Systematic ReviewTreatment Interventions for Early Childhood Obesity: A Systematic Review
Section snippets
Review Protocol
A detailed protocol was developed and is available by request from the corresponding author. A priori inclusion criteria were studies that enrolled children aged 0 to 6, included a measure of adiposity as an outcome, and had a specific strategy for addressing children aged 0 to 6 if other ages were included. Inclusion of normal-weight children was an exclusion criterion, as we chose to focus on intervention rather than primary prevention. We used 3 accepted definitions for overweight or obesity
Search Results
The initial search yielded 1981 results that were narrowed down to 289 abstracts after initial review of title and abstract for inclusion criteria (done by BF, JF, PP) (Figure). Further analysis of full articles and cross-referencing led to the selection of the 6 studies included in this review (BF, JF); any conflicts were resolved via discussion. Of the 289 articles, 81 were excluded as a result of an inability to analyze the 0- to 6-year-old age group independently of other age groups. For
Discussion
In this systematic review of treatment interventions for obesity in early childhood, the more intensive multidisciplinary studies14, 17 demonstrated significant reductions in adiposity measures compared to usual care, while negative results were seen in 2 large studies done using systems-based interventions along with motivational interviewing.18, 19 The other study that demonstrated a significant change in adiposity measure16 differed from the more intensive studies in 2 ways. First, they
Acknowledgments
BAF was supported by a grant from the US NIH/NCATS (KL2 TL001118). The sponsor had no role in the study design, collection, analysis or interpretation of data; nor in the writing of the report or the decision to submit the article for publication.
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The authors declare that they have no conflict of interest.