Meta-analysis of the Effects of Obesity Management Program for Children.

성경숙,; 윤영미,; 김은주,

doi:10.4094/chnr.2013.19.4.262

Cited by 12 publications

(9 citation statements)

References 17 publications

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“…This is consistent with findings of an earlier meta-analysis, which had relaxed inclusion criteria (therefore included data from interventions not published in scientific journals), showed no sign of publication bias, and had relatively smaller effect sizes. 30) Despite the number of moderators we explored in our subgroup analysis, most of those moderators were not statistically significant. We found that, in Korean children, obesity interventions had equal effect regardless of participants' gender, age, and baseline obesity A c c e p t e d A r t i c l e status, while an earlier meta-analysis among U.S. minority children suggested that interventions limited to children who already had overweight or obesity produced greater effect sizes.…”

Section: Discussionmentioning

confidence: 88%

“…None of the meta-analyses solely focused on obesity interventions for Korean children. Although a recent meta-analysis 30) was performed to analyze effects of obesity interventions conducted between 2000 and 2010, many of the studies included in this meta-analysis were outdated and did not directly measure individuals' adiposity. Moreover, the meta-analysis had an insufficient number of studies on adolescents (i.e., only three studies included middle and high school students), was missing quality assessment of included studies, and was missing subgroup analyses by age and gender.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of obesity interventions among South Korean children and adolescents and importance of the type of intervention component: a meta-analysis

Choe

Chaput

et al. 2022

Clin Exp Pediatr

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Background: Various interventions have been tested to prevent or treat childhood obesity in South Korea. However, the overall effect of those interventions is unclear, as very few reviews and meta-analyses were specific to Korean children and adolescents.Purpose: We aimed to examine the overall effect of obesity interventions among Korean children and adolescents, while also examining differences by sex, age group, baseline weight category, intervention duration, number of intervention components, and type of intervention components.Methods: A meta-analysis was conducted for all intervention studies sampling Korean children and adolescents, with at least one control group and one month of follow-up, published between January 2000 and August 2020. Cohen d was calculated as an effect size for treatment effect, using the standardized difference between intervention group’s body mass index (BMI) change and control group’s BMI change.Results: The final sample included 19 intervention studies with 2,140 Korean children (mean age, 12.2 years). Overall, interventions were strongly favored over their controls (d=1.61; 95% confidence interval [CI], 1.12–2.09). The subgroup analysis showed that interventions with at least one physical activity component (d=2.43; 95% CI, 1.63–3.24) were significantly better than those that did not include physical activity (d=0.02; 95% CI, -0.26 to 0.31).Conclusion: Type of intervention component appeared important, though no differential association was observed by sex, age, baseline weight category, intervention duration, and number of intervention components. Korean and non-Korean interventions may be substantively different. Additional studies are needed to understand why and how Korean interventions differ from non-Korean interventions.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Effectiveness of obesity interventions among South Korean children and adolescents and importance of the type of intervention component: a meta-analysis

Choe

Chaput

et al. 2022

Clin Exp Pediatr

View full text Add to dashboard Cite

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“…However, systematic comparison of these studies has been difficult because most of the researchers arbitrarily used cross-sectional self-defined outcome measures. 26 27 28) Thus, in this study, we identified the most appropriate and feasible indexes among those used previously, in an effort to standardize the tools for measuring outcomes. The number of available measurement tools increased as the age group increased in the case of the anthropometric indexes.…”

Section: Discussionmentioning

confidence: 99%

Delphi Survey for Designing a Intervention Research Study on Childhood Obesity Prevention

et al. 2017

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BackgroundThe prevalence of childhood obesity in South Korea has increased owing to economic improvement and the prevailing Westernized dietary pattern. As the incidence of chronic diseases caused by obesity is also expected to increase, effective interventions to prevent childhood obesity are needed. Therefore, we conducted a Delphi study to determine the priorities of a potential intervention research on childhood obesity prevention and its adequacy and feasibility.MethodsThe two-round Delphi technique was used with a panel of 10 childhood obesity experts. The panelists were asked to rate “priority populations,” “methods of intervention,” “measurement of outcomes,” “future intervention settings,” and “duration of intervention” by using a structured questionnaire. Finally, a portfolio analysis was performed with the adequacy and feasibility indexes as the two axes.ResultsFor priority populations, the panel favored “elementary,” “preschool,” and “middle and high school” students in this order. Regarding intervention settings, the panelists assigned high adequacy and feasibility to “childcare centers” and “home” for preschool children, “school” and “home” for elementary school children, and “school” for adolescents in middle and high school. As the age of the target population increased, the panelists scored increasing numbers of anthropometric, clinical, and intermediate outcomes as highly adequate and feasible for assessing the effectiveness of the intervention.ConclusionAccording to the results of the Delphi survey, the highest-priority population for the research on childhood obesity prevention was that of elementary school students. Various settings, methods, outcome measures, and durations for the different age groups were also suggested.

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“…The required sample size was calculated using G*Power version 3.1.2. In total, 70 participants were needed for this study with an effect size of .23, which was determined based on a previous meta-analysis of a childhood obesity program in Korea [6], a significance level of .05, a statistical power of .90, a nonsphericity correction ε of .50, two groups, three measurements, and two-way repeated-measured analysis. Accounting for an expected attrition rate of 20%, 42 students were recruited for the intervention group and the control group.…”

Section: Setting and Samplesmentioning

confidence: 99%

“…There are three main approaches for managing obesity in children. The first approach is to conduct exercise interventions to enhance children's physical activity, the second approach is nutrition education to improve children's eating habits, and the last approach is behavior modification for im-proving children's overall lifestyles [6]. These approaches can be implemented alone or together to design obesity management programs for children.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a combined obesity prevention program in South Korea for children from low-income families that included primary caregiver participation

Park¹,

Im²

2021

Child Health Nurs Res

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Purpose: Obesity among children from low-income families is becoming a social problem. The aim of this study was to evaluate the effectiveness of an obesity prevention program that included physical activity, nutrition education, behavioral modification, and primary caregiver participation components among children from low-income families.Methods: The study analyzed a nonequivalent control group using a pretest-posttest design. A total of 77 children were recruited from six community childcare centers using purposive sampling. For the intervention group (n=40), the pretest was administered before the combined intervention program involving the participants' primary caregivers was conducted for 8 weeks. The posttest was conducted immediately after the program and again four weeks after the program.Results: Flexibility (F=4.64, p=.020), muscular endurance (F=11.22, p<.001), nutritional knowledge scores (F=4.79, p=.010), body image satisfaction scores (F=4.74, p=.012), and self-esteem scores (F=3.81, p=.029) showed significant differences and interactions between group and time for the intervention and control groups.Conclusion: Strategies to actively engage the primary caregivers of low-income families in children's obesity programs are needed. Obesity prevention programs for children based on the program in this study should be routinely developed, and continuing attention should be given to children from low-income families.

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Meta-analysis of the Effects of Obesity Management Program for Children.

Cited by 12 publications

References 17 publications

Effectiveness of obesity interventions among South Korean children and adolescents and importance of the type of intervention component: a meta-analysis

Effectiveness of obesity interventions among South Korean children and adolescents and importance of the type of intervention component: a meta-analysis

Delphi Survey for Designing a Intervention Research Study on Childhood Obesity Prevention

Effectiveness of a combined obesity prevention program in South Korea for children from low-income families that included primary caregiver participation

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