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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In the citing paper
“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
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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
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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
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Flagged first, then by citations
1 of the 49 references couldn’t be matched to a known paper.
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
Styne, D. M., Arslanian, S. A., Connor, E. L., Farooqi, I. S., Murad, M. H., Silverstein, J. H., & Yanovski, J. A. (2017) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-2573 · Cited by 1,375
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
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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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