Treatment Interventions for Early Childhood Obesity

A Systematic Review

Byron (Alex) Foster, Jill Farragher, Paige Parker, Erica T. Sosa

Research output: Contribution to journalReview article

25 Citations (Scopus)

Abstract

Abstract Context With 25% of preschool-age children in the United States being overweight or obese, effective interventions for these children would have significant public health implications. Randomized trials targeting this age group have been performed since the last systematic review. Objective To systematically review the literature on treatment interventions for overweight or obesity in preschool-age children. Data Sources Medline (1948-July 2014), the Cochrane Central Registry (1991-July 2014), CINAHL (1990-July2014), and PAS abstracts (2000-2014). Study Selection Inclusion criteria were children aged 0 to 6 in the study and adiposity as an outcome. Exclusions were having normal-weight children in the trial and not having a comparison group. Data Extraction Data were extracted independently by 2 authors using a template. Results The initial search yielded 1981 results, narrowed to 289 abstracts after initial review. Further analysis and cross-referencing led to the selection of 6 randomized controlled trials representing 1222 children. Two studies used systems changes and motivational interviewing and showed no significant effect on adiposity. Two studies used an intensive, multidisciplinary approach over 6 months and demonstrated significant decreases in adiposity. One study tested parental coaching and showed a significant reduction in adiposity at 6 months. One study used education on a dairy-rich diet and showed a possible effect on adiposity. Limitations The study designs were too heterogeneous for meta-analysis; few ethnic minority subjects were included. Conclusions Multidisciplinary, intensive interventions have some evidence of efficacy in reducing adiposity in preschool children.

Original languageEnglish (US)
Article number713
Pages (from-to)353-361
Number of pages9
JournalAcademic Pediatrics
Volume15
Issue number4
DOIs
StatePublished - Jul 1 2015
Externally publishedYes

Fingerprint

Pediatric Obesity
Adiposity
Preschool Children
Therapeutics
Motivational Interviewing
Information Storage and Retrieval
Patient Selection
Registries
Meta-Analysis
Randomized Controlled Trials
Public Health
Age Groups
Obesity
Diet
Education
Weights and Measures

Keywords

  • body mass index
  • child
  • health behavior
  • health promotion
  • obesity
  • overweight
  • preschool

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Treatment Interventions for Early Childhood Obesity : A Systematic Review. / Foster, Byron (Alex); Farragher, Jill; Parker, Paige; Sosa, Erica T.

In: Academic Pediatrics, Vol. 15, No. 4, 713, 01.07.2015, p. 353-361.

Research output: Contribution to journalReview article

Foster, Byron (Alex) ; Farragher, Jill ; Parker, Paige ; Sosa, Erica T. / Treatment Interventions for Early Childhood Obesity : A Systematic Review. In: Academic Pediatrics. 2015 ; Vol. 15, No. 4. pp. 353-361.
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