The DOI matches its Crossref record; 48 of the 49 references it cites were found in a registry or an index.
Behavioral Interventions to Prevent Childhood Obesity: A Systematic Review and Metaanalyses of Randomized Trials
Abstract
CONTEXT: The efficacy of lifestyle interventions to encourage healthy lifestyle behaviors to prevent pediatric obesity remains unclear. OBJECTIVE: Our objective was to summarize evidence on the efficacy of interventions aimed at changing lifestyle behaviors (increased physical activity, decreased sedentary activity, increased healthy dietary habits, and decreased unhealthy dietary habits) to prevent obesity. DATA SOURCES: Data sources included librarian-designed searches of nine electronic databases, references from included studies and reviews (from inception until February 2006), and content expert recommendations. STUDY SELECTION: Eligible studies were randomized trials enrolling children and adolescents assessing the impact of interventions on both lifestyle behaviors and body mass index (BMI). DATA EXTRACTION: Two reviewers independently abstracted data on methodological quality, study characteristics, intervention components, and treatment effects. DATA ANALYSIS: We conducted random-effects metaanalyses, quantified inconsistency using I(2), and conducted planned subgroup analyses for each examined outcome. DATA SYNTHESIS: Regarding target behaviors, the pooled effect size for physical activity (22 comparisons; n = 9891 participants) was 0.12 [95% confidence interval (CI) = 0.04-0.20; I(2) = 63%], for sedentary activity (14 comparisons; n = 3003) was -0.29, (CI = -0.35 to -0.22; I(2) = 0%), for healthy dietary habits (14 comparisons, n = 5468) was 0.00 (CI = -0.20; 0.20; I(2) = 83%), and for unhealthy dietary habits (23 comparisons, n = 9578) was -0.20 (CI = -0.31 to -0.09; I(2) = 34%). The effect of these interventions on BMI (43 comparisons, n = 32,003) was trivial (-0.02; CI = -0.06-0.02; I(2) = 17%) compared with control. Trials with interventions lasting more than 6 months (vs. shorter trials) and trials with postintervention outcomes (vs. in-treatment outcomes) yielded marginally larger effects. CONCLUSION: Pediatric obesity prevention programs caused small changes in target behaviors and no significant effect on BMI compared with control. Trials evaluating promising interventions applied over a long period, using responsive outcomes, with longer measurement timeframes are urgently needed.
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“The meta-analysis resulted in a pooled effect size for PA of 0.12.”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [92]
In the citing paper
“A trend was identified in favour of multiple cognitive components (0.15; vs. one or no cognitive components, 0.00)”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [92]
In the citing paper
“and interventions including reinforcement (0.24; vs. no reinforcement, −0.07).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [92]
In the citing paper
“Such focus on individual level interventions can be explained by the predominance of evidence-based medicine (92) for the evaluation of interventions.”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [92]
In the citing paper
“Overall, the reviews stated that health promotion interventions can be effective in terms of health (89), obesity prevention (92), and the reduction of socioeconomic inequalities in obesity (91).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [92]
Citations
Cites
2 retracted
Interventions for treating obesity in children
Oude Luttikhuis, H., Baur, L., Jansen, H., Shrewsbury, V. A., O'Malley, C., Stolk, R. P., & Summerbell, C. D. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001872.pub2 · Cited by 1,531
RetractedInterventions for treating obesity in children
Summerbell, C. D., Ashton, V. J., Campbell, K., Edmunds, L., Kelly, S. A., & Waters, E. B. (2003) · doi:10.1002/14651858.cd001872 · Cited by 344
RetractedQuantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763
Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series
(2008) · doi:10.1002/9780470712184 · Cited by 25,048
Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002.
Hedley, A. A., Ogden, C., Johnson, C. L., Carroll, M., Curtin, L. R., & Flegal, K. (2004) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.291.23.2847 · Cited by 4,670
Interventions for preventing obesity in children
Brown, T. J., Moore, T. H., Hooper, L., Gao, Y., Zayegh, A. M., Ijaz, S., Elwenspoek, M. M. C., Foxen, S. C., Magee, L., O’Malley, C. L., et al. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001871.pub4 · Cited by 3,054
Bellg, A. J., Treatment Fidelity Workgroup of the NIH Behavior Change Consortium, Borrelli, B., Resnick, B., Hecht, J., Minicucci, D. S., Ory, M., Ogedegbe, G., Orwig, D., Ernst, D., et al. (2004) · Health Psychology · doi:10.1037/0278-6133.23.5.443 · Cited by 2,620
Reducing Children's Television Viewing to Prevent Obesity: A Randomized Controlled Trial
Robinson, T. N. (1999) · JAMA · doi:10.1001/jama.282.16.1561 · Cited by 1,838
Luepker, R. V. (1996) · JAMA · doi:10.1001/jama.1996.03530340032026 · Cited by 1,023
Flynn, M. A. T., McNeil, D. A., Maloff, B., Mutasingwa, D., Wu, M., Ford, C., & Tough, S. C. (2006) · Obesity Reviews · doi:10.1111/j.1467-789x.2006.00242.x · Cited by 925
Sallis, J. F., McKenzie, T. L., Alcaraz, J. E., Kolody, B., Faucette, N., & Hovell, M. F. (1997) · American Journal of Public Health · doi:10.2105/ajph.87.8.1328 · Cited by 914
James, J., Thomas, P., Cavan, D., & Kerr, D. (2004) · BMJ · doi:10.1136/bmj.38077.458438.ee · Cited by 827
Interventions for preventing obesity in children
Summerbell, C. D., Waters, E., Edmunds, L., Kelly, S. A., Brown, T., & Campbell, K. J. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001871.pub2 · Cited by 763
Caballero, B., Clay, T., Davis, S., Ethelbah, B., Rock, B. H., Lohman, T., Norman, J. E., Story, M., Stone, E., Stephenson, L., et al. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.5.1030 · Cited by 673
Epstein, L. H., Gordy, C. C., Raynor, H. A., Beddome, M., KILANOWSKI, C. K., & Paluch, R. A. (2001) · Obesity Research · doi:10.1038/oby.2001.18 · Cited by 657
Environmental interventions for eating and physical activity
Sallis, J. F., McKenzie, T. L., Conway, T. L., Elder, J. P., Prochaska, J. J., Brown, M., ZIVE, M. M., Marshall, S. J., & Alcaraz, J. E. (2003) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00646-3 · Cited by 530
Fitzgibbon, M., Stolley, M., Schiffer, L., van Horn, L., KauferChristoffel, K., & Dyer, A. (2005) · Jornal de Pediatria · doi:10.1016/j.jpeds.2004.12.019 · Cited by 411
Gortmaker, S. L., Cheung, L. W. Y., Peterson, K. E., Chomitz, G., Cradle, J. H., Dart, H., Fox, M. K., Bullock, R. B., Sobol, A. M., Colditz, G. A., et al. (1999) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.153.9.975 · Cited by 386
Treatment of Pediatric Obesity: A Systematic Review and Meta-Analysis of Randomized Trials
McGovern, L. B., Johnson, J. N., Paulo, R., Hettinger, A., Singhal, V., Kamath, C. C., Erwin, P. J., & Montori, V. M. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2006-2409 · Cited by 382
Self-citationRandomised controlled trial of primary school based intervention to reduce risk factors for obesity
Sahota, P., RUDOLF, M. C. J., Dixey, R., Hill, A. J., Barth, J. H., & Cade, J. E. (2001) · BMJ · doi:10.1136/bmj.323.7320.1029 · Cited by 379
Robinson, T. N., Killen, J. D., KRAEMER, H. C., Wilson, D. M., Matheson, D., Haskell, W. L., Pruitt, L. A., Powell, T. M., Owens, A. S., Thompson, N. S., et al. (2003) · PubMed · Cited by 365
Promotion of Physical Activity Among High-School Girls: A Randomized Controlled Trial
Pate, R. R., Ward, D. S., Saunders, R. P., Felton, G., Dishman, R. K., & Dowda, M. C. (2005) · American Journal of Public Health · doi:10.2105/ajph.2004.045807 · Cited by 356
New moves: a school-based obesity prevention program for adolescent girls
Neumark‐Sztainer, D., Story, M. T., Hannan, P. J., & Rex, J. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(03)00057-4 · Cited by 348
School‐based interventions for childhood and adolescent obesity
Sharma, M. (2006) · Obesity Reviews · doi:10.1111/j.1467-789x.2006.00227.x · Cited by 321
Hardeman, W., Griffin, S., Johnston, M., Kinmonth, A., & Wareham, N. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801100 · Cited by 283
An Intervention to Reduce Television Viewing by Preschool Children
Dennison, B. A., Russo, T. J., Burdick, P., & Jenkins, P. (2004) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.158.2.170 · Cited by 280
Obarzanek, E., Kimm, S. Y. S., BARTON, B. A., Horn, L. V., Kwiterovich, P. O., Simons‐Morton, D. G., Hunsberger, S., Lasser, N. L., Robson, A. M., Franklin, F. A., et al. (2001) · PEDIATRICS · doi:10.1542/peds.107.2.256 · Cited by 275
Interventions to prevent obesity in children and adolescents: a systematic literature review
Flodmark, C., Marcus, C., & Britton, M. (2006) · International Journal of Obesity · doi:10.1038/sj.ijo.0803290 · Cited by 273
The Fun, Food, and Fitness Project (FFFP): the Baylor GEMS pilot study.
Baranowski, T., Baranowski, J. C., Cullen, K. W., Thompson, D. I., Nicklas, T. A., Zakeri, I., & Rochon, J. (2003) · PubMed · Cited by 253
Story, M. T., Sherwood, N. E., Himes, J. H., Davis, M. A., Jacobs, D. R., Cartwright, Y., Smyth, M. H., & Rochon, J. (2003) · PubMed · Cited by 244
Evaluation of a pilot school programme aimed at the prevention of obesity in children
Warren, J. M. (2003) · Health Promotion International · doi:10.1093/heapro/dag402 · Cited by 222
Modification of Risk Factors for Coronary Heart Disease
Walter, H. J., Albert Hofman, D., VAUGHAN, R. D., & Wynder, E. L. (1988) · New England Journal of Medicine · doi:10.1056/nejm198804283181704 · Cited by 218
Patrick, K., Calfas, K. J., Norman, G. J., Zabinski, M. F., Sallis, J. F., Rupp, J., Covin, J., & Cella, J. (2006) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.160.2.128 · Cited by 208
Interventions for preventing obesity in children
Campbell, K., Waters, E., O'Meara, S., Kelly, S., & Summerbell, C. (2002) · The Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001871 · Cited by 183
Vandongen, R., Jenner, D. A., Thompson, C., Taggart, A. C., Spickett, E. E., Burke, V., Beilin, L. J., Milligan, R., & Dunbar, D. (1995) · Preventive Medicine · doi:10.1006/pmed.1995.1003 · Cited by 179
Interventions for treating obesity in children (Cochrane review)
Summerbell, C. D., Ashton, V. J., Campbell, K. J., Edmunds, L., Kelly, S. A., & Waters, E. (2007) · Cited by 169
Simon, C., Wagner, A., DiVita, C., Rauscher, E., Platat, C., Arveiler, D., Schweitzer, B., & Triby, E. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802812 · Cited by 135
Bayne-Smith, M., Fardy, P. S., Azzollini, A., Magel, J. R., Schmitz, K. H., & Agin, D. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.9.1538 · Cited by 126
Going, S., Thompson, J., Cano, S., Stewart, D., Stone, E., Harnack, L., Hastings, C., Norman, J., & Corbin, C. (2003) · Preventive Medicine · doi:10.1016/j.ypmed.2003.08.005 · Cited by 89
Bush, P. J., Zuckerman, A. E., TAGGART, V. S., Theiss, P. K., Peleg, E., & Smith, S. A. (1989) · Health Education Quarterly · doi:10.1177/109019818901600206 · Cited by 85
Prevention and treatment of childhood obesity
Williams, C. L., Gulli, M. T., & Deckelbaum, R. J. (2001) · Current Atherosclerosis Reports · doi:10.1007/s11883-001-0039-2 · Cited by 85
Open-Loop Feedback Increases Physical Activity of Youth
Roemmich, J. N., Gurgol, C. M., & Epstein, L. H. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000121947.59529.3b · Cited by 82
Nader, P. R., Baranowski, T., Vanderpool, N. A., Dunn, K., Dworkin, R. J., & RAY, L. (1983) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-198303000-00002 · Cited by 78
Lauer, R. M., Obarzanek, E., Hunsberger, S., Horn, L. V., Hartmuller, V. W., BARTON, B. A., Stevens, V. J., Kwiterovich, P. O., Franklin, F. A., Kimm, S. Y. S., et al. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/72.5.1332s · Cited by 76
The prevention and treatment of childhood obesity
Wilson, P. M. (2003) · BMJ Quality & Safety · doi:10.1136/qhc.12.1.65 · Cited by 74
Effect of Including Parents in a School-Based Exercise and Nutrition Program for Children
Hopper, C. A., Gruber, M. B., Munoz, K. D., & Herb, R. A. (1992) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.1992.10608748 · Cited by 44
Growth of hypercholesterolemic children completing physician-initiated low-fat dietary intervention
Tershakovec, A. M., Jawad, A. F., Stallings, V. A., Zemel, B. S., McKenzie, J. M., Stolley, P. D., & SHANNON, B. M. (1998) · The Journal of Pediatrics · doi:10.1016/s0022-3476(98)70173-8 · Cited by 32
Research works printed but not linked: 1
- Jain, 2004, What works for obesity? A summary of the research behind obesity interventions
Cited by
Sorted by citations
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Kumar, S., & Kelly, A. S. (2017) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2016.09.017 · Cited by 1,421
Kelly, A. S., Barlow, S. E., Rao, G., Inge, T. H., Hayman, L. L., Steinberger, J., Urbina, E. M., Ewing, L. J., & Daniels, S. R. (2013) · Circulation · doi:10.1161/cir.0b013e3182a5cfb3 · Cited by 980
The science of obesity management: an endocrine society scientific statement
Bray, G. A., Heisel, W. E., Afshin, A., Jensen, M. D., Dietz, W. H., Long, M., Kushner, R. F., Daniels, S. R., Wadden, T. A., Tsai, A. G., et al. (2018) · Endocrine Reviews · doi:10.1210/er.2017-00253 · Cited by 812
A Randomized Trial of Sugar-Sweetened Beverages and Adolescent Body Weight
Ebbeling, C. B., Feldman, H. A., Chomitz, V. R., Antonelli, T. A., Gortmaker, S. L., Osganian, S. K., & Ludwig, D. S. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1203388 · Cited by 699
Metadata
- Authors
- Kamath, C. C., Vickers, K. S., Ehrlich, A., McGovern, L., Johnson, J., Singhal, V., Paulo, R., Hettinger, A., Erwin, P. J., & Montori, V. M.
- Affiliations
- Mayo Clinic (US)
- Knowledge and Encounter Research Unit (C.C.K., L.M., P.J.E., V.M.M.), Mayo Clinic College of Medicine, Rochester, Minnesota 55905
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2008-12-01
- Volume
- 93
- Issue
- 12
- Pages
- 4606-4615
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2147276857
- Cited by
- 395
- References
- 49
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 10 · 2023: 12 · 2022: 5 · 2021: 18 · 2020: 30 · 2019: 17 · 2018: 17 · 2017: 33 · 2016: 26 · 2015: 43 · 2014: 30 · 2013: 30 · 2012: 35
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Keywords
- childhood obesity prevention, lifestyle intervention, physical activity, sedentary behavior, dietary habits, body mass index, children and adolescents, intervention efficacy, intervention duration, obesity prevention programs, healthy lifestyle behaviors, healthy eating promotion, physical activity promotion, sedentary behavior reduction, weight gain prevention
- MeSH terms
- Adolescent, Child, Child Behavior, Child, Preschool, Data Interpretation, Statistical, Feeding Behavior, Humans, Life Style, Motor Activity, Obesity, Quality Control, Research Design, Body Mass Index, Randomized Controlled Trials as Topic
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