Interventions to reduce and prevent childhood obesity in low-income and middle-income countries: a systematic review and meta-analysis.
| Title: | Interventions to reduce and prevent childhood obesity in low-income and middle-income countries: a systematic review and meta-analysis. |
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| Authors: | Olufadewa I; Slum and Rural Health Initiative, Ibadan, Nigeria; University of North Carolina at Charlotte, Charlotte, NC, USA; College of Medicine, University of Ibadan, Ibadan, Nigeria. Electronic address: isaac.olufadewa@srhin.org.; Adesina M; Slum and Rural Health Initiative, Ibadan, Nigeria.; Oladele R; Slum and Rural Health Initiative, Ibadan, Nigeria.; Olufadewa T; Slum and Rural Health Initiative, Ibadan, Nigeria.; Solagbade A; Slum and Rural Health Initiative, Ibadan, Nigeria.; Ogundele O; Slum and Rural Health Initiative, Ibadan, Nigeria.; Asaolu O; Slum and Rural Health Initiative, Ibadan, Nigeria; Faculty of Veterinary Medicine, University of Ilorin, Ilorin, Nigeria.; Adene T; Slum and Rural Health Initiative, Ibadan, Nigeria; Faculty of Veterinary Medicine, University of Abuja, Abuja, Nigeria.; Oladesu O; Slum and Rural Health Initiative, Ibadan, Nigeria; Faculty of Veterinary Medicine, University of Ilorin, Ilorin, Nigeria.; Lawal E; Slum and Rural Health Initiative, Ibadan, Nigeria.; Nnatus J; Slum and Rural Health Initiative, Ibadan, Nigeria.; Akinrinde D; Slum and Rural Health Initiative, Ibadan, Nigeria; College of Medicine, University of Ibadan, Ibadan, Nigeria.; Opone E; Slum and Rural Health Initiative, Ibadan, Nigeria. |
| Source: | The Lancet. Global health [Lancet Glob Health] 2023 Mar; Vol. 11 Suppl 1, pp. S16. |
| Publication Type: | Meta-Analysis; Systematic Review; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101613665 Publication Model: Print Cited Medium: Internet ISSN: 2214-109X (Electronic) Linking ISSN: 2214109X NLM ISO Abbreviation: Lancet Glob Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [England] : Elsevier Ltd. 2013- |
| MeSH Terms: | Pediatric Obesity*/prevention & control; Child ; Humans ; Developing Countries ; Poverty ; Databases, Factual ; Overweight |
| Abstract: | Background: 70% of children with obesity and overweight live in low-income and middle-income countries. Several interventions have been done to reduce the prevalence of childhood obesity and prevent incident cases. Hence, we did a systematic review and meta-analysis to determine the effectiveness of these interventions in reducing and preventing childhood obesity.; Methods: We conducted a search for randomised controlled trials and quantitative non-randomised studies published on MEDLINE, Embase, Web of Science, and PsycINFO databases between Jan 1, 2010, and Nov 1, 2022. We included interventional studies on the prevention and control of obesity in children up to age 12 years in low-income and middle-income countries. Quality appraisal was performed using Cochrane's risk-of-bias tools. We did three-level random-effects meta-analyses and explored the heterogeneity of studies included. We excluded critical risk-of-bias studies from primary analyses. We assessed the certainty of evidence using the Grading of Recommendations Assessment, Development, and Evaluation.; Findings: The search generated 12 104 studies, of which eight studies were included involving 5734 children. Six studies were based on obesity prevention, most of which targeted behavioural changes with a focus on counselling and diet, and a significant reduction in BMI was observed (standardised mean difference 2·04 [95% CI 1·01-3·08]; p75%).; Interpretation: Preventive interventions, such as behavioural change and diet modification, are more effective than control interventions in reducing and preventing childhood obesity.; Funding: None.; (Copyright © 2023 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.) |
| Entry Date(s): | Date Created: 20230303 Date Completed: 20230306 Latest Revision: 20230308 |
| Update Code: | 20260130 |
| DOI: | 10.1016/S2214-109X(23)00099-2 |
| PMID: | 36866473 |
| Database: | MEDLINE |
Meta-Analysis; Systematic Review; Journal Article