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A Review of Systematic Reviews Targeting the Prevention and Treatment of Overweight and Obesity in Adolescent Populations.
Militello, Lisa K; Kelly, Stephanie; Melnyk, Bernadette M; Smith, Laureen; Petosa, Rick.
Afiliação
  • Militello LK; College of Nursing, The Ohio State University, Columbus, Ohio. Electronic address: militello.14@osu.edu.
  • Kelly S; College of Nursing, The Ohio State University, Columbus, Ohio.
  • Melnyk BM; College of Nursing, The Ohio State University, Columbus, Ohio.
  • Smith L; College of Nursing, The Ohio State University, Columbus, Ohio.
  • Petosa R; College of Education and Human Ecology, The Ohio State University, Columbus, Ohio.
J Adolesc Health ; 63(6): 675-687, 2018 12.
Article em En | MEDLINE | ID: mdl-30314864
ABSTRACT

PURPOSE:

Adolescent obesity is a powerful predictor of morbidity and mortality, yet amenable to modifiable behaviors. To accurately summarize the effects of behavioral interventions on changes in adolescent body mass index and/or weight status, we assessed existing systematic reviews for reporting transparency and methodological quality.

METHODS:

Five databases were searched through September 2017 to identify relevant systematic reviews. Reviews were evaluated for reporting transparency and methodological quality using PRISMA Reporting Checklist and Assessment of Multiple Systematic Reviews Instrument. Evidence was synthesized across high-quality reviews.

RESULTS:

Four of twelve systematic reviews were of high methodological quality. All four focused on the treatment of overweight/obesity in adolescent populations, representing 97 international studies. Findings indicate intervention compared with no intervention/wait list showed larger effects for improving BMI/BMI z-scores. Small improvements (averaging a 3.7-kg decrease) in weight/weight percentile were observed following a supervised exercise plus dietary and/or behavior support intervention. Health-related quality of life may improve following interventions, but overall attention to associated psychological variables (depression, self-esteem/perception) is limited.

CONCLUSIONS:

Adherence to objective checklists and protocols for rigorous conduct and reporting of systematic reviews is warranted. Consensus evidence is urgently needed to define and report behavior change interventions related to obesity prevention and treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Terapia Comportamental / Peso Corporal / Obesidade Infantil / Revisões Sistemáticas como Assunto Tipo de estudo: Guideline / Prognostic_studies / Systematic_reviews Limite: Adolescent / Humans Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Terapia Comportamental / Peso Corporal / Obesidade Infantil / Revisões Sistemáticas como Assunto Tipo de estudo: Guideline / Prognostic_studies / Systematic_reviews Limite: Adolescent / Humans Idioma: En Ano de publicação: 2018 Tipo de documento: Article