Effect of childhood obesity prevention programmes on blood lipids: a systematic review and meta-analysis.
Obes Rev
; 15(12): 933-44, 2014 Dec.
Article
de En
| MEDLINE
| ID: mdl-25263653
ABSTRACT
We aimed to assess the effects of childhood obesity prevention programmes on blood lipids in high-income countries. We searched MEDLINE®, Embase, PsychInfo, CINAHL®, clinicaltrials.gov, and the Cochrane Library up to 22 April 2013 for relevant randomized controlled trials, quasi-experimental studies and natural experiments published in English. Studies were included if they implemented diet and/or physical activity intervention(s) with ≥1 year follow-up (or ≥6 months for school-based intervention studies) in 2-18-year-olds, and were excluded if they targeted only overweight/obese children, or those with a pre-existing medical condition. Seventeen studies were finally included. For total cholesterol, the pooled intervention effect was -0.97 mg dL(-1) [95% confidence interval (CI) -3.26, 1.32; P = 0.408]; for low-density lipoprotein cholesterol (LDL-C), -6.06 mg dL(-1) (95% CI -11.09, -1.02; P = 0.018); for high-density lipoprotein cholesterol (HDL-C), 1.87 mg dL(-1) (95% CI 0.39, 3.34; P = 0.013); and for triglycerides, -1.95 mg dL(-1) (95% CI -4.94, 1.04; P = 0.202). Most interventions (70%) showed similar significant or no effects on adiposity- and lipids outcomes:
15% interventions improved both adiposity- and lipids outcomes; 55% had no significant effects on either. Childhood obesity prevention programmes had a significant desirable effect on LDL-C and HDL-C. Two-thirds of interventions showed similar significant or no effects in adiposity- and lipids outcomes. Assessing lipids outcomes provide additional useful information on obesity prevention programme benefits.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Obésité pédiatrique
/
Lipides
Type d'étude:
Clinical_trials
/
Systematic_reviews
Limites:
Adolescent
/
Child
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Child, preschool
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Humans
Langue:
En
Journal:
Obes Rev
Sujet du journal:
METABOLISMO
Année:
2014
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique