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Published on: June 20, 2020
Behavior-Changing Interventions for Treating Overweight or Obesity in Children Aged 6 to 11 Years
Tamara J Brown1, Emma Mead2, Louisa J Ells3
1Department of Sport & Exercise Science, Durham University, Durham, England.
Insights
Multicomponent behavior interventions show small, short-term benefits for childhood overweight and obesity. However, evidence quality is low, with limited reporting on adverse events and diverse populations.
Area of Science:
- Pediatric Endocrinology
- Behavioral Medicine
- Public Health Nutrition
Background:
- Childhood overweight and obesity are significant public health concerns.
- Effective interventions are crucial for long-term health outcomes in children.
Purpose of the Study:
- To evaluate the effectiveness of diet, physical activity, and behavioral interventions for children aged 6 to 11 years with overweight or obesity.
Main Methods:
- Systematic review and meta-analysis of behavioral interventions.
- Assessment of outcomes including body mass index (BMI), BMI z score, and weight.
- Evaluation of reported adverse events, quality of life, and sociodemographics.
Main Results:
- Multicomponent behavior-changing interventions demonstrated small, short-term reductions in BMI, BMI z score, and weight.
- Data on adverse events, quality of life, and sociodemographics were inconsistently reported.
- Evidence quality was predominantly low or very low, with a lack of data from lower-income countries.
Conclusions:
- Behavioral interventions may offer modest short-term benefits for pediatric overweight/obesity.
- Further high-quality research is needed, particularly from diverse global settings, with comprehensive outcome reporting.
Clinical Question:
How effective are diet, physical activity, and behavioral interventions in treating children aged 6 to 11 years with overweight or obesity?
Bottom Line:
Multicomponent behavior-changing interventions may be beneficial in achieving small, short-term reductions in body mass index (calculated as weight in kilograms divided by height in meters squared), body mass index z score, and weight in children aged 6 to 11 years. Adverse events, health-related quality of life, behavior change outcomes, and sociodemographics were poorly or inconsistently reported. Overall, the quality of the evidence was low or very low, with no evidence from lower-income countries.
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