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. 2014 Jan 29;72(1):3.
doi: 10.1186/2049-3258-72-3.

School based interventions versus family based interventions in the treatment of childhood obesity- a systematic review

Saravana Kumar Kothandan  1
Affiliations

School based interventions versus family based interventions in the treatment of childhood obesity- a systematic review

Saravana Kumar Kothandan. Arch Public Health. .

Abstract

Background: The prevalence of childhood obesity, which has seen a rapid increase over the last decade, is now considered a major public health problem. Current treatment options are based on the two important frameworks of school- and family-based interventions; however, most research has yet to compare the two frameworks in the treatment of childhood obesity.The objective of this review is to compare the effectiveness of school-based intervention with family-based intervention in the treatment of childhood obesity.

Methods: Databases such as Medline, Pub med, CINAHL, and Science Direct were used to execute the search for primary research papers according to inclusion criteria. The review included a randomised controlled trial and quasi-randomised controlled trials based on family- and school-based intervention frameworks on the treatment of childhood obesity.

Results: The review identified 1231 articles of which 13 met the criteria. Out of the thirteen studies, eight were family-based interventions (n = 8) and five were school-based interventions (n = 5) with total participants (n = 2067). The participants were aged between 6 and 17 with the study duration ranging between one month and three years. Family-based interventions demonstrated effectiveness for children under the age of twelve and school-based intervention was most effective for those aged between 12 and 17 with differences for both long-term and short-term results.

Conclusions: The evidence shows that family- and school-based interventions have a considerable effect on treating childhood obesity. However, the effectiveness of the interventional frameworks depends on factors such as age, short- or long-term outcome, and methodological quality of the trials. Further research studies are required to determine the effectiveness of family- and school-based interventions using primary outcomes such as weight, BMI, percentage overweight and waist circumference in addition to the aforementioned factors.

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Figures

Figure 1
Figure 1
Flow chart - search strategy.
See this image and copyright information in PMC

References

    1. IOTF. 2010. Accessed at: http://www.iotf.org/childhoodobesity.asp.
    1. Wang Y. In: International Encyclopaedia of Public Health. Kris H, editor. Oxford: Academic Press; 2008. Child Obesity and Health; pp. 590–604.
    1. Tucker SJ. Parents as agents of change for childhood obesity prevention: a clinical nursing research programme. Paediatrics and Child Health. 2009;72:S189–S193.
    1. Resnick EA, Bishop M, O'Connell A, Hugo B, Isern G, Timm A, Ozonoff A, Geller AC. The CHEER Study to Reduce BMI in Elementary School Students: a School-Based, Parent-Directed Study in Framingham, Massachusetts. The Journal of School Nursing. 2009;72(5):361. doi: 10.1177/1059840509339194. - DOI - PubMed
    1. Luttikhuis HO, Baur L, Jansen H, Shrewsbury V, O'Malley C, Stolk R, Summerbell C. Interventions for treating obesity in children. Cochrane collaboration. 2009;72:1–57. - PubMed

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