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Family-Based Interventions for Pediatric Obesity: A Comprehensive Systematic Review and Meta-Analysis of Their

Hector I Guerra Toro1, Arturo P Jaramillo2, Valeria M Caceres3

  • 1General Practice, Pontificia Universidad Catolica del Ecuador, Quito, ECU.

Cureus
|September 2, 2024
PubMed

Insights

Family-based treatment (FBT) shows promise for childhood obesity, but meta-analysis indicates no significant weight loss impact for overweight children. More research is needed to confirm FBT benefits in pediatric obesity interventions.

Area of Science:

  • Pediatric obesity and cardiometabolic disease risk.
  • Genetics and familial influences on weight.
  • Behavioral interventions in healthcare settings.

Background:

  • Childhood obesity presents a high risk for cardiometabolic diseases, especially when genetic factors involve both parents and children.
  • Family-based treatment (FBT) is recognized as effective and cost-efficient for pediatric weight management.
  • Primary care settings often lack resources for intensive childhood obesity interventions, unlike specialized clinics.

Purpose of the Study:

  • To systematically review and meta-analyze the effectiveness of family-based treatment (FBT) for pediatric obesity.
  • To assess the impact of FBT on weight changes in overweight children.
  • To identify the need for further research in pediatric obesity interventions.

Main Methods:

  • A systematic review and meta-analysis of 10 selected articles.
  • Utilized three graphical models created using RevMan 5.4 for analysis.
  • Conducted subgroup analysis on the effectiveness of FBT for overweight children.

Main Results:

  • The meta-analysis of selected studies showed no statistically significant difference between groups in FBT effectiveness for overweight children (p=0.77).
  • Individual studies reviewed demonstrated statistical significance (p<0.05), suggesting potential benefits not captured in the overall meta-analysis.
  • Early findings suggest FBT may positively influence siblings of treated children due to behavioral changes.

Conclusions:

  • The current meta-analysis highlights a need for more robust evidence and larger randomized controlled trials (RCTs) for FBT in pediatric obesity.
  • Enhanced understanding of FBT's benefits is crucial for addressing the rising prevalence of childhood obesity.
  • Family and sibling influences are significant factors in pediatric behavioral change and weight management.

Keywords:
children obesityfamily-based treatmentnutrition and metabolism .obesity. dietary fiberpediatrics educationphysical activity behaviour

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