Treatment of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews

Kirk, Shelley; Ogata, Beth N.; Wichert, Elizabeth; Handu, Deepa; Rozga, Mary

doi:10.1016/j.jand.2022.01.008

Cited by 22 publications

(14 citation statements)

References 111 publications

(101 reference statements)

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“…The search strategy of this scoping review is designed to identify and summarize multicomponent interventions implemented over the past decade to address CMD risk during childhood among Pacific Islanders and across the Pacific region; this represents a period in which there has been great advancement in intervention research and implementation science [ 1 , 2 ]. It will be the first scoping review to focus specifically on the use of multicomponent interventions for Pacific Islander children who are in need of innovative strategies to reduce CMD risk.…”

Section: Discussionmentioning

confidence: 99%

“…Publication date. We will include studies published in the 10 years prior to search completion, because of advances in intervention research and implementation science during this period [1,2] and to minimize overlap with prior reviews [1,4,5]. Each database will be searched in 2022 for records published on or after January 1, 2012.…”

Section: Eligibility Criteriamentioning

confidence: 99%

“…Multicomponent interventions that use a combination of evidence-based behavioral, psychosocial, and/or environmental change strategies have been developed and implemented to prevent and treat childhood obesity in different population settings [1,2]. Several recent systematic reviews have reported that effective multicomponent interventions include nutrition (with family involvement and nutrition counseling) and physical activity to improve weight, body mass index (BMI) z-scores, and blood pressure among children with overweight/obesity [2][3][4]. While many of these interventions have shown efficacy in preventing and treating obesity in the US and other high-come countries [1,4,5], there is little evaluation of their implementation in minority and low-income settings [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Scoping review protocol of multicomponent interventions to address cardiometabolic disease risk among Pacific Islander children

Choy

Nyhan

Savusa³

et al. 2023

PLoS ONE

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Introduction Multicomponent interventions can reduce cardiometabolic disease (CMD) risk factors in childhood; however, little synthesis of the literature has taken place in the Pacific region. Pacific Islanders experience a disproportionately high prevalence of CMD risk factors, yet interventions have been slow to reach many communities. We present this protocol for a scoping review to identify and summarize existing multicomponent interventions to address CMD risk in Pacific Islander children. Materials and methods Eligible interventions will (1) address CMD risk factors (including but not limited to obesity, hyperglycemia, dyslipidemia, elevated blood pressure, and/or health behaviors) in 2-to-12-year-old Pacific Islander children, and (2) be multi-component (including at least two lifestyle/behavior change strategies to address CMD risk factors). To investigate existing interventions for adaptation and potential use in Pacific Islander communities, we will search Scopus, MEDLINE ALL (Ovid), EMBASE (Ovid), Yale-licensed Web of Science Core Collection, Cochrane Library, CINAHL (EBSCOhost), ProQuest Dissertations & Theses Global, Global Health (EBSCO), non-indexed Pacific journals, grey literature, government reports, and clinical trial registrations. The Joanna Briggs Institute Manual for Evidence Synthesis and the Preferred Reporting Items for Scoping Reviews will guide data extraction, evidence mapping, synthesis, and reporting of information including study population, intervention components, behavioral changes, health and implementation outcomes, theoretical frameworks, and evaluation measures. Ethics and dissemination Formal ethical approval is not required. The dissemination strategy will include peer-reviewed journal publications and presentations. Synthesis of existing multicomponent interventions for Pacific Islander children will help to identify best practices that could be replicated, adapted, or combined.

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Section: Discussionmentioning

confidence: 99%

Section: Eligibility Criteriamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Scoping review protocol of multicomponent interventions to address cardiometabolic disease risk among Pacific Islander children

Choy

Nyhan

Savusa³

et al. 2023

PLoS ONE

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“…A high volume of evidence related to children and adolescents had been identified in recent years and could represent an obstacle for decision makers [ 11 ]. Previous studies have suggested school-based interventions for the prevention of this condition [ 12 , 13 ], and they identified that most common treatments involved lifestyle interventions (i.e., regulated screen time for children) [ 14 , 15 ]. Additionally, it was reported that interventions (diet, family behavior, PA promotion, supervised exercise, lifestyle, or multicomponent interventions) were associated with a reduction in BMI [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Overview of Systematic Reviews of Health Interventions for the Prevention and Treatment of Overweight and Obesity in Children

et al. 2023

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(1) Background: The importance of studying the health interventions used to prevent and treat overweight and obesity in school-aged children is imperative. This overview aimed to summarize systematic reviews that assess the effects of school-based, family, and mixed health interventions for preventing and treating overweight and obesity in school-aged children. (2) Methods: The Cochrane Collaboration methodology and PRISMA statement were followed. A search was conducted using terms adapted to 12 databases. Systematic reviews reporting interventions in children from six to 12 years old with an outcome related to preventing or treating obesity and overweight were included. Studies with pharmacological or surgical interventions and adolescents were excluded. (3) Results: A total of 15,226 registers were identified from databases and citation searching. Of those, ten systematic reviews published between 2013 and 2022 were included. After the overlap, 331 interventions for children between 6 and 12 years old were identified, and 61.6% involved physical activity and nutrition/diet intervention. Multicomponent intervention, combining physical activity with nutrition and behavioral change, school-based plus community-based interventions may be more effective in reducing overweight and obesity in children. (4) Conclusions: Plenty of interventions for childhood overweight and obesity aimed at prevention and treatment were identified, but there is a gap in the methodological quality preventing the establishment of a certain recommendation.

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“…Ells et al presented an OSRs for children and adolescents, part of their findings is the vast majority presented lifestyle interventions (141/163 trials), showing us the opportunity to look deeper into those kinds of interventions [ 16 ]. Also, recently a position paper based on an umbrella review, about the interventions and prevention of pediatric obesity and overweight, suggest prevention from the school interventions and regulated screen time for children (6–12 years) but it is necessary deep information about the interventions and focus on this age group [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Overview of systematic reviews of health interventions that aim to prevent and treat overweight and obesity among children

et al. 2022

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Background Childhood overweight and obesity is a global public health issue. Although there is evidence of a reduced prevalence in some countries, there is still much controversy about the efficacy of health interventions that aim to prevent and treat obesity in this specific population. The objective of the present study is to develop an overview of systematic reviews (OSRs) that assesses the effects of school-based, family, and multi-component health interventions for the prevention and treatment of obesity, change in physical activity, dietary, and/or hydration behaviors, and change in metabolic risk factors in school-aged children. Methods This protocol was developed using the methodology proposed by Cochrane. It outlines a comprehensive search in 12 electronic databases to identify systematic reviews of health interventions, including studies that evaluate and how to prevent and/or treat overweight and/or obesity in children aged 6 to 12 years. The risk of bias of the included Systematic Reviews will be assessed with the ROBIS tool. Discussion Since the OSRs methodology’s purpose is only to harmonize evidence from open access publications, ethical consent is not necessary for the present protocol. In terms of diffusion, a paper will be submitted for publication in a scientific journal to describe the main results obtained through the OSRs. Trial registration The present overview of the systematic review protocol has been registered in PROSPERO (ID number 218296).

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Treatment of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews

Cited by 22 publications

References 111 publications

Scoping review protocol of multicomponent interventions to address cardiometabolic disease risk among Pacific Islander children

Scoping review protocol of multicomponent interventions to address cardiometabolic disease risk among Pacific Islander children

Overview of Systematic Reviews of Health Interventions for the Prevention and Treatment of Overweight and Obesity in Children

Overview of systematic reviews of health interventions that aim to prevent and treat overweight and obesity among children

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