Diet Therapeutics Interventions for Obesity: A Systematic Review and Network Meta-Analysis

Background: Up to now, different diet therapeutics interventions have been introduced for the treatment of obesity. The present study aimed to compare the diet therapeutics interventions for obesity simultaneously. Study design: Systematic review and network meta-analysis Methods: The major international databases, including Medline (via PubMed), Web of Science, Scopus, Cochrane Library, and Embase, were searched using a predesigned search strategy. Randomized controlled trials (RCTs) that had compared the diet therapy interventions were included. The mean difference with a 95% confidence interval was used to summarize the effect size in the network meta-analysis. The frequentist approach was used for data analysis. Results: In total, 36 RCTs out of 9335 retrieved references met the inclusion criteria in this review. The included RCTs formed nine independent networks. Based on the results, Hypocaloricdiet+Monoselect Camellia (MonCam, P=0.99), energy restriction, behavior modification+exercise (LED) (P=0.99), sweetener at 20% of total calories (HFCS20)+Ex (P=0.67), catechin-richgreentea(650)+inulin (P=0.68), very low calorie diet (VLCD) (P=1.00), normal protein diet+resistance exercise (NPD+RT) (P=0.80), low-calorie diets+exercise (Hyc+Ex) (P=0.85), high-soy-protein low-fat diet (SD) (P=0.75), calorie restriction+behavioral weight loss (Hyc+BWL) (P=0.99) were the better treatments for weight loss in the networks one to nine, respectively. Conclusion: Based on the results of network meta-analysis, it seems that Hypocaloricdiet+MonCam, LED, HFCS20+Ex, catechin-rich green tea +inulin, VLCD, NPD+RT, Hyc+Ex, SD, Hyc+BWL, are the better treatments for weight loss in patients with overweight and obesity.

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Intermittent Versus Continuous Energy Restriction for Weight Loss and Metabolic Improvement: A Meta‐Analysis and Systematic Review

Obesity ◽

10.1002/oby.23023 ◽

2020 ◽

Vol 29 (1) ◽

pp. 108-115

Author(s):

Shasha He ◽

Jiao Wang ◽

Jie Zhang ◽

Jixiong Xu

Keyword(s):

Systematic Review ◽

Weight Loss ◽

Meta Analysis ◽

Energy Restriction ◽

Continuous Energy

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

BMJ Open ◽

10.1136/bmjopen-2017-017144 ◽

2017 ◽

Vol 7 (10) ◽

pp. e017144 ◽

Cited By ~ 2

Author(s):

Jennette P Moreno ◽

Lydi-Anne Vézina-Im ◽

Elizabeth M Vaughan ◽

Tom Baranowski

Keyword(s):

Systematic Review ◽

Body Mass Index ◽

Sedentary Behaviour ◽

Body Mass ◽

Meta Analysis ◽

Overweight And Obesity ◽

Risk Of Bias ◽

School Age Children ◽

Cochrane Library ◽

School Age

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

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Impact of adult weight management interventions on mental health: a systematic review and meta-analysis protocol

BMJ Open ◽

10.1136/bmjopen-2019-031857 ◽

2020 ◽

Vol 10 (1) ◽

pp. e031857

Author(s):

Rebecca A Jones ◽

Emma R Lawlor ◽

Simon J Griffin ◽

Esther M F van Sluijs ◽

Amy L Ahern

Keyword(s):

Mental Health ◽

Systematic Review ◽

Weight Loss ◽

Weight Management ◽

English Language ◽

Meta Analysis ◽

Overweight And Obesity ◽

Primary Data ◽

Management Interventions ◽

The Impact

IntroductionThe effects of interventions targeting weight loss on physical health are well described, yet the evidence for mental health is less clear. It is essential to better understand the impact of weight management interventions on mental health to optimise care and minimise risk of harm. We will assess the effect of behavioural weight management interventions on mental health in adults with overweight and obesity.Methods and analysisThe systematic review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance. We will include behavioural weight management interventions with a diet and/or physical activity component focusing on weight loss for adults with a body mass index ≥25 kg/m2. Randomised controlled trials (RCTs) and cluster RCTs will be the only eligible study designs. Outcomes of interest will be related to mental health. The following databases were searched from inception to 07 May 2019: MEDLINE, Embase, Cochrane database (CENTRAL), PsycINFO, ASSIA, AMED and CINAHL. The search strategy was based on four concepts: (1) adults, defined as ≥18 years, with overweight/obesity, defined as BMI ≥25kg/m², (2) weight management interventions, (3) mental health outcomes and (4) study design. The search was restricted to English-language published papers, with no other restrictions applied. Two stage screening for eligibility will be completed by two independent reviewers, with two independent reviewers completing data extraction and risk of bias assessment. Data permitting, a random-effects meta-analysis of outcomes, subgroup analyses and meta-regression will be conducted. If not appropriate, narrative synthesis and ‘levels of evidence’ assessment will be completed.Ethics and disseminationEthical approval is not required as primary data will not be collected. The completed systematic review will be disseminated in a peer-reviewed journal, at conferences and contribute towards the lead author’s PhD thesis.PROSPERO registration numberCRD42019131659.

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Effect of weight loss induced by energy restriction on measures of arterial compliance: A systematic review and meta-analysis

Atherosclerosis ◽

10.1016/j.atherosclerosis.2016.01.042 ◽

2016 ◽

Vol 247 ◽

pp. 7-20 ◽

Cited By ~ 11

Author(s):

K.S. Petersen ◽

P.M. Clifton ◽

N. Lister ◽

J.B. Keogh

Keyword(s):

Systematic Review ◽

Weight Loss ◽

Arterial Compliance ◽

Meta Analysis ◽

Energy Restriction

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Prevalence and trends of thinness, overweight and obesity among children and adolescents aged 3–18 years across Europe: a protocol for a systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2017-018241 ◽

2017 ◽

Vol 7 (12) ◽

pp. e018241 ◽

Cited By ~ 4

Author(s):

Miriam Garrido-Miguel ◽

Iván Cavero-Redondo ◽

Celia Álvarez-Bueno ◽

Fernando Rodriguez-Artalejo ◽

Luis Moreno Aznar ◽

...

Keyword(s):

Systematic Review ◽

Children And Adolescents ◽

Weight Status ◽

Task Force ◽

Meta Analysis ◽

Overweight And Obesity ◽

European Region ◽

Cochrane Library ◽

Public Health Issue ◽

Childhood And Adolescence

IntroductionIncreasing prevalence of both thinness and excess weight during childhood and adolescence is a significant public health issue because of short-term health consequences and long-term tracking of weight status. Monitoring weight status in Europe may serve to identify countries and regions where rates of these disorders are either slowing down or increasing to evaluate recent policies aimed at appropriate body weight, and to direct future interventions. This study protocol provides a standardised and transparent methodology to improve estimating trends of thinness, overweight and obesity in children aged 3–18 years and adolescents across the European region between 2000 and 2017.Methods and analysisThis protocol is guided by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and the Cochrane Collaboration Handbook. To identify relevant studies, a search will be conducted in MEDLINE, EMBASE, Cochrane Library, CINAHL and Web of Science databases. From the selected studies, relevant references will be screened as supplemental sources. Finally, open search in websites from health institutions will be conducted to identify weight status data not published in scientific journals. Cross-sectional, follow-up studies and panel surveys reporting weight status (objectively measured height and weight) according to the International Obesity Task Force criteria, and written in English or Spanish will be included. Subgroup analyses will be carried out by gender, age, study year and country or European region.DiscussionThis study will provide a comprehensive description of weight status of children and adolescents across Europe from 2000 to 2017. The results will be disseminated in a peer-reviewed journal. This study will use data exclusively from published research or institutional literature, so institutional ethical approval is not required.PROSPERO registration numberCRD42017056917.

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Clinical Outcomes of Dietary Replacement of Saturated Fatty Acids with Unsaturated Fat Sources in Adults with Overweight and Obesity: A Systematic Review and Meta-Analysis of Randomized Control Trials

Annals of Nutrition and Metabolism ◽

10.1159/000477216 ◽

2017 ◽

Vol 71 (1-2) ◽

pp. 107-117 ◽

Cited By ~ 15

Author(s):

Bridget A. Hannon ◽

Sharon V. Thompson ◽

Ruopeng An ◽

Margarita Teran-Garcia

Keyword(s):

Systematic Review ◽

Fatty Acids ◽

Body Composition ◽

Unsaturated Fatty Acids ◽

Keyword Search ◽

Meta Analysis ◽

Saturated Fatty Acids ◽

Overweight And Obesity ◽

Cochrane Library ◽

Unsaturated Fat

Background: Obesity and dyslipidemia are frequently treated with dietary interventions before pharmacotherapy is given. Diets high in unsaturated fat have proven advantageous to disease treatment. Aims: The purpose of this systematic review and meta-analysis was to assess the evidence of the effect of saturated fatty acids (SFA) replacement with unsaturated fatty acids (UFA) in metabolically healthy adults with overweight and obesity on markers of dyslipidemia and body composition. Methods: Keyword search was performed in PubMed, CINAHL, and Cochrane Library for randomized controlled trials (RCTs) evaluating the effects of fatty acid substitution in adults with overweight and obesity. Meta-analysis was performed on interventions assessing lipoprotein levels and body composition. Publication bias was assessed by funnel plot inspection, Begg's, and Egger's test. Results: Eight RCTs enrolling 663 participants were included in the review, with intervention durations between 4 and 28 weeks. Although nonsignificant (p = 0.06), meta-analysis found UFA replacement to reduce total cholesterol concentrations by 10.68 mg/dL (95%CI -21.90 to 0.53). Reductions in low-density lipoprotein cholesterol and triglycerides were statistically nonsignificant. Conclusions: Due to null results and a small number of studies included, there is no strong evidence that replacement of SFA with UFA may benefit lipid profiles in this population.

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Efficacy and safety of very low calorie ketogenic diet (VLCKD) in patients with overweight and obesity: A systematic review and meta-analysis

Reviews in Endocrine and Metabolic Disorders ◽

10.1007/s11154-019-09514-y ◽

2019 ◽

Vol 21 (1) ◽

pp. 5-16 ◽

Cited By ~ 23

Author(s):

Marco Castellana ◽

Eleonora Conte ◽

Angelo Cignarelli ◽

Sebastio Perrini ◽

Andrea Giustina ◽

...

Keyword(s):

Systematic Review ◽

Ketogenic Diet ◽

Meta Analysis ◽

Overweight And Obesity ◽

Efficacy And Safety ◽

Low Calorie

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Use of Technology-Based Interventions in the Treatment of Patients with Overweight and Obesity: A Systematic Review

Nutrients ◽

10.3390/nu12123634 ◽

2020 ◽

Vol 12 (12) ◽

pp. 3634

Author(s):

Lorena Rumbo-Rodríguez ◽

Miriam Sánchez-SanSegundo ◽

Nicolás Ruiz-Robledillo ◽

Natalia Albaladejo-Blázquez ◽

Rosario Ferrer-Cascales ◽

...

Keyword(s):

Systematic Review ◽

Weight Loss ◽

Personal Digital Assistant ◽

Overweight And Obesity ◽

Cochrane Library ◽

Obese Patients ◽

Self Monitoring ◽

Global Epidemic ◽

Use Of Technology ◽

Different Types

Introduction: Obesity is one of the most important health problems worldwide. The prevalence of obesity has increased dramatically in the last decades and is now recognized as a global epidemic. Given the dramatic consequences of obesity, new intervention approaches based on the potential of technologies have been developed. Methods: We conducted a systematic review of studies using PubMed, ScienceDirect, Cochrane Library, and MedLine databases to assess how different types of technologies may play an important role on weight loss in obese patients. Results: Forty-seven studies using different types of technologies including smartphones, app, websites, virtual reality and personal digital assistant were included in the review. About half of interventions (47%) found a significant effect of the technology-based interventions for weight lost in obese patients. The provision of feedback could also be effective as a complement to interventions carried out using technology to promote weight loss. Conclusions: The use of technologies can be effective to increase weight loss in patients with obesity improving treatment adherence through self-monitoring.

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