School-Based Intervention to Reduce the Risk of Obesity in Children: A Meta-Analysis

2020 ◽  
Author(s):  
Riftiani Nikmatul Nurlaili ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Rita Benya Adriani ◽  
◽  
...  
Keyword(s):  
Childhood Obesity ◽  
English Language ◽  
Controlled Trial ◽  
Meta Analysis ◽  
School Age Children ◽  
School Based Intervention ◽  
Central Java ◽  
School Based ◽  
Nutritional Problem ◽  
Obesity In Children

ABSTRACT Background: Childhood obesity remains a serious nutritional problem in both developed and developing countries. The prevalence of school-age children with obesity has increased more than ten times, from 11 million in 1975 to 124 million in 2016. One of the efforts to overcome the increase in childhood obesity is providing school-based intervention. This study aimed to estimate the effect of a school-based intervention to reduce the risk of obesity in children according to data from primary studies. Subjects and Method: This was a meta analysis and systematic review. Studies published from 2007 to 2018 were collected from Google Scholar, PubMed, BMJ, ScienceDirect, BMC, and Sage databases. Keywords used (preschool OR school) AND (intervention OR program OR prevention) AND (“children obesity” OR “children overweight”) AND “randomized control trials”. The inclusion criteria were full text, in English language, using randomized controlled trial study design, and reporting risk ratio. The selected articles were analyzed by PRISMA guideline and Revman 5.3. Results: 8 studies from China (3), Meksiko, United States (2), Portugal, and German showed that school-based intervention reduced the risk of obesity in children (RR= 0.91; CI 95%= 0.84 to 0.99; p=0.040) with (I2=35%; p=0.150). Conclusion: School-based intervention can reduce the risk of obesity in children. Keywords: school-based intervention, obesity, children Correspondence: Riftiani Nikmatul Nurlaili. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085746737137. DOI: https://doi.org/10.26911/the7thicph.03.126

Exclusive Breastfeeding and Prevention of Obesity in Children Under Five: A Meta-Analysis

2020 ◽  
Author(s):  
Elma Yopiana ◽  
◽  
Bhisma Murti ◽  
Yulia Lanti Retno Dewi ◽  
◽  
...  
Keyword(s):  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
English Language ◽  
Protective Factor ◽  
Meta Analysis ◽  
Formula Milk ◽  
Children Under Five ◽  
Under Five ◽  
Central Java ◽  
Obesity In Children

ABSTRACT Background: In both developed and developing countries, childhood obesity has reached epidemic levels. Obesity is associated with adverse health outcomes in children, including asthma and sleep apnea. The studies showed that breastfeeding is a protective factor of obesity in children. This study aimed to determine exclusive breastfeeding and prevention of obesity in children under five. Subjects and Method: This was a meta-analysis and systematic review conducted by search online published articles toward exclusive breastfeeding and obesity in children under five.Original studies published from 2003 to 2016 were obtained from PubMed, Science Direct, Springer Link, and Google Scholar databases. Keywords used “Children Under Five” AND “Breast Feeding” AND “non Breast Feeding” OR “Formula milk” OR “Infant Formula” AND “Obesity” OR “Body Mass Index”. The inclusion criteria were full text, in English language, using observational or cohort study design, and reporting adjusted odds ratio. The selected articles were analyzed using PRISMA guideline and Revman 5.3. Results: 6 studies from California, Massachusetts, China, German, Swedish, and Dutch, reported that exclusive breastfeeding was a protective factor of obesity in children under five (aOR= 0.95; 95% CI= 0.86 to 1.06; p= 0.360) with (I²= 82%, p= 0.001). Conclusion: Exclusive breastfeeding is a protective factor of obesity in children under five Keywords: obesity, exclusive breastfeeding, meta-analysis Correspondence: Elma Yopiana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 083867060745. DOI: https://doi.org/10.26911/the7thicph.03.124

The Effectiveness of Acupuncture in Reducing Musculoskeletal Pain: A Meta-Analysis

2020 ◽  
Author(s):  
Kurnia Eka Putri ◽  
◽  
Bhisma Murti ◽  
Hanung Prasetya ◽  
◽  
...  
Keyword(s):  
Musculoskeletal Pain ◽  
English Language ◽  
Musculoskeletal Diseases ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Sham Acupuncture ◽  
Randomized Controlled ◽  
Central Java ◽  
Keywords Acupuncture ◽  
Therapy Intervention

ABSTRACT Background: Musculoskeletal disorder affects the musculoskeletal system’s function, which includes tendons, bursae, bones, muscles, joints, and ligaments. Acupuncture is one of the non-pharmacological alternative therapies for treating musculoskeletal disorders. This study aimed to examine the effectiveness of acupuncture in reducing pain in musculoskeletal diseases. Subjects and Method: This was a meta-analysis and systematic review. The study was collected articles from PubMed, ProQuest, Science Direct, Scopus, Spinger Link, and Google Scholar databases. The inclusion criteria were full text in English language and used randomized controlled trial study design. There were 8 articles with 466 study subjects comprised in two groups, including 236 people received acupuncture therapy (intervention) and 230 people received sham acupuncture (control). The selected articles were analyzed by ReVman 5.4. Results: This study had high heterogeneity (I2= 90%; p<0.001). This study reported that acupuncture was more effective to reduce musculoskeletal pain than sham acupuncture (Mean Difference= 1.63; 95% CI= 0.89 to 2.38; p= 0.001). Conclusion: Acupuncture is more effective to reduce musculoskeletal pain than sham acupuncture. Keywords: acupuncture, musculoskeletal pain Correspondence: Kurnia Eka Putri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +628995212646. DOI: https://doi.org/10.26911/the7thicph.05.52

scholarly journals Evaluation of Physical Activity and Lifestyle Interventions Focused on School Children with Obesity Using Accelerometry: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 17 (17) ◽  
pp. 6031
Author(s):  
Jose Manuel Jurado-Castro ◽  
Mercedes Gil-Campos ◽  
Hugo Gonzalez-Gonzalez ◽  
Francisco Jesus Llorente-Cantarero
Keyword(s):  
Physical Activity ◽  
Childhood Obesity ◽  
School Children ◽  
Physical Activity Intervention ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Vigorous Physical Activity ◽  
School Age Children ◽  
Z Score ◽  
Activity Component

Despite the existence of global recommendations for physical activity and lifestyle to avoid childhood obesity, there are no specific recommendations for school-age children. The aim of this meta-analysis was to measure the effects of current interventions with a physical activity component on body mass index (BMI) Z-score and on the moderate and vigorous physical activity (MVPA) time, measured by accelerometry, and focused on children with obesity. Randomized controlled trial studies (RCTs) based on physical activity interventions focused on children with obesity (6 to 12 years old) from January 1991 to August 2018 were included. The post-intervention mean and standard deviation of the BMI Z-score and MVPA engaged time were extracted to calculate the results using random effects models. Of a total of 229 studies considered potentially eligible, only 10 RCTs met the inclusion criteria. There were improvements in the BMI Z-score for physical activity intervention groups, compared with non-intervention children in addition to a significant increase in time engaged in MVPA. In conclusion, interventions with a physical activity component in school-children with obesity seem to be effective at reducing BMI and producing an increase in time spent engaged in physical activity. Therefore, interventions based on physical activity should be considered one of the main strategies in treating childhood obesity.

School-based interventions for the treatment of childhood obesity: a systematic review, meta-analysis and meta-regression of cluster randomised controlled trials

2021 ◽  
pp. 1-28
Author(s):  
Tarcisus Ho ◽  
Ling Jie Cheng ◽  
Ying Lau
Keyword(s):  
Childhood Obesity ◽  
Children And Adolescents ◽  
Meta Analysis ◽  
Overweight And Obesity ◽  
Risk Of Bias ◽  
Medium Effect ◽  
School Based ◽  
Cluster Randomised ◽  
School Based Interventions ◽  
Meta Regression

Abstract Objective Schools offer an ideal setting for childhood obesity interventions due to their access to children and adolescents. This review aimed to systematically review the impact of school-based intervention for the treatment of childhood obesity. Design Eight databases were searched from inception till May 30, 2020. A revised Cochrane risk-of-bias tool and the Grading of Recommendations, Assessment, Development and Evaluations criteria were used to evaluate the risk of bias and overall evidence. Meta-analysis and meta-regression were performed on Stata software using the random-effects model. Overall effect was evaluated using Hedges’ g, and heterogeneity was assessed using Cochran’s Q and I2. Setting Cluster randomised trials (cluster-RCTs) delivered in school. Participants Children and adolescents (6-18 years of age) with overweight and obesity. Results Twelve cluster-RCTs from seven countries with 1,755 participants were included in the meta-analysis. School-based interventions for the treatment of childhood obesity reduced body mass index (BMI) and BMI z-scores with a medium effect (g=0·52). Subgroup analyses showed the greater effectiveness of brief school-based interventions and the interventions conducted in lower-middle to upper-middle economies. Meta-regression assessed the heterogeneity and the final model, with covariates of the type of economies and trial duration, accounted for 41.2% of the variability. The overall quality of evidence was rated low because of the high risk of bias and inconsistency. Conclusions School-based interventions is a possible approach to provide universal healthcare for the treatment of childhood obesity, and further well-designed cluster-RCTs with longer follow-up are needed. This study is registered with PROSPERO (CRD42020160735).

scholarly journals What works to promote walking at the population level? A systematic review

2018 ◽  
Vol 52 (12) ◽  
pp. 807-812 ◽  
Author(s):  
Charlie Foster ◽  
Paul Kelly ◽  
Hamish A B Reid ◽  
Nia Roberts ◽  
Elaine M Murtagh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mass Media ◽  
English Language ◽  
Environmental Changes ◽  
Controlled Trial ◽  
Population Level ◽  
Eligibility Criteria ◽  
Community Initiatives ◽  
School Based ◽  
Randomised Controlled

ObjectiveInterventions to promote walking have focused on individual or group-based approaches, often via the randomised controlled trial design. Walking can also be promoted using population health approaches. We systematically reviewed the effectiveness of population approaches to promote walking among individuals and populations.DesignA systematic review.Data sources10 electronic databases searched from January 1990 to March 2017.Eligibility criteriaEligibility criteria include pre-experimental and postexperimental studies of the effects of population interventions to change walking, and the effects must have been compared with a ‘no intervention’, or comparison group/area/population, or variation in exposure; duration of ≥12 months of follow up; participants in free-living populations; and English-language articles.Results12 studies were identified from mostly urban high-income countries (one focusing on using tax, incentivising the loss of parking spaces; and one using policy only, permitting off-leash dogs in city parks). Five studies used mass media with either environment (n=2) or community (n=3) approaches. Four studies used environmental changes that were combined with policies. One study had scaled up school-based approaches to promote safe routes to schools. We found mass media, community initiatives and environmental change approaches increased walking (range from 9 to 75 min/week).

Abstract 17944: Effects of School-Based Interventions on Body Mass Index in Children and Adolescents: a Systematic Overview and Meta-analysis

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Jiyoon J Park ◽  
Randa Bakhet ◽  
Danica Karl ◽  
Fei Yuan ◽  
Eva Lonn
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Childhood Obesity ◽  
Body Mass ◽  
Meta Analysis ◽  
Control Groups ◽  
School Based ◽  
School Based Interventions ◽  
The Difference ◽  
Dietary Modifications

Background: Childhood obesity is a major public health threat. Various school-based interventions (SBIs) to prevent obesity through physical activity and/or dietary modifications were implemented. However, the effectiveness of such SBIs remains unproven. Therefore, we conducted a meta-analysis of randomized controlled trials (RCTs) of SBIs. Methods: We searched for RCTs of SBIs published since 1990. To be eligible studies had to have an RCT design, to include children aged 6-18 years and SBIs were defined as non-pharmacological and non-surgical interventions carried out in a school setting with a minimum duration of 12 weeks. The primary outcome was change in body mass index (BMI. For each study the difference in the mean change in BMI between the intervention and the control groups was computed. The summary estimate for the difference in mean change in BMI and the 95% confidence interval (CI) was computed using a weighted inverse variance approach and a random- effects model. The I 2 statistic was used to test for heterogeneity. Results: Of 504 studies identified, 41 involving 42 430 participants met the inclusion criteria. SBIs varied greatly between studies by type, duration and delivery. In 10 RCTs the SBI focused on physical activity, in 6 on dietary modifications and in 25 on both physical activity and dietary modifications. SBIs duration ranged from 12 weeks to 4 years. There was no significant difference in mean BMI change between the intervention and the control groups (mean difference = -0.281kg/m 2 ; 95% CI -0.584 to 0.022), although there was significant heterogeneity between the RCTs’ findings (Figure). We found also no consistent impact on other measures of adiposity, physical activity patterns, dietary intakes and psychosocial health and wellbeing. Conclusions: SBIs had no substantial impact on BMI in children aged 6-18 years. Further research is needed to identify effective interventions to prevent childhood obesity.

Malaria classroom corner: a school-based intervention to promote basic malaria awareness and common control practices among school-age children

2020 ◽  
Vol 120 (1) ◽  
pp. 107-119
Author(s):  
Uchechukwu M. Chukwuocha ◽  
Greg N. Iwuoha ◽  
Chisom M. Ogara ◽  
Ikechukwu N.S. Dozie
Keyword(s):  
Primary School ◽  
Behaviour Change ◽  
School Children ◽  
School Age Children ◽  
School Age ◽  
Content Type ◽  
School Based Intervention ◽  
School Based ◽  
Common Control ◽  
Primary School Age

PurposeThis study assessed the effectiveness of malaria classroom corner (MCC), school-based intervention in the promotion of basic malaria awareness and common control practices among children of primary school age.Design/methodology/approachA quasi-experimental design was employed, involving 206 children of primary 5 and 6 classes from two randomly selected public primary schools in Owerri, South Eastern Nigeria. The MCC was designed and set up in the intervention school (with 103 children) while the control school (with 103 children) was offered malaria health talk. Structured pre-tested questionnaire was used to collect data pre- and post-intervention in both schools. Data was analysed using Statistical Package – Stata version 14.1 (Stata Corp, College Station, TX, USA).FindingsResults show that there was a significant enhancement of basic malaria awareness (p = 0.0003) and common preventive and management practices (p = 0.0202) among children in the intervention primary school compared to those in the control primary school.Research limitations/implicationsThe study did not account for actual behaviour change, as its scope was within basic malaria awareness and common control practices.Practical implicationsThis approach could enhance awareness and proactiveness of school children towards malaria prevention and overall health consciousness.Social implicationsThis could help in achieving a healthy population of school children with a positive effect on their school performance.Originality/valueThe MCC could provide a simple, participatory and effective approach for the promotion of basic malaria awareness and common control practices among primary school-age children in malaria endemic areas. Such children could, in turn, become malaria conversation drivers and behaviour change agents in their homes and communities, thereby contributing to the malaria elimination efforts.

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