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.
Abstract

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