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Effective interventions in overweight or obese young children: systematic review and meta-analysis

Esther van Hoek1, Edith J M Feskens, Laura I Bouwman

  • 11 Department of Pediatrics, Gelderse Vallei Hospital , Ede, The Netherlands .

Childhood Obesity (Print)
|October 22, 2014
PubMed

Insights

Multicomponent treatment programs combining diet, physical activity, and behavioral therapy are most effective for treating overweight young children. Moderate to high intensity programs showed the largest improvements in BMI z-score.

Area of Science:

  • Pediatric Obesity Research
  • Public Health Interventions
  • Evidence-Based Medicine

Background:

  • Effectiveness of childhood obesity treatment programs varies.
  • Key characteristics of successful interventions remain unclear.
  • Systematic review and meta-analysis to evaluate treatment effectiveness.

Purpose of the Study:

  • To systematically review and meta-analyze the effectiveness of treatment programs for overweight and obese young children.
  • To identify characteristics of effective interventions for pediatric obesity.

Main Methods:

  • Comprehensive literature search of PubMed, Embase, Web of Science, and PsycINFO databases up to April 2012.
  • Inclusion criteria: studies on overweight/obese children (mean age 3-8 years) reporting BMI z-score change.
  • Random-effects model meta-analysis used to pool data from eligible studies.

Main Results:

  • 27 articles were included, with 11 studies (1015 participants) eligible for meta-analysis.
  • High heterogeneity observed in pooled intervention effects.
  • Subgroup analysis revealed multicomponent programs (diet, physical activity, behavioral therapy) of moderate/high intensity showed the largest BMI z-score reduction (-0.46).

Conclusions:

  • Multicomponent treatment programs, particularly those of moderate to high intensity, show promise for effectively treating overweight young children.
  • Further research with larger sample sizes is warranted to confirm these findings.
Abstract

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