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School based interventions versus family based interventions in the treatment of childhood obesity- a systematic review

机译：学校干预与家庭干预在儿童肥胖治疗中的系统评价

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BackgroundThe prevalence of childhood obesity, which has seen a rapid increase over the last decade, is now considered a major public health problem. Current treatment options are based on the two important frameworks of school- and family-based interventions; however, most research has yet to compare the two frameworks in the treatment of childhood obesity.The objective of this review is to compare the effectiveness of school-based intervention with family-based intervention in the treatment of childhood obesity. MethodsDatabases such as Medline, Pub med, CINAHL, and Science Direct were used to execute the search for primary research papers according to inclusion criteria. The review included a randomised controlled trial and quasi-randomised controlled trials based on family- and school-based intervention frameworks on the treatment of childhood obesity. ResultsThe review identified 1231 articles of which 13 met the criteria. Out of the thirteen studies, eight were family-based interventions (n?=?8) and five were school-based interventions (n?=?5) with total participants (n?=?2067). The participants were aged between 6 and 17 with the study duration ranging between one month and three years. Family-based interventions demonstrated effectiveness for children under the age of twelve and school-based intervention was most effective for those aged between 12 and 17 with differences for both long-term and short-term results. ConclusionsThe evidence shows that family- and school-based interventions have a considerable effect on treating childhood obesity. However, the effectiveness of the interventional frameworks depends on factors such as age, short- or long-term outcome, and methodological quality of the trials. Further research studies are required to determine the effectiveness of family- and school-based interventions using primary outcomes such as weight, BMI, percentage overweight and waist circumference in addition to the aforementioned factors.
机译：背景技术在过去十年中，儿童肥胖症的发病率迅速上升，现在被认为是主要的公共卫生问题。当前的治疗选择基于学校和家庭干预的两个重要框架;然而，大多数研究尚未比较这两种框架在儿童肥胖的治疗中的作用。本综述的目的是比较学校干预与家庭干预在儿童肥胖治疗中的有效性。方法根据包括标准，使用Medline，Pub med，CINAHL和Science Direct等数据库来执行对主要研究论文的搜索。该评价包括一项基于家庭和学校的儿童肥胖症治疗干预框架的随机对照试验和半随机对照试验。结果审查确定了1231篇文章，其中13篇符合标准。在这13项研究中，有8项是基于家庭的干预（n = 8），有5项是基于学校的干预（n = 5），参与者总数为2067。参与者年龄在6至17岁之间，研究持续时间在1个月至3年之间。以家庭为基础的干预措施对12岁以下的儿童有效，而以学校为基础的干预措施对12至17岁的儿童最为有效，长期和短期结果均不同。结论证据表明，基于家庭和学校的干预措施对治疗儿童肥胖症具有相当大的作用。但是，干预框架的有效性取决于诸如年龄，短期或长期结果以及试验方法学质量等因素。除上述因素外，还需要进行进一步的研究来确定使用体重，BMI，超重百分比和腰围百分比等主要结果得出的家庭和学校干预措施的有效性。

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