Abstract

META-ANALYSIS: TREATMENT OF CHILDREN OBESITY THROUGH LIFESTYLE INTERVENTIONS

Amjad Salem Alshlaqy*, Rehab Mohammed Aldossari, Asma abdulkarim Almohamad, Fahad Abdullah Wajdi, Hanan Abdullah alrashedi, Hawra Hussain Alsalem, Amani Dhaher H. Alqabli, Bashaer Mahmoud A. Alshubayni, Mustafa Abdulrhman Zaitoni

Abstract

Background & Purpose: Weight problems generally develops from a prolonged excessive energy imbalance caused by calorie intake that exceeds a person’s energy requirements. Thirteen risk elements include genetic predispositions to weight problems, obesogenic environment and accelerated sedentary behaviors. extensive studies have been performed examining each weight problems prevention and treatment in kids and youth, with a number of systematic reviews finished in recent years. The Aim of this work is to provide cumulative data about the effect of lifestyle interventions, by family involvement on children with obesity. Methods: A systematic search was performed of PubMed, Cochrane library Ovid, Scopus & Google scholar to identify Pediatrics RCTs, clinical trials, and comparative studies, which studied the outcome of Intervention group versus Control group of obese children. A meta-analysis was done using fixed and random-effect methods. The primary outcome was fat mass change. Secondary outcome was BMI change. Results: A total of 5 studies were identified involving 806 patients, with 395 patients in Intervention group, and 411 patients in Control group. Regarding primary outcome measures, the fixed-effects model of the meta- analysis study showed highly significant decrease in mean fat mass in Intervention group compared to Control group (p < 0.01). Regarding secondary outcome measures, the fixed-effects model of the meta-analysis study showed non-significant difference in mean BMI in Intervention group compared to Control group (p > 0.05). Conclusion: To conclude, the study provide support that family intervention improves median fat mass and has no to limited effect on BMI.

Keywords: Children obesity, Lifestyle interventions.