One Year Outcomes from an Adolescent Obesity Prevention and Management Intervention in School-Based Health Centers

Jimenez, Elizabeth Yakes; Sanders, Sarah; Vallabhan, Monique K.; Kong, Alberta S.

doi:10.1016/j.jadohealth.2017.11.245

Cited by 2 publications

(1 citation statement)

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“…Of the 355 articles identified, 67 were removed as duplicates, 288 abstracts were screened, and 28 were sought for full-text retrieval. Five articles [27][28][29][30][31] were not retrieved (three were conference abstracts, and two were not accessible from the University of Toronto library), and 23 were selected for full-text review and 10 were included in the final review. 32,33,36,39,41,43,49,50,53,54 Table S6 shows the reasons for the exclusion of each of the 13 studies.…”

Section: Study Selectionmentioning

confidence: 99%

The Effect of School-Based Physical Activity Interventions on Body Mass Index Among ‎Adolescents: A Systematic Review of Randomised Trials

Noormohammadpour,

Khalid,

Hassan

et al. 2024

UTJPH

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Obesity has become a global health concern among the child and adolescent populations. We performed a systematic review for an indirect comparison of the effectiveness of aerobic exercise (AE) school-based physical activity (SBPA) interventions versus resistance training (RT) SBPA interventions in changing adolescent body mass index (BMI). OVID Medline, Cochrane Library, and Embase were searched. All English-language, peer-reviewed randomized control trials (RCTs) that examined SBPA inter- ventions and objectively measured BMI as an outcome in adolescents aged 10-18 were eligible for inclusion. The risk of bias was assessed using the Cochrane Risk of Bias 2 tool. Of the 355 records identified, 10 met the eligibility criteria and 5 were included in the best evidence synthesis (BES). Five studies had a high risk of bias, two had some concerns and three had a low risk of bias. In the BES, this study found that both types of interventions reported either decreases or maintenance in BMI. However, due to the limited number of included studies, this review was unable to conduct an indirect comparison of the effects of AE and RT on changes in BMI. This finding could be beneficial in the planning of strategies to address overweight and obesity in adolescents. Further RCTs with a low risk of bias are required to compare the effects of AE and RT SBPA on BMI in adolescents.

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Section: Study Selectionmentioning

confidence: 99%

The Effect of School-Based Physical Activity Interventions on Body Mass Index Among ‎Adolescents: A Systematic Review of Randomised Trials

Noormohammadpour,

Khalid,

Hassan

et al. 2024

UTJPH

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Interventions to prevent obesity in children aged 12 to 18 years old

Spiga,

Tomlinson,

Davies

et al. 2024

Cochrane Database of Systematic Reviews

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Background Prevention of obesity in adolescents is an international public health priority. The prevalence of overweight and obesity is over 25% in North and South America, Australia, most of Europe, and the Gulf region. Interventions that aim to prevent obesity involve strategies that promote healthy diets or ‘activity’ levels (physical activity, sedentary behaviour and/or sleep) or both, and work by reducing energy intake and/or increasing energy expenditure, respectively. There is uncertainty over which approaches are more effective, and numerous new studies have been published over the last five years since the previous version of this Cochrane Review. Objectives To assess the effects of interventions that aim to prevent obesity in adolescents by modifying dietary intake or ‘activity’ levels, or a combination of both, on changes in BMI, zBMI score and serious adverse events. Search methods We used standard, extensive Cochrane search methods. The latest search date was February 2023. Selection criteria Randomised controlled trials in adolescents (mean age 12 years and above but less than 19 years), comparing diet or 'activity' interventions (or both) to prevent obesity with no intervention, usual care, or with another eligible intervention, in any setting. Studies had to measure outcomes at a minimum of 12 weeks post baseline. We excluded interventions designed primarily to improve sporting performance. Data collection and analysis We used standard Cochrane methods. Our outcomes were BMI, zBMI score and serious adverse events, assessed at short‐ (12 weeks to < 9 months from baseline), medium‐ (9 months to < 15 months) and long‐term (≥ 15 months) follow‐up. We used GRADE to assess the certainty of the evidence for each outcome. Main results This review includes 74 studies (83,407 participants); 54 studies (46,358 participants) were included in meta‐analyses. Sixty studies were based in high‐income countries. The main setting for intervention delivery was schools (57 studies), followed by home (nine studies), the community (five studies) and a primary care setting (three studies). Fifty‐one interventions were implemented for less than nine months; the shortest was conducted over one visit and the longest over 28 months. Sixty‐two studies declared non‐industry funding; five were funded in part by industry. Dietary interventions versus control The evidence is very uncertain about the effects of dietary interventions on body mass index (BMI) at short‐term follow‐up (mean difference (MD) ‐0.18, 95% confidence interval (CI) ‐0.41 to 0.06; 3 studies, 605 participants), medium‐term follow‐up (MD ‐0.65, 95% CI ‐1.18 to ‐0.11; 3 studies, 900 participants), and standardised BMI (zBMI) at long‐term follow‐up (MD ‐0.14, 95% CI ‐0.38 to 0.10; 2 studies, 1089 participants); all very low‐certainty evidence. Compared wit...

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One Year Outcomes from an Adolescent Obesity Prevention and Management Intervention in School-Based Health Centers

Cited by 2 publications

References 0 publications

The Effect of School-Based Physical Activity Interventions on Body Mass Index Among ‎Adolescents: A Systematic Review of Randomised Trials

The Effect of School-Based Physical Activity Interventions on Body Mass Index Among ‎Adolescents: A Systematic Review of Randomised Trials

Interventions to prevent obesity in children aged 12 to 18 years old

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