The effectiveness of nurse‐led interventions to prevent childhood and adolescent overweight and obesity: A systematic review of randomised trials

Whitehead, Lisa; Kabdebo, Istvan; Dunham, Melissa; Quinn, Robyn; Hummelshoj, Jennifer; George, Cobie; Denney‐Wilson, Elizabeth

doi:10.1111/jan.14928

Cited by 10 publications

(8 citation statements)

References 62 publications

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“…Thirty-one SRs were included in this umbrella review . SRs examined nutrition interventions for pediatric obesity prevention in all settings combined [20,22,30,33,34,43,44,47] or in the home and family [20,22,35], healthcare [22,37,49,50], school [20,22,23,25,[27][28][29]36,38,[40][41][42]46], or community settings [21,22], or examined the efficacy of food assistance programs [24,26,27,31,32,39] or electronic interventions [45,48]. The study selection process is described in Figure 1.…”

Section: Resultsmentioning

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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Section: Resultsmentioning

confidence: 99%

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

Rozga,

Handu

2023

Nutrients

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“…45,50,51 For example, nurses are already involved in the prevention of chronic disease 69 and are well placed to play an important part in childhood obesity prevention. 70 Thus, implementation strategies should also consider the role of broader health workforce and how they could contribute to effective execution.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is acknowledged that other healthcare professionals can play an important role in childhood obesity prevention, and several CPGs in this review specifically highlighted the importance of multidisciplinary teams 45,50,51 . For example, nurses are already involved in the prevention of chronic disease 69 and are well placed to play an important part in childhood obesity prevention 70 . Thus, implementation strategies should also consider the role of broader health workforce and how they could contribute to effective execution.…”

Section: Discussionmentioning

confidence: 99%

Clinical practice guidelines for the prevention of childhood obesity: A systematic review of quality and content

et al. 2022

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Obesity in childhood is a significant global issue, and prevention is key to reducing prevalence. Healthcare providers can play an important role in the prevention of obesity. The aim of this systematic review was to identify and evaluate clinical practice guidelines (CPGs) for preventing childhood obesity with a focus on the role of medical doctors. Peer-reviewed literature and gray literature sources were searched for CPGs published from 2010 to 2021. Eleven CPGs were identified. Quality was evaluated using the Appraisal of Guidelines for Research and Evaluation Collaboration (AGREE II) instrument; seven CPGs were higher quality and four lower quality. Recommendations within the CPGs covered three main areas: growth monitoring, maintaining a healthy weight, and managing overweight. The importance of involving the whole family and healthy lifestyle behaviors was emphasized. The majority of the CPGs rated poorly in guideline applicability highlighting the need for practical implementation tools. Although our review identified a number of CPGs relevant to the prevention of obesity for doctors working with children and their families, more research is needed to produce high-quality meaningful and applicable CPGs to maximize uptake, implementation, and ultimately, benefit to children and their families.

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“…During growth, an increase of one or two curves of weight should be considered as a potential trend towards obesity. Several studies demonstrated that interventions involving nurses to treat childhood obesity led to significant reductions in BMI, and BMI percentiles 50,51 .…”

Section: Nursing Care For Childhood Obesitymentioning

confidence: 99%

The role of the nurse in the Obesity Clinic: a practical guideline

et al. 2021

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Obesity is a major public health problem, and its trend is increasing worldwide. Interventions to effectively treat obesity and its related diseases are advocated. Given the complexity of obesity management, nurses need specific core skills to work in the Obesity Clinic and can act as key players in the multidisciplinary team of the Obesity Clinic. To provide practical guidelines for nurses working in Obesity Clinic for effective management of obesity and its related diseases, the current evidence on the role nurses in the obesity clinic was reviewed. Nurses can play a pivotal role in the management of patients with obesity and associated diseases that may require a stricter follow-up than usual care.Given the complexity of the treatment of obesity and its comorbidity, nurses should receive a specific training for: 1) methods and tools to effectively treat obesity and obesity-related disease, 2) patients and families education on nutrition, lifestyle changes, and prevention/management of obesity-related diseases; 3) motivation of patients towards adherence to treatment to achieve their specific goals. This manuscript highlights the need of specific core skills for nurses working in the Obesity Clinic.

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The effectiveness of nurse‐led interventions to prevent childhood and adolescent overweight and obesity: A systematic review of randomised trials

Cited by 10 publications

References 62 publications

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

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

Clinical practice guidelines for the prevention of childhood obesity: A systematic review of quality and content

The role of the nurse in the Obesity Clinic: a practical guideline

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