For whom and under what circumstances do school-based energy balance behavior interventions work? Systematic review on moderators

Yιldιrιm, Mine; Stralen, Maartje M. van; Chinapaw, Mai J. M.; Brug, Johannes; Mechelen, Willem van; Twisk, Jos W. R.; Velde, Saskia J. te

doi:10.3109/17477166.2011.566440

Cited by 73 publications

(121 citation statements)

References 100 publications

Supporting

Mentioning

104

Contrasting

Unclassified

Order By: Relevance

“…From the point of increased PA and decreased % of overweight/obesity in follow-up measurement, the intervention girls achieved better results than the intervention boys. This finding is supported by the main conclusions of a systematic review of moderators of 61 school-based interventions [35], which claims that female gender is one of the most positive moderators of the intervention effects. Unfortunately, the average school day step counts of control and intervention children at follow-up (September 2010) was lower when compared with step counts of 6- to 12-year-old girls (10,800–14,800) and boys (11,500–18,100) from Australia, Canada, the Netherlands, New Zealand, Great Britain, Japan and the United States of America [36,37].…”

Section: Discussionsupporting

confidence: 56%

Longitudinal 2-Year Follow-up on the Effect of a Non-Randomised School-Based Physical Activity Intervention on Reducing Overweight and Obesity of Czech Children Aged 10–12 Years

Sigmund

Sigmundová

2013

IJERPH

View full text Add to dashboard Cite

Background: This study assessed whether the benefits of a 2-year longitudinal non-randomised school-based physical activity (PA) intervention programme to reduce overweight and obesity were still apparent two years after completion of the controlled intervention. Methods: The study involved 84 girls (G) and 92 boys (B) aged 10–12 years who had participated in the PA intervention in 2006–2008 as 6- to 9-year olds and were included in the intervention (I) (43 G and 45 B) and the control (C) groups (41 G and 47 B). Participants’ overweight/obesity was assessed using the percentile graph of Body Mass Index (BMI) from the World Health Organization for girls and boys aged 5–19. Logistic regression (Enter method) determined the overweight/obesity occurrence in a follow-up measurement (2010) two years after completion of the controlled intervention was used. Results: Two years after the controlled PA intervention had finished, the intervention children were less likely to be overweight/obese than the control children (2.3%GI vs. 17.1%GC, 6.7%BI vs. 23.4%BC, odds ratio: 0.25; 95% confidence interval: 0.12; 0.53; p < 0.001). Conclusions: The current study indicates favourable effects of an everyday school-based PA intervention programme on lower overweight/obesity incidence, which was maintained two years after the end of the direct involvement of the researchers.

show abstract

Section: Discussionsupporting

confidence: 56%

Longitudinal 2-Year Follow-up on the Effect of a Non-Randomised School-Based Physical Activity Intervention on Reducing Overweight and Obesity of Czech Children Aged 10–12 Years

Sigmund

Sigmundová

2013

IJERPH

View full text Add to dashboard Cite

show abstract

“…To our knowledge, no mediators and moderators of child and adolescent treatment outcome have specifically been identified, and this is a limitation of the field (Yildirim et al, 2011). Identifying predictors of treatment response is important in understanding the factors that contribute to success in existing treatments in order to identify who may benefit most from treatment and guide future treatment modifications or delivery to maximize effectiveness (Goldschmidt et al, 2014).…”

Section: Predictors Mediators and Moderators Of Treatmentmentioning

confidence: 99%

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Altman

Wilfley²

2014

Journal of Clinical Child & Adolescent Psychology

140

149

View full text Add to dashboard Cite

Childhood obesity is associated with increased medical and psychosocial consequences and mortality and effective interventions are urgently needed. Effective interventions are urgently needed. This article reviews the evidence for psychological treatments of overweight and obesity in child and adolescent populations. Studies were identified through searches of online databases and reference sections of relevant review articles and metaanalyses. Treatment efficacy was assessed using established criteria, and treatments were categorized as well-established, probably efficacious, possibly efficacious, experimental, or of questionable efficacy. Well-established treatments included family-based behavioral treatment (FBT) and Parent-Only Behavioral Treatment for children. Possibly efficacious treatments include Parent-Only Behavioral Treatment for adolescents, FBT-Guided SelfHelp for children, and Behavioral Weight Loss treatment with family involvement for toddlers, children, and adolescents. Appetite awareness training and regulation of cues treatments are considered experimental. No treatments are considered probably efficacious, or of questionable efficacy. All treatments considered efficacious are multicomponent interventions that include dietary and physical activity modifications and utilize behavioral strategies. Treatment is optimized if family members are specifically targeted in treatment. Research supports the use of multicomponent lifestyle interventions, with FBT and Parent-Only Behavioral Treatment being the most widely supported treatment types. Additional research is needed to test a stepped care model for treatment and to establish the ideal dosage (i.e., number and length of sessions), duration, and intensity of treatments for long-term sustainability of healthy weight management. To improve access to care, the optimal methods to enhance the scalability and implementability of treatments into community and clinical settings need to be established.

show abstract

“…To date, there have been no studies examining predictors of outcome following MT. Moreover, there is an incomplete understanding of patient moderating variables predicting response among different approaches with demonstrated average efficacy across children (Epstein et al, 2012; Yildirim et al, 2011). …”

mentioning

confidence: 99%

Predictors of child weight loss and maintenance among family-based treatment completers.

Goldschmidt¹,

Best²,

Stein³

et al. 2014

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

Objective To examine general and treatment-specific predictors of children's weight outcomes during a pediatric weight management trial. Method 150 overweight children [69.3% female; M BMI z-score (z-BMI)=2.21±0.30] completed family-based behavioral weight loss treatment (FBT), followed by randomization to social facilitation maintenance treatment (SFM) addressing social support and body image; behavioral skills maintenance treatment (BSM) which extended FBT skills to maintenance; or a control condition with no maintenance treatment. Regression and mixed-effects repeated-measures ANCOVA examined child and parent anthropometric, demographic, and psychosocial variables in predicting relative weight outcomes over short- and long-term follow-ups. Results Among FBT completers, lower child baseline z-BMI and age, and greater parent BMI reductions during FBT and baseline self-efficacy predicted better child relative weight loss following FBT [F(6,137)=7.77; p<.001]. Higher child-reported post-FBT eating pathology predicted greater relative weight loss in SFM than BSM or control from post-FBT to 2-year follow-up [F(4,255.88)=3.48; p=.009], whereas higher parent-reported post-FBT social support predicted greater relative weight loss in BSM than control [F(2,141.65)=3.28; p=.04]. Lower parent-reported post-FBT behavioral problems predicted greater relative weight loss in SFM and BSM versus control [F(2,147.84)=7.37; p<.001]; higher problems predicted equivalent outcome across treatments. Conclusion SFM may improve weight outcomes for FBT completers with initially higher eating pathology, whereas extending FBT skills may be effective for those with higher familial support. These results suggest that certain pretreatment variables moderate the effectiveness of different pediatric weight control interventions. Further understanding these findings may help optimally match families to treatments.

show abstract

For whom and under what circumstances do school-based energy balance behavior interventions work? Systematic review on moderators

Cited by 73 publications

References 100 publications

Longitudinal 2-Year Follow-up on the Effect of a Non-Randomised School-Based Physical Activity Intervention on Reducing Overweight and Obesity of Czech Children Aged 10–12 Years

Longitudinal 2-Year Follow-up on the Effect of a Non-Randomised School-Based Physical Activity Intervention on Reducing Overweight and Obesity of Czech Children Aged 10–12 Years

Evidence Update on the Treatment of Overweight and Obesity in Children and Adolescents

Predictors of child weight loss and maintenance among family-based treatment completers.

Contact Info

Product

Resources

About