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. 2021 Feb;22(2):e13109.
doi: 10.1111/obr.13109. Epub 2020 Jul 28.

Effectiveness of lifestyle interventions in preventing harmful weight gain among adolescents: A systematic review of systematic reviews

Nematullah Hayba  1 , Chris Rissel  2 , Margaret Allman Farinelli  1
Affiliations

Effectiveness of lifestyle interventions in preventing harmful weight gain among adolescents: A systematic review of systematic reviews

Nematullah Hayba et al. Obes Rev. 2021 Feb.

Abstract

Obesity in adolescence is associated with stigma during school years, early emergence of co-morbidities in adulthood and premature mortality. Adolescence presents a key window of opportunity to intervene for building healthy eating and physical activity routines and prevent weight gain. This review of reviews assesses the evidence on the effectiveness of prevention interventions conducted with adolescents. Nine reviews assessing the effects of lifestyle interventions in adolescents (defined as age 10 to 19 years old) on weight gain were identified from the 10 health databases searched. Only four reviews conducted meta-analyses, of which, three (two exercise-focused) demonstrated positive changes in primary outcomes of body mass index (BMI) and/or BMI z-score (range of decrease in BMI from 0.06 to 0.47 kg/m2) ). Most were conducted in school settings, and all but two reviews were of low quality. Few reviews reported external validity components that would enable clearer directions for policy makers to implement in real-world settings. More than 140 distinct interventions were included in the reviews, but there remains a serious gap in evidence for effective interventions in adolescents.

Keywords: adolescents; diet; obesity; prevention.

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References

REFERENCES

    1. Organisation WH. Controlling the global obesity epidemic. 2020; https://www.who.int/nutrition/topics/obesity/en/
    1. Collaboration NCDRF. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet. 2017;390(10113):2627-2642.
    1. Society for Adolescent H, Medicine. Preventing and treating adolescent obesity: a position paper of the Society for Adolescent Health and Medicine. J Adolesc Health. 2016;59(5):602-606.
    1. Patton GCCC, Carlin JB, Sawyer SM, Williams J, Olsson CA, Wake M. Overweight and obesity between adolescence and young adulthood: a 10-year prospective cohort study. J Adolesc Health. 2011;48(3):275-280.
    1. Council NHaMR. Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults, Adolescents and Children in Australia. Melbourne, Australia: Health Department Canberra; 2013.

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