We thought we would share this recent scoping review by @LiubaiLi and et al, that was recently published in NYAS. Entitled ‘Behaviour Change Lifestyle interventions for the treatment of #Obesity in #Children and #Adolescents’ It examines interventions focused on diet, physical activity, behaviour change. Outcomes included body weight, body mass index (BMI), #BMI z-score, and fat %, among others. Systematic reviews, RCTs and meta-analysis were included, and the review followed PRISMA guidelines.
👉 Key Findings:
✔️ Papers: Over 43,000 initial records were identified of which around 13K were considered. Only 28 reviews met the inclusion criteria. The investigators found that most interventions focused on modifying diet, increasing physical activity, and integrating behavioural strategies to achieve better health outcomes. They included multicomponent approaches involving family participation, digital tools, and motivational techniques.
✔️ Lifestyle interventions- varied widely and induced small to modest changes in obesity measurements in all age groups. However, some lifestyle interventions failed to show improve the main obesity outcomes. #Physicalactivity interventions had good quality evidence; dietary interventions were not as specific. Besides obesity reduction, behaviour-change lifestyle interventions appeared to be effective in weight maintenance for 6-12 months.
✔️ Digital Tools and Technologies: Digital Tools show some potential for improving self-efficacy and healthy behaviours. However, their impact on BMI and weight reduction varied, underscoring the need for better implementation.
✔️ Adolescents and Autonomy: Adolescents in many studies appeared to benefit from motivational interviewing and tailored interventions that respected their growing independence.
✔️ Long-Term Interventions: The most effective programs involved high contact hours (≥26 hours), spanning several months, and included consistent parental involvement.
✔️ Regional Insights: Studies conducted in countries like China highlighted the effectiveness of school-based interventions, with greater BMI reductions observed in programs targeting adolescents. Reviews from high-income countries, including Australia, the US, and parts of Europe, emphasized family and community-based approaches.
✔️ Limitations: Narrower inclusion criteria in the study design, limited the uptake of interventions that may be useful for obesity management and single reviewer of the paper because of time constraints.
👉 Conclusions: #Behaviourchange interventions provide a path forward in addressing the complex challenges of childhood obesity. By focusing on multicomponent strategies and leveraging #digitaltools, we can create a supportive environment for sustainable #health improvements.
Post by Bushra Malik
Read the full article at https://lnkd.in/gFN_CNfE
