Dong-Chul Seo1, Jaesin Sa. 1. Department of Applied Health Science, Indiana University, Bloomington, Indiana 47405, USA. seo@indiana.edu
Abstract
PURPOSE: To quantitatively evaluate the efficacy of interventions designed to prevent or treat obesity among U.S. minority children using meta-analytic techniques. METHODS: A total of 40 intervention trials involving 10,725 children aged 6-19 years were examined. RESULTS: Interventions with more components showed a higher mean effect size than those with fewer components: among 32 controlled trials, d = .07 for one-component (n = 6); d = .08 for two-component (n = 15); d = .33 for three-component (n = 10); and d = .71 for four-component (n = 1) interventions. Interventions with parental involvement (n = 22, d = .21) and lifestyle interventions (n = 14, d = .34) showed a greater mean effect size than those without parental involvement (n = 10, d = .05) or lifestyle interventions (n = 18, d = .04), despite the fact that their 90% confidence intervals overlapped. Among uncontrolled trials (n = 8), two-component interventions (n = 5) yielded d = .86 and three-component interventions (n = 3) yielded d = .96. CONCLUSIONS: Evidence indicates that, among U.S. minority children, obesity interventions with three or more components might be more efficacious than those using fewer components. Parental involvement, lifestyle change, culturally-based adaptation, and interactive computer programs seem to show promise in the reduction of obese minority children. Copyright 2010 Society for Adolescent Medicine. Published by Elsevier Inc. All rights reserved.
PURPOSE: To quantitatively evaluate the efficacy of interventions designed to prevent or treat obesity among U.S. minority children using meta-analytic techniques. METHODS: A total of 40 intervention trials involving 10,725 children aged 6-19 years were examined. RESULTS: Interventions with more components showed a higher mean effect size than those with fewer components: among 32 controlled trials, d = .07 for one-component (n = 6); d = .08 for two-component (n = 15); d = .33 for three-component (n = 10); and d = .71 for four-component (n = 1) interventions. Interventions with parental involvement (n = 22, d = .21) and lifestyle interventions (n = 14, d = .34) showed a greater mean effect size than those without parental involvement (n = 10, d = .05) or lifestyle interventions (n = 18, d = .04), despite the fact that their 90% confidence intervals overlapped. Among uncontrolled trials (n = 8), two-component interventions (n = 5) yielded d = .86 and three-component interventions (n = 3) yielded d = .96. CONCLUSIONS: Evidence indicates that, among U.S. minority children, obesity interventions with three or more components might be more efficacious than those using fewer components. Parental involvement, lifestyle change, culturally-based adaptation, and interactive computer programs seem to show promise in the reduction of obese minority children. Copyright 2010 Society for Adolescent Medicine. Published by Elsevier Inc. All rights reserved.
Authors: Erica G Soltero; Crystal Ramos; Allison N Williams; Elva Hooker; Jenny Mendez; Heidi Wildy; Karen Davis; Valentina Hernandez; Omar A Contreras; Maria Silva; Elvia Lish; Gabriel Q Shaibi Journal: Am J Prev Med Date: 2019-01 Impact factor: 5.043
Authors: Carmen R Isasi; Christina M Parrinello; Guadalupe X Ayala; Alan M Delamater; Krista M Perreira; Martha L Daviglus; John P Elder; Ashley N Marchante; Shrikant I Bangdiwala; Linda Van Horn; Mercedes R Carnethon Journal: J Pediatr Date: 2016-06-22 Impact factor: 4.406