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Impact of weight management nutrition interventions on dietary outcomes in children and adolescents with overweight or obesity: a systematic review with meta-analysis

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  • معلومة اضافية
    • بيانات النشر:
      Wiley-Blackwell Publishing Ltd
    • الموضوع:
      2021
    • Collection:
      Queensland University of Technology: QUT ePrints
    • نبذة مختصرة :
      Background: The impact of obesity interventions on dietary intake in children and adolescents with overweight or obesity is unclear. This systematic review aimed to investigate the impact of the dietary component of weight management interventions on the change in diet in children and adolescents with overweight or obesity. Methods: Eligible randomised controlled trials (RCTs) published between 1975 and 2020 were identified by a systematic search following Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Meta-analyses of eligible study outcomes were performed using statistical software. A multilevel random effects model was used with three significant random effects fitted using restricted maximum likelihood estimation. Results: This review identified 109 RCTs, including 95 that reported at least one statistically significant dietary outcome change and 14 reporting no significant dietary change. Results from the meta-analyses (n = 29 studies) indicated that, compared to control groups, intervention groups achieved significantly greater reductions in mean total energy intake at ≤6 months (−194 kcal day −1 , 95% confidence interval = −275.80 to −112.90 kcal day −1 , P < 0.001) and up to 12 months (−112 kcal day −1 95% confidence interval = −218.92 to −5.83 kcal day −1 ) P = 0.038), increases in fruit and/or vegetable intakes over 2–12 months (n = 34, range +0.6 to +1.5 servings day −1 ) and reductions in consumption of sugar-sweetened beverages (n = 28, range −0.25 to −1.5 servings day −1 ) at 4–24 months follow-up. Conclusions: Obesity interventions with a dietary component have a modest but sustained impact on reducing total energy intake and improving intakes of specific food groups in children and adolescents with overweight or obesity. High quality RCTs that are powered to detect change in diet as a primary outcome are warranted.
    • File Description:
      application/pdf
    • Relation:
      https://eprints.qut.edu.au/229864/1/108428935.pdf; Duncanson, K., Shrewsbury, V., Burrows, T., Chai, L. K., Ashton, L., Taylor, R., Gow, M., Ho, M., Ells, L., Stewart, Laura, Garnett, S., Jensen, M. E., Nowicka, P., Littlewood, R., Demaio, A., Coyle, D. H., Walker, Jacqueline L., & Collins, C. E. (2021) Impact of weight management nutrition interventions on dietary outcomes in children and adolescents with overweight or obesity: a systematic review with meta-analysis. Journal of Human Nutrition and Dietetics, 34(1), pp. 147-177.; https://eprints.qut.edu.au/229864/; Faculty of Health; School of Exercise & Nutrition Sciences
    • Rights:
      free_to_read ; http://creativecommons.org/licenses/by-nc/4.0/ ; 2020 The British Dietetic Association Ltd. ; This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au
    • الرقم المعرف:
      edsbas.B64D07