Comparative effectiveness of school-based obesity prevention programs for children and adolescents: a systematic review and network meta-analysis
2024

Effectiveness of School-Based Obesity Prevention Programs

Sample size: 68489 publication 10 minutes Evidence: high

Author Information

Author(s): Hassan Mohamed A., McDonough Daniel J., Ryu Suryeon, Zhou Wanjiang, Oginni John, Gao Zan

Hypothesis

What is the relative effectiveness of various school-based obesity prevention initiatives in improving body mass index (BMI) among children and adolescents?

Conclusion

School-based interventions focusing on physical activity alone or multiple components are effective in reducing BMI and BMIz in children and adolescents.

Supporting Evidence

  • Physical activity only interventions were the most effective for reducing BMI.
  • Multiple-component interventions were effective for improving BMIz.
  • Only one intervention showed statistically significant differences compared to the control group.

Takeaway

This study found that programs in schools that get kids moving or combine different healthy habits can help them maintain a healthy weight.

Methodology

The study synthesized data from 53 randomized controlled trials (RCTs) using network meta-analysis to compare the effectiveness of different school-based obesity prevention programs.

Potential Biases

High risk of bias in some studies regarding allocation concealment and blinding.

Limitations

Some studies had a high risk of bias, and the definitions of 'multiple components' varied across studies.

Participant Demographics

Participants were children and adolescents aged 6-12 years, with a mean age of 9.40 years.

Statistical Information

P-Value

0.02 for PA only; 0.03 for multiple components

Confidence Interval

BMI: −0.42, 95% CrI: −0.79, −0.07; BMIz: −0.08, 95% CrI: −0.16, −0.01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1504279

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