Effectiveness of behavioural and psychological interventions for managing obesity in children and adolescents: A systematic review and meta‐analysis framed using minimal important difference estimates based on GRADE guidance to inform a clinical practice guideline DOI Creative Commons
Mélanie Henderson,

S. A. Moore,

Soren Harnois‐Leblanc

и другие.

Pediatric Obesity, Год журнала: 2025, Номер 20(3)

Опубликована: Янв. 16, 2025

Conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) behavioural psychological interventions for managing paediatric obesity. Eligible studies, published between 1985 2022, included 0 to 18 year olds with outcomes reported ≥3 months post-baseline, including patient-reported outcome measures (PROMs), cardiometabolic anthropometric outcomes, adverse events (AEs). We pooled data using random effects model assessed certainty evidence (CoE) related minimally important difference estimates GRADE. 73 unique RCTs (n = 6305 participants, 53% female). Intervention types physical activity 1437), nutrition 447), 1336), technology-based 901) or multicomponent (≥2 intervention types, n 2184). Physical had small effect on health-related quality life (HRQoL), varying ranging from moderate very large blood pressure, lipids insulin resistance, BMIz. Nutrition lipids, resistance Psychological showed HRQoL triglycerides benefits depressive symptoms, while technology pressure Multicomponent benefit anxiety, diastolic AEs were infrequently, when reported, described as mild. improvements in PROMs, outcomes. Future should consistently measure evaluate beyond the period, study children <6 years age.

Язык: Английский

Effectiveness of behavioural and psychological interventions for managing obesity in children and adolescents: A systematic review and meta‐analysis framed using minimal important difference estimates based on GRADE guidance to inform a clinical practice guideline DOI Creative Commons
Mélanie Henderson,

S. A. Moore,

Soren Harnois‐Leblanc

и другие.

Pediatric Obesity, Год журнала: 2025, Номер 20(3)

Опубликована: Янв. 16, 2025

Conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) behavioural psychological interventions for managing paediatric obesity. Eligible studies, published between 1985 2022, included 0 to 18 year olds with outcomes reported ≥3 months post-baseline, including patient-reported outcome measures (PROMs), cardiometabolic anthropometric outcomes, adverse events (AEs). We pooled data using random effects model assessed certainty evidence (CoE) related minimally important difference estimates GRADE. 73 unique RCTs (n = 6305 participants, 53% female). Intervention types physical activity 1437), nutrition 447), 1336), technology-based 901) or multicomponent (≥2 intervention types, n 2184). Physical had small effect on health-related quality life (HRQoL), varying ranging from moderate very large blood pressure, lipids insulin resistance, BMIz. Nutrition lipids, resistance Psychological showed HRQoL triglycerides benefits depressive symptoms, while technology pressure Multicomponent benefit anxiety, diastolic AEs were infrequently, when reported, described as mild. improvements in PROMs, outcomes. Future should consistently measure evaluate beyond the period, study children <6 years age.

Язык: Английский

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