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Updated: Jun 23, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Controlling childhood obesity: A systematic review on strategies and challenges
Roya Kelishadi1, Fatemeh Azizi-Soleiman2
1Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primary Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
School-based interventions show promise for long-term childhood obesity management, especially when families are involved. A multidisciplinary approach integrating school and family efforts offers the most sustainable solution for this global health issue.
Area of Science:
- Public Health
- Pediatrics
- Behavioral Science
Background:
- Childhood obesity is a significant global health concern with immediate and lasting adverse effects.
- This systematic review synthesizes findings from various family-, school-, and clinic-based interventions targeting childhood obesity.
Purpose of the Study:
- To systematically review and summarize the effectiveness of different intervention strategies for childhood obesity.
- To identify the most sustainable and effective approaches for managing childhood obesity.
Main Methods:
- A comprehensive electronic search was performed across major scientific databases (MEDLINE, PubMed, ISI Web of Science, Scopus).
- Studies included participants up to 18 years of age diagnosed with obesity.
- Analysis focused on 70 high-quality clinical trials from a pool of 105 relevant papers.
Main Results:
- School-based programs demonstrate potential for long-term impact due to children's significant time spent in educational settings.
- Family-based interventions show success in specific areas but face challenges like selection bias and high dropout rates.
- Clinic-based interventions, including dietary changes, lifestyle modifications, and behavior therapy, yield positive outcomes; comprehensive diet and exercise plans appear most practical.
Conclusions:
- A multidisciplinary approach, particularly within schools and involving families, is recommended as the most effective and sustainable strategy for childhood obesity management.
- Integrating school-based programs with family involvement offers a promising avenue for long-term public health benefits in combating childhood obesity.
Background:
Childhood obesity is a global health problem with short- and long-term health consequences. This systematic review presents a summary of the experiences on different family-, school-, and clinic-based interventions.
Materials And Methods:
Electronic search was conducted in MEDLINE, PubMed, ISI Web of Science, and Scopus scientific databases. We included those studies conducted among obese individuals aged up to 18 years. Our search yielded 105 relevant papers, 70 of them were conducted as high quality clinical trials.
Results:
Our findings propose that school-based programs can have long-term effects in a large target group. This can be related to this fact that children spend a considerable part of their time in school, and adopt some parts of lifestyle there. They have remarkable consequences on health behaviors, but as there are some common limitations, their effects on anthropometric measures are not clear. Due to the crucial role of parents in development of children's behaviors, family-based interventions are reported to have successful effects in some aspects; but selection bias and high dropout rate can confound their results. Clinic-based interventions revealed favorable effects. They include dietary or other lifestyle changes like increasing physical activity or behavior therapy. It seems that a comprehensive intervention including diet and exercise are more practical. When they have different designs, results are controversial.
Conclusion:
We suggest that among different types of interventional programs, a multidisciplinary approach in schools in which children's family are involved, can be the best and most sustainable approach for management of childhood obesity.
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