Systematic Review Protocol Best Practice Dietetic Management of Overweight and Obese Children and Adolescents

Abstract

Objectives The objective of this review is to update the literature search that was conducted in 2003 and the subsequent systematic review and meta-analysis published in 20068 and 2007. This review will identify and present the best available current evidence to 2010 on dietetic treatment and management (both short and long-term) of children and adolescents who are overweight or obese. This will be achieved by reviewing the literature relevant to management of overweight or obesity in children and adolescents and comparing dietetic effectiveness with that of other health professionals. Research Question To investigate whether interventions in overweight and or obese children and adolescents, that are provided by a dietitian are more effective compared to those that do not include a dietitian. Criteria for Inclusion Types of studies This review will consider any randomised-controlled trials (RCT) that evaluate the effectiveness of nutrition or dietary interventions. RCT methodology is commonly used to measure the effectiveness of an intervention. In the absence of any RCTs, other research methods such as non-randomised controlled trials, longitudinal studies, cohort (both retrospective and prospective) or case control studies, or time series, will be used to evaluate effectiveness of the intervention on weight control. Types of Participants • Participants will include children or adolescents, less than age 20 years, who are defined as overweight or obese by the following definitions: o BMI ≥ the age equivalent adult BMI of 25 o ≥85th percentile of the age appropriate BMI o ≥120% ideal body weight for height • Children or adolescents will be free living outpatients or inpatients in obesity clinical units or attending community programs or camps or school or one-off programs; • Programs directed exclusively at parents of children or adolescents will also be reviewed. Types of Interventions Interventions of interest will be those used for the purpose of treatment of elevated body weight. These will include but not be limited to: 1. Interventions provided by a dietitian solely. 2. Interventions provided by a dietitian and other health professionals. 3. Interventions provided by other professionals including obesity clinics, practice nurses, GP’s, TRUNCATED AT 350 WORDS