Evaluation of the effectiveness of prevention programs for obesity in adolescents: systematic review and metanalysis
DOI:
https://doi.org/10.51723/ccs.v28i02.249Keywords:
obesity, adolescent, program evaluationAbstract
Objectives: To identify, describe and evaluate the effectiveness of obesity prevention programs for adolescents.
Methods: Systematic review with structured search in nine databases. Randomized controlled trials (RCT) and quasi‑experimental studies that reported the experience of these programs when compared to a control were eligible, and the follow‑up of at least one year. The studies’ outcomes should include measures relating to obesity, from which meta‑analyzes would be carried out. It was performed description of programs.
Results: Of 1614 identified studies, 13 met the inclusion criteria. Meta‑ analyzes performed for the mean difference of the Z score outcomes of BMI, BMI and the prevalence of overweight and obesity were ‑0.01, 0.01 and ‑0.01, respectively. The description of the programs revealed elements, such as: motivational, education, to encourage healthy eating and physical activity and family involvement. The meta‑analysis showed a reduction in body fat percentage (mean difference: ‑2.18).
Conclusions: There was significance in the outcome percentage of body fat. The description showed that the evaluated programs have wide range of interventions.
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References
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31. Sichieri R, Barbosa Cunha D. Unbalanced Baseline in School‑Based Interventions to Prevent Obesity: Adjustment Can Lead to Bias – a Systematic Review Obesity Facts. 2014:12.
32. Haerens L, Deforche B, Maes L, Stevens V, Cardon G, De Bourdeaudhuij I. Body mass effects of a phy‑ sical activity and healthy food intervention in middle schools. Obesity (Silver Spring). 2006;14(5):847‑54.
33. Kremer P, Waqa G, Vanualailai N, Schultz JT, Roberts G, Moodie M, et al. Reducing unhealthy weight gain in Fijian adolescents: results of the Healthy Youth Healthy Communities study. Obes Rev. 2011;12 Suppl 2:29‑40.
2. Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, et al. National, regional, and global trends in body‑mass index since 1980: systematic analysis of health examination surveys and epide‑ miological studies with 960 country‑years and 9·1 million participants. Lancet. 2011;377(9765):557‑ 67.
3. Monteiro CA, Conde WL, Popkin BM. Income‑ specific trends in obesity in Brazil: 1975‑2003. Am J Public Health. 2007;97(10):1808‑12.
4. Saúde Md. VIGITEL Brasil 2013Vigilância de fatores de risco e proteção para doenças crônicas por in‑ quérito telefônico. In: Saúde SdVe, editor. Brasília: Ministério da Saúde; 2014. p. 120.
5. Sistema de Vigilância Alimentar e Nutricional – SISVAN. Módulo Gerador de Relatório. [Internet]. 2014 [cited Setembro, 2014.].
6. Black MM, Hager ER, Le K, Anliker J, Arteaga SS, Diclemente C, et al. Challenge! Health promotion/ obesity prevention mentorship model among urban, black adolescents. Pediatrics. 2010;126(2):280‑8.
7. IBGE IBdGeE‑. Pesquisa Nacional de Saúde do Escolar: 2012. In: Sociais CdPeI, editor. Rio de Janeiro2013.
8. Committe WE. Physical Status: the use and inter‑ pretation of anthropometry. Geneva1995.
9. Currie C, Zanotti C, Morgan A, Currie D, de Looze M, Roberts C, et al. Social determinants of health and well‑being among young people. Health behaviour in school‑aged children (hbsc) study : internatio‑ nal report from the 2009/2010 survey Copenhagen: WHO Regional Office for Europe; 2012.
10. Carvalho Malta D. Brazilian Strategic Action Plan to Combat Chronic Non‑communicable Diseases and the global targets set to confront these diseases by 2025: a review. In: Barbosa da Silva Jr J, editor. Brasília: Epidemiol. Serv. Saúde; 2013. p. 151‑64.
11. Bleich SN, Segal J, Wu Y, Wilson R, Wang Y. Systematic review of community‑based chil‑ dhood obesity prevention studies. Pediatrics. 2013;132(1):e201‑10.
12. Nutrition Co. Prevention of Pediatric Overweight and Obesity. Pediatrics. 2003.
13. SIGN. Annex C: critical appraisal - notes and checklists. Scotland: Healthcare Improvement Scotland.: SIGN 50: a guideline developer’s handbook. [Online]; 2013 [
14. Mihas C, Mariolis A, Manios Y, Naska A, Arapaki A, Mariolis‑Sapsakos T, et al. Evaluation of a nu‑ trition intervention in adolescents of an urban area in Greece: short‑ and long‑term effects of the VYRONAS study. Public health nutrition [Internet]. 2010; 13(5):[712‑9 pp.]. Available from: http:// onlinelibrary.wiley.com/o/cochrane/clcentral/arti‑ cles/357/CN‑00750357/frame.html.
15. Utter J, Scragg R, Robinson E, Warbrick J, Faeamani G, Foroughian S, et al. Evaluation of the Living 4 Life project: a youth‑led, school‑based obesity pre‑ vention study. Obes Rev. 2011;12 Suppl 2:51‑60.
16. Ezendam NP, Brug J, Oenema A. Evaluation of the Web‑based computer‑tailored FATaintPHAT inter‑ vention to promote energy balance among adoles‑ cents: results from a school cluster randomized trial. Arch Pediatr Adolesc Med. 2012;166(3):248‑55.
17. Foster GD, Sherman S, Borradaile KE, Grundy KM, Vander Veur SS, Nachmani J, et al. A policy‑based school intervention to prevent overweight and obe‑ sity. Pediatrics. 2008;121(4):e794‑802.
18. French SA, Gerlach AF, Mitchell NR, Hannan PJ, Welsh EM. Household obesity prevention: Take actiona group‑randomized trial. Obesity. 2011;19(10):2082‑8.
19. Salmon J, Ball K, Hume C, Booth M, Crawford D. Outcomes of a group‑randomized trial to prevent excess weight gain, reduce screen behaviours and promote physical activity in 10‑year‑old children: switch‑play. Int J Obes (Lond). 2008;32(4):601‑12.
20. Simon C, Schweitzer B, Oujaa M, Wagner A, Arveiler D, Triby E, et al. Successful overweight prevention in adolescents by increasing physical activity: a 4‑year randomized controlled intervention. Int J Obes (Lond). 2008;32(10):1489‑98.
21. IBGE IBdGeE‑. Pesquisa Nacional por Amostra de Domicílios ‑ PNAD. In: Diretoria de Pesquisas CdTeR, editor. 2012.
22. Singh AS, Chin APMJ, Kremers SP, Visscher TL, Brug J, van Mechelen W. Design of the Dutch Obesity Intervention in Teenagers (NRG‑DOiT): systematic development, implementation and evaluation of a school‑based intervention aimed at the prevention of excessive weight gain in adolescents. BMC Public Health. 2006;6:304.
23. Silva A, Bortollini G, Jaime P. Brazil’s national pro‑ grams targeting childhood obesity prevention. International Journal of Obesity Supplements. 2013:3.
24. Fotu KF, Millar L, Mavoa H, Kremer P, Moodie M, Snowdon W, et al. Outcome results for the Ma’alahi Youth Project, a Tongan community‑based obesity prevention programme for adolescents. Obes Rev. 2011;12 Suppl 2:41‑50.
25. Sichieri R. Epidemiologia da Obesidade. 1. ed. ed. Rio de Janeiro: UERJ; 1998. 146 p. p.
26. Doak CM, Visscher TL, Renders CM, Seidell JC. The prevention of overweight and obesity in children and adolescents: a review of interventions and pro‑ grammes. Obes Rev. 2006;7(1):111‑36.
27. Waters E, de Silva‑Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, et al. Interventions for pre‑ venting obesity in children. Cochrane Database Syst Rev. 2011(12):Cd001871.
28. Vargas IC, Sichieri R, Sandre‑Pereira G, da Veiga GV. Evaluation of an obesity prevention program in adolescents of public schools. Rev Saude Publica. 2011;45(1):59‑68.
29. Gortmaker SL, Peterson K, Wiecha J, Sobol AM, Dixit S, Fox MK, et al. Reducing obesity via a school‑based interdisciplinary intervention among youth: Planet Health. Arch Pediatr Adolesc Med. 1999;153(4):409‑18.
30. Singh AS, Chin APMJ, Brug J, van Mechelen W. Dutch obesity intervention in teenagers: effecti‑ veness of a school‑based program on body com‑ position and behavior. Arch Pediatr Adolesc Med. 2009;163(4):309‑17.
31. Sichieri R, Barbosa Cunha D. Unbalanced Baseline in School‑Based Interventions to Prevent Obesity: Adjustment Can Lead to Bias – a Systematic Review Obesity Facts. 2014:12.
32. Haerens L, Deforche B, Maes L, Stevens V, Cardon G, De Bourdeaudhuij I. Body mass effects of a phy‑ sical activity and healthy food intervention in middle schools. Obesity (Silver Spring). 2006;14(5):847‑54.
33. Kremer P, Waqa G, Vanualailai N, Schultz JT, Roberts G, Moodie M, et al. Reducing unhealthy weight gain in Fijian adolescents: results of the Healthy Youth Healthy Communities study. Obes Rev. 2011;12 Suppl 2:29‑40.
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Published
2018-06-28
How to Cite
1.
Freitas MG de, Souza KM, Elias FTS, Santos M da S. Evaluation of the effectiveness of prevention programs for obesity in adolescents: systematic review and metanalysis. Com. Ciências Saúde [Internet]. 2018 Jun. 28 [cited 2024 Jul. 3];28(02):250-61. Available from: https://revistaccs.escs.edu.br/index.php/comunicacaoemcienciasdasaude/article/view/249
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