Abstract
BackgroundChildhood obesity is one of the most serious, global, public health challenges and has adverse health consequences in both the short-and long-term. The purpose of this study is to establish the change in body mass index (BMI) needed to achieve improvements in metabolic health status in obese children and adolescents attending lifestyle treatment interventions.MethodsThe following electronic databases will be searched from their inception: AMED, Embase, MEDLINE via OVID, Web of Science and CENTRAL via Cochrane library. Randomised controlled trials (RCTs) or cohort studies of lifestyle interventions (i.e. dietary, physical activity and/or behavioural therapy) for treating obesity in children and adolescents (4–18 years) will be included. Interventions that last less than 2 weeks and trials that include overweight participants or those with a secondary or syndromic cause of obesity will not be included. No language restrictions will be applied. Titles and abstracts will be assessed for eligibility by two reviewers, and data from full-text articles will be extracted using a standardised data extraction template. Reference lists of all included articles will be hand-searched for additional publications. A narrative synthesis of the findings will be presented, and meta-analysis will be conducted if considered appropriate.DiscussionThis will be the first systematic review of studies to establish the change in BMI required to improve metabolic health status in obese children and adolescents.Systematic review registrationPROSPERO CRD42016025317Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0299-0) contains supplementary material, which is available to authorised users.
Highlights
Childhood obesity is one of the most serious, global, public health challenges and has adverse health consequences in both the short-and long-term
The presence of adverse changes in cardiac and vascular function and type 2 diabetes, previously considered adult morbidities, being identified in obese children and adolescents [4,5,6,7,8,9,10] illustrates the urgent need for effective weight management treatment interventions to improve the metabolic health status of the paediatric population
Quality assessment Full-text articles of all included research studies will be assessed for methodological quality by two independent reviewers (LB, RP) using the Quality Assessment form used in the 2004 Health Technology Assessment “Systematic review of the long-term effects and economic consequences of treatments for obesity and implications for health improvement” [23]
Summary
Childhood obesity is one of the most serious, global, public health challenges and has adverse health consequences in both the short-and long-term. The purpose of this study is to establish the change in body mass index (BMI) needed to achieve improvements in metabolic health status in obese children and adolescents attending lifestyle treatment interventions. Childhood obesity has adverse health consequences in both the short-and long-term. The presence of adverse changes in cardiac and vascular function and type 2 diabetes, previously considered adult morbidities, being identified in obese children and adolescents [4,5,6,7,8,9,10] illustrates the urgent need for effective weight management treatment interventions to improve the metabolic health status of the paediatric population. Evidence suggests that weight loss of 10 % in adults is often associated with
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