Multicomponent Lifestyle Interventions for Treating Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analyses

• Published in: Journal of Obesity Vol. 2017; no. 2017; pp. 178 - 191
• Main Authors: Juvet, L. K., Fure, B., Giske, L., Elvsaas, I. K. Ø.
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Hindawi Limiteds 01.01.2017; Hindawi Publishing Corporation; Hindawi; Hindawi Limited
• Subjects: Adolescent; Adolescent obesity; Analysis; Body Mass Index; Care and treatment; Child; Child health; Childhood obesity; Children & youth; Ernæring: 811; Group counseling; Health sciences: 800; Helsefag: 800; Humans; Intervention; Life Style; Lifestyles; Medical disciplines: 700; Medisinske Fag: 700; Meta-analysis; Nutrition: 811; Obesity; Overweight - therapy; Pediatric Obesity - therapy; Review; Systematic review; Teenagers; Type 2 diabetes; VDP; Weight control
• ISSN: 2090-0708; 2090-0716; 2090-0716
• DOI: 10.1155/2017/5021902

Background. Treatment of childhood obesity is important in preventing development of obesity-related diseases later in life. This systematic review evaluates the effect of multicomponent lifestyle interventions for children and adolescents from 2 to 18 years. Methods and Results. We performed systematic searches in nine databases. Thirty-nine studies met the criteria for meta-analyses. We found a significant difference in body mass index (BMI) after 6 months (MD −0.99 (95% CI −1.36 to −0.61)), 12 months (MD −0.67 (95% CI −1.01 to −0.32)), and 24 months (MD −0.96 (95% CI −1.63 to −0.29)) in favour of multicomponent lifestyle interventions compared to standard, minimal, and no treatment. We also found a significant difference in BMI Z scores after 6 months (MD −0.12 (95% CI −0.17 to −0.06)), 12 months (MD −0.16 (95% CI −0.21 to −0.11)), and 24 months (MD −0.16 (95% CI −0.21 to −0.10)) in favour of multicomponent lifestyle interventions. Subgroup analyses suggested an increased effect in specialist health care with a group treatment component included in the intervention. Conclusion. Multicomponent lifestyle interventions have a moderate effect on change in BMI and BMI Z score after 6, 12, and 24 months compared with standard, minimal, and no treatment.