The effect of psychological interventions targeting overweight and obesity in school-aged children: a systematic review and meta-analysis
Abstract Background Multi-component psychological interventions may mitigate overweight and obesity in children and adolescents. Evidence is, however, scattered on the effectiveness of such interventions. This study aims to review the available evidence on the effectiveness of multi-component psycho...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-16339-7 |
| _version_ | 1827707881360719872 |
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| author | Fereshteh Baygi Shirin Djalalinia Mostafa Qorbani Anders Larrabee Sonderlund Merethe Kirstine Kousgaard Andersen Trine Thilsing Berit Lilienthal Heitmann Jesper Bo Nielsen |
| author_facet | Fereshteh Baygi Shirin Djalalinia Mostafa Qorbani Anders Larrabee Sonderlund Merethe Kirstine Kousgaard Andersen Trine Thilsing Berit Lilienthal Heitmann Jesper Bo Nielsen |
| author_sort | Fereshteh Baygi |
| collection | DOAJ |
| description | Abstract Background Multi-component psychological interventions may mitigate overweight and obesity in children and adolescents. Evidence is, however, scattered on the effectiveness of such interventions. This study aims to review the available evidence on the effectiveness of multi-component psychological interventions on anthropometric measures of school-aged children with overweight or obesity. Methods We systematically searched international databases/search engines including PubMed and NLM Gateway (for MEDLINE), Web of Science, SCOPUS, and Google Scholar up to November 2022 for relevant articles pertaining to psychological weight-loss interventions targeting school-aged children. Two reviewers screened and extracted pertinent data. The quality of included studies was assessed using the Cochrane Risk of Bias Tool for Randomized Trials. Random effect meta-analysis was used to calculate, and pool standardized mean differences (SMD). We distinguished between intervention and maintenance effects. Intervention effects were defined as the mean change in outcome measurement detected between baseline and post-treatment. Maintenance effects were defined as the mean change in outcome measurement between post-treatment and last follow-up. Results Of 3,196 studies initially identified, 54 and 30 studies were included in the qualitative and quantitative syntheses, respectively. Most studies reported on group-based interventions. The significant effects of intervention on BMI z-score (SMD -0.66, 95% CI: -1.15, -0.17) and WC (SMD -0.53, 95% CI: -1.03, -0.04) were observed for interventions that centered on motivational interviewing and cognitive behavioral therapy, respectively. Mean BMI and WC did not differ significantly between post-treatment and last follow-up measurement (maintenance effect), indicating that an initial weight loss obtained through the intervention period could be maintained over time. Conclusions Findings indicate that motivational interviewing and cognitive behavioral therapy as interventions to reduce BMI z-score (generalized obesity) and waist circumference (abdominal obesity) are effective and durable. However, detailed analyses on individual components of the interventions are recommended in future effectiveness studies. |
| first_indexed | 2024-03-10T16:54:56Z |
| format | Article |
| id | doaj.art-654ee66209ab46ac91a5f4075d205aa1 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-10T16:54:56Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-654ee66209ab46ac91a5f4075d205aa12023-11-20T11:10:26ZengBMCBMC Public Health1471-24582023-08-0123111410.1186/s12889-023-16339-7The effect of psychological interventions targeting overweight and obesity in school-aged children: a systematic review and meta-analysisFereshteh Baygi0Shirin Djalalinia1Mostafa Qorbani2Anders Larrabee Sonderlund3Merethe Kirstine Kousgaard Andersen4Trine Thilsing5Berit Lilienthal Heitmann6Jesper Bo Nielsen7Research Unit of General Practice, Department of Public Health, University of Southern DenmarkMinistry of Health and Medical Education, Deputy of Research & TechnologyNon-Communicable Diseases Research Center, Alborz University of Medical SciencesResearch Unit of General Practice, Department of Public Health, University of Southern DenmarkResearch Unit of General Practice, Department of Public Health, University of Southern DenmarkResearch Unit of General Practice, Department of Public Health, University of Southern DenmarkResearch Unit for Dietary Studies, the Parker Institute, Frederiksberg and Bispebjerg HospitalResearch Unit of General Practice, Department of Public Health, University of Southern DenmarkAbstract Background Multi-component psychological interventions may mitigate overweight and obesity in children and adolescents. Evidence is, however, scattered on the effectiveness of such interventions. This study aims to review the available evidence on the effectiveness of multi-component psychological interventions on anthropometric measures of school-aged children with overweight or obesity. Methods We systematically searched international databases/search engines including PubMed and NLM Gateway (for MEDLINE), Web of Science, SCOPUS, and Google Scholar up to November 2022 for relevant articles pertaining to psychological weight-loss interventions targeting school-aged children. Two reviewers screened and extracted pertinent data. The quality of included studies was assessed using the Cochrane Risk of Bias Tool for Randomized Trials. Random effect meta-analysis was used to calculate, and pool standardized mean differences (SMD). We distinguished between intervention and maintenance effects. Intervention effects were defined as the mean change in outcome measurement detected between baseline and post-treatment. Maintenance effects were defined as the mean change in outcome measurement between post-treatment and last follow-up. Results Of 3,196 studies initially identified, 54 and 30 studies were included in the qualitative and quantitative syntheses, respectively. Most studies reported on group-based interventions. The significant effects of intervention on BMI z-score (SMD -0.66, 95% CI: -1.15, -0.17) and WC (SMD -0.53, 95% CI: -1.03, -0.04) were observed for interventions that centered on motivational interviewing and cognitive behavioral therapy, respectively. Mean BMI and WC did not differ significantly between post-treatment and last follow-up measurement (maintenance effect), indicating that an initial weight loss obtained through the intervention period could be maintained over time. Conclusions Findings indicate that motivational interviewing and cognitive behavioral therapy as interventions to reduce BMI z-score (generalized obesity) and waist circumference (abdominal obesity) are effective and durable. However, detailed analyses on individual components of the interventions are recommended in future effectiveness studies.https://doi.org/10.1186/s12889-023-16339-7School-aged ChildrenMeta-analysisPsychological InterventionsOverweightObesity |
| spellingShingle | Fereshteh Baygi Shirin Djalalinia Mostafa Qorbani Anders Larrabee Sonderlund Merethe Kirstine Kousgaard Andersen Trine Thilsing Berit Lilienthal Heitmann Jesper Bo Nielsen The effect of psychological interventions targeting overweight and obesity in school-aged children: a systematic review and meta-analysis BMC Public Health School-aged Children Meta-analysis Psychological Interventions Overweight Obesity |
| title | The effect of psychological interventions targeting overweight and obesity in school-aged children: a systematic review and meta-analysis |
| title_full | The effect of psychological interventions targeting overweight and obesity in school-aged children: a systematic review and meta-analysis |
| title_fullStr | The effect of psychological interventions targeting overweight and obesity in school-aged children: a systematic review and meta-analysis |
| title_full_unstemmed | The effect of psychological interventions targeting overweight and obesity in school-aged children: a systematic review and meta-analysis |
| title_short | The effect of psychological interventions targeting overweight and obesity in school-aged children: a systematic review and meta-analysis |
| title_sort | effect of psychological interventions targeting overweight and obesity in school aged children a systematic review and meta analysis |
| topic | School-aged Children Meta-analysis Psychological Interventions Overweight Obesity |
| url | https://doi.org/10.1186/s12889-023-16339-7 |
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