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Related Experiment Videos

Interventions for treating obesity in children.

C D Summerbell1, V Ashton, K J Campbell

  • 1School of Health and Social Care, University of Teesside, Parkside West, Middlesbrough, Teesside, UK, TS1 3BA.

The Cochrane Database of Systematic Reviews
|August 15, 2003
PubMed
Summary

This review found limited evidence on effective childhood obesity lifestyle interventions due to small, homogenous study groups. More research is needed on psychosocial factors and community-based programs.

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Area of Science:

  • Pediatrics
  • Public Health
  • Behavioral Science

Background:

  • Childhood obesity is a growing global health concern with serious short- and long-term consequences.
  • Lifestyle interventions are crucial for managing pediatric overweight and obesity.

Purpose of the Study:

  • To systematically assess the effectiveness of various lifestyle interventions for treating obesity in children.
  • To identify which components of childhood obesity treatment programs are most effective.

Main Methods:

  • Conducted a comprehensive literature search across multiple databases (CCTR, MEDLINE, EMBASE, CINAHL, PsychLIT, SCI, SSCI) from 1985 to July 2001.
  • Included randomized controlled trials (RCTs) of lifestyle interventions (dietary, physical activity, behavioral therapy) with a minimum six-month duration.

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  • Assessed trial quality and extracted data independently; contacted study authors for additional information.

    • Main Results:

    • Included 18 RCTs with 975 participants, primarily from specialist hospital-based obesity clinics.
    • Studies investigated physical activity, problem-solving, behavioral therapy with family involvement, and cognitive behavioral therapy.
    • Most studies were underpowered to detect treatment effects, precluding meta-analysis; results were synthesized narratively.

    Conclusions:

    • Limited generalizable evidence exists due to the small size and homogenous nature of the included studies.
    • Insufficient high-quality data prevents favoring one childhood obesity intervention program over another.
    • Further research should focus on psychosocial determinants, clinician-family interactions, and cost-effective community-based programs.