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Educational interventions in childhood obesity: a systematic review with meta-analysis of randomized clinical trials
Graciele Sbruzzi1, Bruna Eibel, Sandra M Barbiero
1Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Porto Alegre, Brazil.
Insights
Educational interventions effectively treat childhood obesity, reducing waist circumference, BMI, and blood pressure. However, these interventions do not prevent obesity in children aged 6-12.
Area of Science:
- Pediatrics
- Public Health
- Evidence-Based Medicine
Background:
- Childhood obesity is a growing global health concern.
- Effective interventions are crucial for managing and preventing pediatric obesity and its associated health risks.
Purpose of the Study:
- To systematically review and meta-analyze randomized trials evaluating educational interventions for childhood obesity.
- To assess the impact of these interventions on preventing or treating obesity in children aged 6-12.
Main Methods:
- Systematic search of PubMed, EMBASE, and Cochrane CENTRAL databases up to May 2012.
- Inclusion of randomized trials with children aged 6-12, interventions of at least 6 months, and outcomes including waist circumference, BMI, blood pressure, and lipid profile.
- Random effects meta-analysis of pooled effect estimates.
Main Results:
- 26 trials with 23,617 participants were included.
- No significant differences were observed in prevention studies.
- Treatment studies showed significant reductions in waist circumference, BMI, and diastolic blood pressure.
Conclusions:
- Educational interventions demonstrate effectiveness in treating childhood obesity.
- These interventions are not effective in preventing childhood obesity.
- Targeted educational strategies are vital for managing existing pediatric obesity.
Objective:
To assess the effectiveness of educational interventions including behavioral modification, nutrition and physical activity to prevent or treat childhood obesity through a systematic review and meta-analysis of randomized trials.
Method:
A search of databases (PubMed, EMBASE and Cochrane CENTRAL) and references of published studies (from inception until May 2012) was conducted. Eligible studies were randomized trials enrolling children 6 to 12 years old and assessing the impact of educational interventions during 6 months or longer on waist circumference, body mass index (BMI), blood pressure and lipid profile to prevent or treat childhood obesity. Calculations were performed using a random effects method and pooled-effect estimates were obtained using the final values.
Results:
Of 22.852 articles retrieved, 26 trials (23.617 participants) were included. There were no differences in outcomes assessed in prevention studies. However, in treatment studies, educational interventions were associated with a significant reduction in waist circumference [-3.21 cm (95%CI -6.34, -0.07)], BMI [-0.86 kg/m(2) (95%CI -1.59, -0.14)] and diastolic blood pressure [-3.68 mmHg (95%CI -5.48, -1.88)].
Conclusions:
Educational interventions are effective in treatment, but not prevention, of childhood obesity and its consequences.
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