scholarly journals Impact of child summertime obesity interventions on body mass index, and weight-related behaviours: a systematic review and meta-analysis protocol

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017144 ◽  
Author(s):  
Jennette P Moreno ◽  
Lydi-Anne Vézina-Im ◽  
Elizabeth M Vaughan ◽  
Tom Baranowski

IntroductionIn previous studies, it has been found that on average, children consistently gained weight during the summer months at an increased rate compared with the 9-month school year. This contributed to an increased prevalence of overweight and obesity in children. Several obesity-related interventions have occurred during or targeting the summer months. We propose to conduct a systematic review and meta-analysis of the impact of obesity prevention and treatment interventions for school-age children conducted during the summer or targeting the summer months when children are not in school on their body mass index (BMI), or weight-related behaviours.Methods and analysesA literature search will be conducted by the first author (JPM) using MEDLINE/PubMed, Cochrane Library, Scopus, CINAHL, PsycINFO, EMBASE and Proquest Dissertations and Theses databases from the date of inception to present. Studies must examine interventions that address the modification or promotion of weight-related behaviours (eg, dietary patterns, eating behaviours, physical activity (PA), sedentary behaviour or sleep) and target school-age children (ages 5–18). The primary outcomes will be changes from baseline to postintervention and/or the last available follow-up measurement in weight, BMI, BMI percentile, standardised BMI or per cent body fat. Secondary outcomes will include changes in dietary intake, PA, sedentary behaviour or sleep. Risk of bias will be assessed using the Cochrane risk of bias tool for randomised and non-randomised studies, as appropriate.Ethics and disseminationBecause this is a protocol for a systematic review, ethics approval will not be required. The findings will be disseminated via presentations at scientific conferences and published in a peer-reviewed journal. All amendments to the protocol will be documented and dated and reported in the PROSPERO trial registry.PROSPERO registration numberCRD42016041750

2020 ◽  
Author(s):  
Akibul Islam Chowdhury ◽  
Md. Fazley Rabbi ◽  
Tanjina Rahman ◽  
Sompa Reza ◽  
Mohammad Rahanur Alam

AbstractIntroductionCOVID-19 pandemic has caused havoc worldwide, and different comorbidities have been seen to exacerbate the condition. Obesity is one of the leading comorbidities, which is associated with many other diseases. In this paper, we present a systematic review and meta-analysis estimating the effects of overweight and obesity on COVID-19 disease severity.MethodologyTwo electronic databases (Medline and Cochrane library) and one grey literature database (Grey Literature Report) were searched using the following keywords: overweight, obesity, body mass index, respiratory disease, coronavirus, COVID-19. The risks of bias of the selected studies were assessed by using the Navigation Guide method for human data. Both random and fixed effect meta-analysis were determined using Review Manager (RevMan) software version 5.4.ResultsAfter initial screening, 12 studies (7 cohort studies, four case-control studies, and one cross-sectional study) were fulfilled the eligibility criteria, comprising a total of 405359 patients and included in the systematic review. The pooled risk of disease severity was 1.31 times higher based on both fixed and random effect model among those overweight patients, I2 0% and 2.09 and 2.41 times higher based on fixed and random effect respectively among obese patients, I2 42% compared to healthy individuals.ConclusionOverweight and obesity are common risk factors for disease severity of COVID-19 patients. However, further assessment of metabolic parameters included BMI, waist-hip ratio, and insulin levels, are required to estimate the risk factors of COVID-19 patients and understanding the mechanism between COVID-19 and body mass index.


PLoS ONE ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. e87896 ◽  
Author(s):  
Karthik Darmasseelane ◽  
Matthew J. Hyde ◽  
Shalini Santhakumaran ◽  
Chris Gale ◽  
Neena Modi

2020 ◽  
Vol 5 (05) ◽  
pp. 146-150
Author(s):  
Minakshi Chimanchod ◽  
Vijay Chaudhary ◽  
Abhimanyu Kumar

Overweight and obesity are important determinants of health leading to adverse metabolic changes and increase the risk of non-communicable diseases. Following the increase in adult obesity, the proportion of overweight and obese children and adolescents has also been increasing. Erroneous life style and food habits are mainly responsible for rising graph of obesity. Hence, the present study was undertaken to study the magnitude of overweight/obesity and its correlates among school-age children ranging from 5-15 years, on the basis of 85th and 95th percentile of body mass index (BMI). Result showed the prevalence of overweight and obesity as 10.33% and 3.33%, respectively. Among number of other correlates related with life style, Kapha predominant Prakriti evolved as an important predictor of obesity. Data of this study clearly delineates that obesity is an increasing malady in rural and semi urban populations also on the pattern of metro cities.


Author(s):  
Liene Martinsone-Bērzkalne ◽  
Silvija Umbraško ◽  
Ilva Duļevska ◽  
Liāna Pļaviņa ◽  
Viktorija Cīrule ◽  
...  

AbstractThe number of people with excess weight increases every year. Overweight and obesity in childhood can cause several chronic diseases in adulthood. Children with excess body mass develop more morphological and functional changes, including pulmonary functions. One of the common methods to assess lung function is spirometry. This method is a challenge in assessing lung function for pre-school age children. The aim of this study was to evaluate the correlation between lung vital capacity and body mass index for the pre-school children aged 3–7 years in Rīga. In total 995 pre-school children were included in the study. An informative consent and questionnaire about the development of each individual child was filled in by parents. Several measurements were performed, including height, body mass, and lung vital capacity. This is the first study in Latvia where several morphologic and somatometric measurements were determined in children of pre-school age. There was a positive and statistically significant correlation between lung vital capacity and body height, mass, and chest circumference. The correlation between lung vital capacity and body mass index was not statistically significant. The main results do not differ from the results of similar studies in other countries. The obtained results will help to create a standard of morphological and somatometric parameters in pre-school aged children in Rīga region.


2021 ◽  
Author(s):  
Anthony Danso-Appiah ◽  
Amadou Djirmay Garba ◽  
Nathan C Lo ◽  
Massimiliano Orso ◽  
Kwadwo Owusu Akuffo ◽  
...  

Background WHO-recommended prevalence thresholds for deciding schistosomiasis mass drug administration (MDA) are based on anecdotal evidence and unclear. Objectives This systematic review and meta-analysis commissioned by the WHO, as part of its new schistosomiasis evidence-based guideline development, was to generate a single and global prevalence threshold that should be applied in MDA programmes. Methods We searched several databases from 1979 to 31st March 2021 without language restriction. Two reviewers selected studies, extracted data and assessed the risk of bias using relevant risk of bias tools and resolved disagreements through discussion. The review followed the PRISMA guidelines. Data were analysed and presented as prevalence reduction (PR) and relative risk (RR) for dichotomous outcomes or mean difference for continuous outcomes with their 95% confidence intervals (CIs). Meta-regression of observations on prevalence rates and intensity of infection of MDA programmes and sensitivity analyses to assess the robustness of the results to the risk of bias components were performed. Evidence on benefits, harms, values, preferences, compliance, acceptability, equity and feasibility were also assessed. The overall level of evidence was graded using GRADE. Results Out of 1,232 studies retrieved, 38 studies met our inclusion criteria and 34 studies were included in the meta-analysis. No direct relation was observed between prevalence and intensity of infection. Praziquantel reduced prevalence of S. haematobium in school age children (SAC) at 12 months (RR 0.38, 95% CI 0.28 to 0.52; 8 studies, n=37,868); at 24 months (RR 0.30; 95% CI 0.30 to 0.52; 7 studies; n=37107); at 36 months (RR 0.39, 95% CI 0.21 to 0.71; 5 studies, n=28,146). There was no significant reduction in prevalence at 48 months (2 studies, n=10,954). For S. mansoni, there were reductions in prevalence at 12 months (RR 0.56, 95% CI 0.46 to 0.69; 14 studies, n=86,073); 24 months (RR 0.46; 95% CI 0.32 to 0.66; 14 studies; n=83,721);36 months (RR 0.44, 95% CI 0.33 to 0.58; 7 studies, n=70,933) and at 48 months (RR 0.25, 95% CI 0.11 to 0.59; 5 studies; n=27,483). Further analyses were performed from a series of created prevalence thresholds of 5%, 10%, 15%, 20%, 30% and ≥40% which showed differences in effect of MDA when each of the thresholds was applied. For annual MDA of school age children (SAC), school-based treatment (SBT) appears to perform better than community-wide treatment (CWT) in terms of prevalence reduction. For the different schistosome species, the model suggests, using the same prevalence threshold, it will take shorter time to reach elimination for S. haematobium than S. mansoni; annual MDA using SBT approach for S. haematobium will require about 10 years to achieve elimination whereas it will take over 10 years to around 15 years to achieve elimination for S. mansoni. Conclusion The evidence presented in this systematic review suggests that 10% prevalence should be used as the global prevalence threshold for implementing MDA in endemic countries.


Retos ◽  
2020 ◽  
pp. 404-412
Author(s):  
José Antonio Ortiz Sánchez ◽  
Jesús Del Pozo-Cruz ◽  
Rosa María Alfonso-Rosa ◽  
Daniel Gallardo-Gómez ◽  
Francisco Álvarez-Barbosa

  El objetivo de este estudio fue conocer qué investigaciones de carácter longitudinal se han llevado a cabo que hayan analizado variables relacionadas con el sobrepeso, la obesidad y el sedentarismo en edad escolar, y qué datos se pueden extraer de las mismas. Se revisaron las siguientes bases de datos: MEDLINE (PubMed), Scopus, SportDiscus y WOS (Web of Science). Dicha revisión fue realizada siguiendo el modelo PICOs, y a partir de él, se constituyó el protocolo de búsqueda utilizando términos que definan o representen a niños y jóvenes en edad escolar, que puedan presentar o no sobrepeso u obesidad y sedentarismo. Siguiendo el procedimiento Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), de los 2237 estudios encontrados tan solo 28 cumplieron todos los criterios, por lo que fueron analizados en su totalidad para poder ser incluidos en la revisión. La calidad metodológica de los estudios se evaluó mediante la escala Newcastle-Otawa. De los 28 estudios seleccionados finalmente, 13 tenían una calidad metodológica buena, mientras que los 15 restantes tenían una calidad aceptable. Tras realizar la revisión, se puede concluir que el sedentarismo se ve aumentado paulatinamente con la edad mientras que la actividad física decrece, y consecuentemente, esta situación hace que el sobrepeso y la obesidad se vean incrementadas.  Abstract: The objective of this study was to find out what longitudinal researches have been carried out that have analyzed variables related to overweight, obesity and sedentary lifestyle in school age, and what data can be extracted from them. A systematic review of the MEDLINE (PubMed), Scopus, SportDiscus and WOS (Web of Science) databases was carried out following the PICOs model, using terms that define or represent children and young people of school age, who may or may not be overweight or obese. Following the PRISMA procedure, of the 2237 studies found only 28 met all the criteria and were therefore analyzed in their entirety for inclusion in the review. The methodological quality of the studies was assessed using the Newcastle-Otawa scale. Of the 28 studies finally selected, 13 were of good methodological quality, while the remaining 15 were of acceptable quality. After review was conducted, it can be concluded that sedentary lifestyle is gradually increased with age while physical activity decreases, and consequently, this situation causes overweight and obesity increase.


2021 ◽  
Author(s):  
Muluken Azage ◽  
Achenef Motbainor ◽  
Genet Gedamu ◽  
Wendemagegne Enbiale

Abstract Background: In Ethiopia, soil-transmitted helminthiasis (STHs) infections remain the leading cause of morbidity among school-age children despite the progress in the implementation of control measures. Study findings regarding prevalence of STH among school-age children have been inconsistent and pooled prevalence of STH infections did not account double or triple infections of STH. Therefore, this systematic review and meta-analysis estimates the pooled prevalence of STH by accounting double or triple infections among school-age children in Ethiopia.Methods: Databases and search engines such as PubMed, Web of Science, EMBASE, CINAHL, Google Scholar, Science Direct, and the Cochrane Library were systematically searched. Based on the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was employed to determine the prevalence of STH infections among school-age children. Published articles in the period between 1980 and 2020 were included in the analysis. Three authors independently extracted all data using a data extraction format sheet. STATA Version 16 statistical software was used for analysis. The Cochran’s Q-test was used to evaluate the heterogeneity of the studies and a random-effects model was done to determine pooled prevalence estimate.Results: The overall pooled estimate of STHs was 33% (95% CI:26-39%). The prevalence did not show statistically differ between before, 32.0% (95% CI:25-39%) and after, 33% (95% CI:26-39%) National NTDs control and elimination programme. The pooled prevalence of ascariasis before and after the implementation of NTDs programme was found to be 18% (12.0%, 24%) and 18% (9.0%, 27.0%), respectively with a total pooled estimate of 18.0% (13.0%, 23.0%). The prevalence of trichuris trichuria was also found to be 8.0% (4.0%, 12.0%) before the programme and 15.0% (4%, 26%) after the programme with a total pooled estimate of 10.0% (5.0%, 14.0%). The prevalence of hookworm was 14.0% (9.0%, 19.0%) before the programme and 9.0% (3.0%, 14.0%) after the programme with a total pooled estimate of 12% (8.0%, 17.0%). Conclusion: The overall polled prevalence of STHs in Ethiopia was found at moderate level based on the WHO classification. The recommended control strategies for STHs infections in school-age children at this level of prevalence such as providing preventive chemotherapy or treat all school-age children (enrolled and non-enrolled) once a year, improving sanitation and water supply and providing health education should be strengthen to mee the target of the national and WHO plan.


2018 ◽  
Vol 25 (7) ◽  
pp. 389-401 ◽  
Author(s):  
Jen-Wu Huang ◽  
Yi-Ying Lin ◽  
Nai-Yuan Wu

Object The purpose of this study was to evaluate the clinical effectiveness of telemedicine on changes in body mass index for overweight and obese people as well as for diabetes and hypertension patients. Methods A systematic review of articles published before 31 August 2014, was conducted using searches of Medline, Cochrane Library, EMBASE, and CINAHL Plus. The inclusion criteria were randomised controlled trials that compared telemedicine interventions with usual care or standard treatment in adults and reported a change in body mass index. A meta-analysis was conducted for eligible studies, and the primary outcome was a change in body mass index. Subgroup analysis was performed for the type of telemedicine, main purpose of intervention, and length of intervention. Results Twenty-five randomised controlled trials comprising 6253 people were included in the qualitative and quantitative analyses. The length of intervention ranged from nine weeks to two years. The meta-analysis revealed significant differences in body mass index changes (pooled difference in means = –0.49, 95% confidence interval –0.63 to –0.34, p < 0.001) between the telemedicine and control groups. The subgroup analyses found that either Internet-based or telephone-based intervention was associated with greater changes in body mass index than in controls. Telemedicine intervention was effective in improving body mass index whether it was used for diabetes control, hypertension control, weight loss, or increasing physical activity and was also effective for people with and without diabetes or hypertension. However, only interventions with a duration ≥ 6 months significantly decreased body mass index compared to controls. Conclusion Both patients with chronic disease and overweight/obese people could benefit from telemedicine interventions. We suggest that an effective telemedicine approach should be longer than six months and emphasise the importance of post-interventional follow-ups.


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