Lifestyle interventions in the treatment of childhood overweight: A meta-analytic review of randomized controlled trials.
Year: 2007
Type: article
Study designs: Systematic Review, Meta-Analysis
Abstract: CONTEXT: Evaluating the efficacy of pediatric weight loss treatments is critical. OBJECTIVE: This is the first meta-analysis of the efficacy of RCTs comparing pediatric lifestyle interventions to no-treatment or information/education-only controls. DATA SOURCES: Medline, PsycINFO, and Cochrane Controlled Trials Register. STUDY SELECTION: Fourteen RCTs targetting change in weight status were eligible, yielding 19 effect sizes. DATA EXTRACTION: Standardized coding was used to extract information on design, participant characteristics, interventions, and results. DATA SYNTHESIS: For trials with no-treatment controls, the mean effect size was 0.75 (k = 9, 95% confidence interval [CI] = 0.52-0.98) at end of treatment and 0.60 (k = 4, CI = 0.27-0.94) at follow-up. For trials with information/education-only controls, the mean ES was 0.48 (k = 4, CI = 0.13-0.82) at end of treatment and 0.91 (k = 2, CI = 0.32-1.50) at follow-up. No moderator effects were identified. CONCLUSIONS: Lifestyle interventions for pediatric overweight are efficacious in the short term with some evidence for extended persistence. Future research is required to identify moderators and mediators and to determine the optimal length and intensity of treatment required to produce enduring changes in weight status.
Source: Health Psychology
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: Diabetes Research & Training Center, Habituation to Food in Children, Clinical Research in Eating Disorders and Obesity, Modifying the home T.V. watching environment, G766674393, G7719224684, A BEHAVIORAL ECONOMIC APPROACH TO CHILDHOOD OBESITY, Effects of changing sedentary behavior in obese children, Childhood Obesity Treatment: A Maintenance Approach, G9000153645, Diabetes Research Center
OpenAlex ID: W2088619891