Current Systems-Level Evidence on Nutrition Interventions to Prevent and Treat Cardiometabolic Risk in the Pediatric Population: An Evidence Analysis Center Scoping Review

Rozga, Mary; Handu, Deepa

doi:10.1016/j.jand.2020.12.014

Cited by 5 publications

(7 citation statements)

References 152 publications

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“…8 A recent scoping review of systematic reviews identified an abundance of current, relevant systematic reviews addressing a wide range of interventions to prevent pediatric overweight and obesity. 9 Therefore, an umbrella review, also termed an overview of reviews, was conducted to address important questions for RDNs working with the pediatric population. This umbrella review aligned with the methods outlined by the Cochrane Collaboration.…”

Section: Position Paper Development Processmentioning

confidence: 99%

Prevention of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews

Hoelscher¹,

Brann²,

O’Brien³

et al. 2022

Journal of the Academy of Nutrition and Dietetics

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This Academy of Nutrition and Dietetics Position Paper reports current evidence on pediatric overweight and obesity prevention interventions and discusses implications for registered dietitian nutritionists (RDNs). An overview of current systematic reviews provided evidence-based results from a range of nutrition interventions according to developmental age group (ages 2 to 5, 6 to 12, and 13 to 17 years). Twenty-one current systematic reviews of nutrition interventions demonstrated a beneficial effect of nutrition and physical activity interventions on body mass index measures and no adverse events were identified. RDNs impart nutrition expertise in a wide range of settings to provide comprehensive care for children and adolescents as their nutrition and developmental needs change over time. This Position Paper outlines the current roles of, and proposed directions for, RDNs engaged in pediatric overweight and obesity prevention. Prevention of pediatric overweight and obesity requires comprehensive strategies ranging from policy-level to individuallevel interventions in settings that will have the most beneficial impact for children according to their developmental stage. This Position Paper advocates for increased availability of nutrition and food access programs and interventions to reduce risk of pediatric obesity and associated adverse health outcomes both now and for future generations.

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Section: Position Paper Development Processmentioning

confidence: 99%

Prevention of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews

Hoelscher¹,

Brann²,

O’Brien³

et al. 2022

Journal of the Academy of Nutrition and Dietetics

Self Cite

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show abstract

“…SRs conducting meta-analysis or grading the certainty of evidence (CoE) for outcomes of interest were prioritized. When SRs using gold-standard methods were not available, SRs without these methods were included [8].…”

Section: Eligibility Criteriamentioning

confidence: 99%

“…Another overview of reviews from 2019 found no overall effect of prevention interventions on BMI measures in pediatric participants but did not discuss results by type of intervention or age [7]. These umbrella reviews included 3-5 SRs each, though a recent scoping review identified many current SRs addressing a wide range of nutrition interventions to prevent pediatric obesity [8]. A 2020 overview of reviews identified 13 SRs that generally demonstrated little to no effect of prevention interventions on BMI measures in adolescents [9].…”

Section: Introductionmentioning

confidence: 99%

Nutrition Interventions for Pediatric Obesity Prevention: An Umbrella Review of Systematic Reviews

Rozga,

Handu

2023

Nutrients

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Nutrition interventions to prevent pediatric obesity can help to establish healthy habits to improve current and future health. The objective of this umbrella review of systematic reviews (SRs) is to examine the impact of obesity prevention interventions with a nutrition component on body mass index measures, overweight/obesity prevalence, and cost-effectiveness in participants 2–17 years old. Grading of Recommendations Assessment, Development and Evaluation (GRADE) methods were used, and this umbrella review was registered on PROSPERO (CRD42023443033). Included SRs were required to search ≥2 databases and to assess the risk of bias (RoB) of primary studies, and they were published 2017–June 2023. Database searches identified 4776 articles, and 31 SRs were included. In all age groups combined, interventions with both nutrition and physical activity were effective and cost-effective in all settings combined, and in the community setting specifically. In children ≤5 years old, interventions in the home and family, community, and healthcare settings demonstrated some efficacy, whereas in children 6–12 years old, school interventions were most effective. Evidence with individuals 13–17 years was limited. The certainty of evidence was generally low due to RoB in included studies, inconsistency, and imprecision. Pediatric obesity prevention interventions with nutrition should be tailored to the developmental stage to ensure appropriateness and efficacy.

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“…6 A recent scoping review identified a wide range of current and relevant SRs examining the effect of multi-component interventions with nutrition to treat pediatric overweight and obesity. 7 Therefore, to address the broad and complex nature of pediatric weight management, an umbrella review, also called an overview of SRs, was conducted. Methods adhered to those outlined by the Cochrane Collaboration for overviews of SRs.…”

Section: Position Paper Development Processmentioning

confidence: 99%

Treatment of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews

Kirk

Ogata

Wichert

et al. 2022

Journal of the Academy of Nutrition and Dietetics

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Current Systems-Level Evidence on Nutrition Interventions to Prevent and Treat Cardiometabolic Risk in the Pediatric Population: An Evidence Analysis Center Scoping Review

Cited by 5 publications

References 152 publications

Prevention of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews

Prevention of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews

Nutrition Interventions for Pediatric Obesity Prevention: An Umbrella Review of Systematic Reviews

Treatment of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews

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