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Home-Based Interventions to Treat and Prevent Childhood Obesity: A Systematic Review and Meta-Analysis

机译:家庭干预治疗和预防儿童肥胖:系统评价和荟萃分析

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摘要

Childhood obesity has adverse impacts on premature mortality and morbidity. Managing obesity could prevent premature mortality and several types of complications among high-risk groups. This study aimed to review and examine the effects of home-based interventions to treat and prevent childhood obesity. Three databases, i.e., PubMed, Scopus, and Science Direct, were included to extract articles related to the topic. The terms “childhood obesity”, “home-based intervention”, “parental program”, and “parental involvement” were used as the primary keywords. Appraisal of the systematic review was based on PRISMA formats. Of 1556 publications identified, 22 studies fulfilled the inclusion criteria and were appropriate to conduct a meta-analysis. Overall, the home-based interventions reduced the body mass index (BMI) z-score by 36.99% (z = 36.99, p = 0.00). The data analysis indicated considerable heterogeneity among all interventions (Chi-square = 926.41, df = 22 ( p 0.000001), I 2 = 98%). The home-based intervention positively reduced BMI. Our findings could guide future meaningful home-based interventions to treat and prevent childhood obesity.
机译:儿童肥胖对过早的死亡率和发病率有不利影响。处理肥胖症可以防止高危人群过早死亡和多种类型的并发症。这项研究旨在审查和检查以家庭为基础的干预措施对治疗和预防儿童肥胖的影响。包括三个数据库,即PubMed,Scopus和Science Direct,以提取与该主题相关的文章。主要的关键词是“儿童肥胖”,“家庭干预”,“父母项目”和“父母参与”。系统评价的评估基于PRISMA格式。在确定的1556种出版物中,有22项研究符合纳入标准,适合进行荟萃分析。总体而言,以家庭为基础的干预措施使体重指数(BMI)的z得分降低了36.99%(z = 36.99,p = 0.00)。数据分析表明,所有干预措施之间存在很大的异质性(卡方= 926.41,df = 22(p <0.000001),I 2 = 98%)。家庭干预可以积极降低BMI。我们的发现可以指导未来有意义的基于家庭的干预措施,以治疗和预防儿童肥胖。

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