Response to school-based interventions for overweight and obesity: A systematic scoping review.

Autor: Arlinghaus KR; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA., Cepni AB; Department of Health and Human Performance, University of Houston, Houston, Texas, USA., Helbing RR; University Libraries, University of Houston, Houston, Texas, USA., Goodman LP; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA., Ledoux TA; Department of Health and Human Performance, University of Houston, Houston, Texas, USA., Johnston CA; Department of Health and Human Performance, University of Houston, Houston, Texas, USA.
Jazyk: angličtina
Zdroj: Clinical obesity [Clin Obes] 2022 Dec; Vol. 12 (6), pp. e12557. Date of Electronic Publication: 2022 Sep 21.
DOI: 10.1111/cob.12557
Abstrakt: Heterogeneity of response to paediatric obesity interventions is one of the greatest challenges to obesity care. While evaluating school-based interventions by mean changes compared to control is important, it does not provide an understanding of the individual variability in response to intervention. The objective of this study was to comprehensively review school-based interventions that reported study results in terms of response and identify definitions of response used. A scoping review was conducted using a systematic search of five scientific databases from 2009 to 2021. Inclusion criteria included randomized controlled trial design, school-based setting, weight-based outcomes (e.g., BMI, BMI z-score), weight-based outcomes analysed among youth with overweight/obesity, a study conducted in a developed country and publication in English. A total of 26 reports representing 25 unique studies were included. Overall, 19% (5/26) of articles reported response. Response was defined in three ways: maintenance/decrease in BMI z-score, decrease in BMI z-score ≥0.10, and decrease in BMI z-score ≥0.20. Few school-based interventions identified an a priori intervention goal or identified the proportion of participants who responded to the intervention. Without such evaluation participants who do not benefit are likely to be overlooked.
(© 2022 The Authors. Clinical Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.)
Databáze: MEDLINE
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