutrition interventions on dietary outcomes in children and adolescents with overweight or obesity: a systematic review with meta-analysis.

Cited by 23 publications

References 135 publications

Adherence to Food-Based Dietary Guidelines: A Systemic Review of High-Income and Low- and Middle-Income Countries

Adherence to Food-Based Dietary Guidelines: A Systemic Review of High-Income and Low- and Middle-Income Countries

Weight, Weight Perceptions, and Health and Well-Being Among Canadian Adolescents: Evidence From the 2017-2018 Canadian Community Health Survey

Changing the Home Food Environment: Parents’ Perspectives Four Years after Starting Obesity Treatment for Their Preschool Aged Child

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