Guidelines for treating child and adolescent obesity: A systematic review
Obesity is a chronic disease that compromises the physical and mental health of an increasing proportion of children globally. In high-income countries, prevalence of paediatric obesity is increasing faster in those from marginalised populations such as low-income households, suggesting the disease...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Nutrition |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2022.902865/full |
| _version_ | 1811239139650043904 |
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| author | Louise Tully Niamh Arthurs Niamh Arthurs Cathy Wyse Sarah Browne Lucinda Case Lois McCrea Jean M. O’Connell Clodagh S. O’Gorman Clodagh S. O’Gorman Susan M. Smith Aisling Walsh Fiona Ward Grace O’Malley Grace O’Malley |
| author_facet | Louise Tully Niamh Arthurs Niamh Arthurs Cathy Wyse Sarah Browne Lucinda Case Lois McCrea Jean M. O’Connell Clodagh S. O’Gorman Clodagh S. O’Gorman Susan M. Smith Aisling Walsh Fiona Ward Grace O’Malley Grace O’Malley |
| author_sort | Louise Tully |
| collection | DOAJ |
| description | Obesity is a chronic disease that compromises the physical and mental health of an increasing proportion of children globally. In high-income countries, prevalence of paediatric obesity is increasing faster in those from marginalised populations such as low-income households, suggesting the disease as one that is largely systemic. Appropriate treatment should be prioritised in these settings to prevent the development of complications and co-morbidities and manage those that already exist. An array of clinical practice guidelines are available for managing overweight and obesity in children and adolescents, but no systematic review has yet compared their quality or synthesised their recommendations. We aimed to narratively review clinical practice guidelines published in English for treating child and adolescent obesity, to identify the highest quality guidelines, and assess similarities, conflicts, and gaps in recommendations. We systematically searched academic databases and grey literature for guidelines published. We used the AGREE II tool to assess the quality, and identified nine high quality guidelines for inclusion in a narrative review of recommendations. Guidelines predominantly recommended the delivery of multi-component behaviour-change interventions aimed at improving nutrition and physical activity. Treatment outcomes were generally focussed on weight, with less emphasis on managing complications or improving quality-of-life. There was no evidence-based consensus on the best mode of delivery, setting, or treatment format. The guidelines rarely included recommendations for addressing the practical or social barriers to behaviour change, such as cooking skills or supervised physical activity. There is insufficient evidence to evaluate pharmaceutical and surgical interventions in children, and these were generally not recommended. It should be noted that this review addressed documents published in English only, and therefore the included guidelines were applicable predominantly to high-resource settings. |
| first_indexed | 2024-04-12T12:54:39Z |
| format | Article |
| id | doaj.art-423c3fd2784e435091d5b7994949a3ad |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-04-12T12:54:39Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-423c3fd2784e435091d5b7994949a3ad2022-12-22T03:32:21ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-10-01910.3389/fnut.2022.902865902865Guidelines for treating child and adolescent obesity: A systematic reviewLouise Tully0Niamh Arthurs1Niamh Arthurs2Cathy Wyse3Sarah Browne4Lucinda Case5Lois McCrea6Jean M. O’Connell7Clodagh S. O’Gorman8Clodagh S. O’Gorman9Susan M. Smith10Aisling Walsh11Fiona Ward12Grace O’Malley13Grace O’Malley14Obesity Research and Care Group, School of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin, IrelandObesity Research and Care Group, School of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin, IrelandW82GO Child and Adolescent Obesity Service, Children’s Health Ireland at Temple Street, Dublin, IrelandObesity Research and Care Group, School of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin, IrelandSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandW82GO Child and Adolescent Obesity Service, Children’s Health Ireland at Temple Street, Dublin, IrelandW82GO Child and Adolescent Obesity Service, Children’s Health Ireland at Temple Street, Dublin, IrelandSt. Columcille’s Hospital Weight Management Service, St.Vincent’s University Hospital, Dublin, IrelandSchool of Medicine, University of Limerick, Limerick, IrelandDepartment of Paediatrics, University Hospital Limerick, Limerick, IrelandDiscipline of Public Health and Primary Care, Trinity College Dublin, Dublin, IrelandDepartment of Epidemiology, Division of Population Health Sciences, RCSI University of Medicine and Health Sciences, Dublin, IrelandDepartment of Clinical Nutrition and Dietetics, Children’s Health Ireland at Crumlin, Dublin, IrelandObesity Research and Care Group, School of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin, IrelandW82GO Child and Adolescent Obesity Service, Children’s Health Ireland at Temple Street, Dublin, IrelandObesity is a chronic disease that compromises the physical and mental health of an increasing proportion of children globally. In high-income countries, prevalence of paediatric obesity is increasing faster in those from marginalised populations such as low-income households, suggesting the disease as one that is largely systemic. Appropriate treatment should be prioritised in these settings to prevent the development of complications and co-morbidities and manage those that already exist. An array of clinical practice guidelines are available for managing overweight and obesity in children and adolescents, but no systematic review has yet compared their quality or synthesised their recommendations. We aimed to narratively review clinical practice guidelines published in English for treating child and adolescent obesity, to identify the highest quality guidelines, and assess similarities, conflicts, and gaps in recommendations. We systematically searched academic databases and grey literature for guidelines published. We used the AGREE II tool to assess the quality, and identified nine high quality guidelines for inclusion in a narrative review of recommendations. Guidelines predominantly recommended the delivery of multi-component behaviour-change interventions aimed at improving nutrition and physical activity. Treatment outcomes were generally focussed on weight, with less emphasis on managing complications or improving quality-of-life. There was no evidence-based consensus on the best mode of delivery, setting, or treatment format. The guidelines rarely included recommendations for addressing the practical or social barriers to behaviour change, such as cooking skills or supervised physical activity. There is insufficient evidence to evaluate pharmaceutical and surgical interventions in children, and these were generally not recommended. It should be noted that this review addressed documents published in English only, and therefore the included guidelines were applicable predominantly to high-resource settings.https://www.frontiersin.org/articles/10.3389/fnut.2022.902865/fullclinical practice guidelinespaediatric obesityweight managementchildhood obesity treatmentobesity managementbariatric |
| spellingShingle | Louise Tully Niamh Arthurs Niamh Arthurs Cathy Wyse Sarah Browne Lucinda Case Lois McCrea Jean M. O’Connell Clodagh S. O’Gorman Clodagh S. O’Gorman Susan M. Smith Aisling Walsh Fiona Ward Grace O’Malley Grace O’Malley Guidelines for treating child and adolescent obesity: A systematic review Frontiers in Nutrition clinical practice guidelines paediatric obesity weight management childhood obesity treatment obesity management bariatric |
| title | Guidelines for treating child and adolescent obesity: A systematic review |
| title_full | Guidelines for treating child and adolescent obesity: A systematic review |
| title_fullStr | Guidelines for treating child and adolescent obesity: A systematic review |
| title_full_unstemmed | Guidelines for treating child and adolescent obesity: A systematic review |
| title_short | Guidelines for treating child and adolescent obesity: A systematic review |
| title_sort | guidelines for treating child and adolescent obesity a systematic review |
| topic | clinical practice guidelines paediatric obesity weight management childhood obesity treatment obesity management bariatric |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2022.902865/full |
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