Family Sports Interventions for the Treatment of Obesity in Childhood: A Meta- A Nalysis

Background Obesity in children has become one of the key concerns of the World Health Organization (WHO), and the incidence of related non-communicable diseases is also rising.Objective This study evaluates the effect of family sports participation on the treatment and prevention of obesity in children aged 0–14 years old by systematic analysis.Study Design Systematic analysis;Level of Evidence,4.Date Extration according to PRISMA-IPD (Preferred Reporting Items for MetaAnalyses of individual participant data) guidelines.The two researchers independently assessed the risk and bias of the articles, obtained a comprehensive, high-quality result,and extracted the data based on the Cochrane intervention system review manual.Data Sources The databases used to search for literature are Google Scholar,CNKI, VIP, Scopus, Embase, SpringerLink, Sciencedirect, Cochrane Library, Wanfang, PubMed, and Web of Science. The last document search date was November 6, 2020.Study Selection Selection criteria following:Randomized controlled trials (RCTs) were selected from the searches that used family sports interventions or family sports combined with dietary adjustments and behavioral habits change. Only studies targeting overweight or obese children aged 0–14 years were included.Main Results The search resulted in a total of 16 studies. Across all 16 studies, there were a total of 1,680 participants in the experimental groups and 1,701 participants in the control groups. The results are as follows:body mass index (BMI)(SMD-RE = -4.10, 95% CI (-0.84 ~ 0.02), Z = 1.88, P = 0.06); Body weight (SMD-RE = -0.77, 95% CI (-1.53 ~ -0.01), Z = 2.00, P = 0.05); Waist circumference (SMD-RE = -0.45, 95% CI (-1.36 ~ 0.47), Z = 0.96, P = 0.34); Body fat rate (SMD-FE = -0.06, 95% CI (-0.22 ~ 0.11), Z = 0.69, P = 0.49). Hence, through family sports intervention among obese children, juvenile and obese body composition—BMI, body weight, waist circumference, and body fat rate—are all reduced.Conclusions Compared with the samples without family sports, the weight, BMI, body fat rate and waist circumference of obese children participating in family sports decreased

COMORBID CONDITIONS IN OBESITY IN CHILDREN AND ADOLESCENTS AND MODERN TECHNOLOGIES OF THEIR DIAGNOSIS

The review presents modern views of not only the long-known comorbid conditions and obesity in children and adolescents, including arterial hypertension, dyslipidemia, steatohepatosis, impaired carbohydrate tolerance and type 2 diabetes, but also less studied comorbid associations with overweight in childhood: ectopic deposition of fatty tissue, reproductive and psychological disorders, orthopedic problems and disorders of the gastrointestinal tract. It is emphasized that only a comprehensive interdisciplinary approach to the observation and treatment of obesity can help in the development and implementation of a personalized and therefore more effective selection of therapeutic and preventive interventions.

Introduction to the Special Issue on Eating Disorders and Obesity in Children and Adolescents

In this Special Issue of Children, we can find several articles that present the results of various current investigations in the field of eating disorders and obesity in children and adolescents [...]