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Recent Updates on the Efficacy of Group Based Treatments for Pediatric Obesity

Jacqueline F Hayes1, Myra Altman1, Jackson H Coppock1

  • 1Washington University in St. Louis 660 S. Euclid Street Campus Box 8134 St. Louis, MO 63110.

Current Cardiovascular Risk Reports
|April 14, 2015
PubMed

Insights

Mixed-format interventions combining group and individual support appear more effective for childhood obesity than group-only programs. Adding individual sessions may optimize weight management outcomes for children.

Area of Science:

  • Pediatric Endocrinology
  • Public Health
  • Behavioral Medicine

Background:

  • Limited research exists on optimal treatment formats for childhood obesity.
  • Group-based interventions are common, but their standalone effectiveness is uncertain.

Purpose of the Study:

  • To evaluate outcomes of recent group-based and mixed-format (group + individual) pediatric obesity interventions.
  • To determine statistical and clinical significance of intervention formats.

Main Methods:

  • Systematic review of studies published January 2013 – September 2014.
  • Calculation of effect sizes and weight change magnitudes.

Main Results:

  • Group-based interventions showed small effect sizes, with about half achieving statistical significance.
  • Mixed-format interventions, when including a control group, demonstrated medium to large effects.
  • Weight change was generally greater in mixed-format interventions compared to group-only formats.

Conclusions:

  • Incorporating an individual component into group-based pediatric obesity interventions likely leads to optimal outcomes.
  • Further research is recommended to directly compare group-only versus mixed-format interventions.
Abstract

Keywords:
family-based treatmentgroup treatmentpediatric obesitytreatment formatweight maintenance

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