Comparative effectiveness of lifestyle interventions on children's body composition management: A systematic review and network meta-analysis

作者：Xiwen Su, Mohamed A. Hassan, HyunJoon Kim, Zan Gao · 发表于：Journal of sport and health science/Journal of Sport and Health Science · 年份：2024 · DOI：10.1016/j.jshs.2024.101008 · 被引用次数：23 · 研究领域：Obesity, Physical Activity, Diet、Body Composition Measurement Techniques、Children's Physical and Motor Development

• Multi-component approaches incorporating elements such as physical activity, diet, behavioral therapy, and informational support have been shown to be more effective in reducing children's BMI and improving body composition than single-component approaches. • Among various single-component lifestyle interventions, physical activity has proven to be the most effective. • Children with a higher baseline BMI demonstrated a significant association with a larger effect size in response to lifestyle interventions. To provide comparative evidence on the effectiveness of various lifestyle interventions on body composition management for preschool and school-aged children. PubMed (Medline), Embase, CINAHL, and Web of Science were systematically searched for this network meta-analysis. Randomized controlled studies (RCTs) that included children aged 4–12 years with no physical or mental conditions; performed at least 1 type of lifestyle intervention; reported change in body mass index (BMI), BMI z -score, or body fat percentage (BFP); and were published between January 2010 and August 2023 were included. The final analysis included 91 RCTs with aggregate data for 58,649 children. All interventions were categorized into single-arm approaches (physical activity, diet, behavioral and informational support) and combined arms approaches (bicomponent and multicomponent treatment). Multicomponent treatment showed significant effectiveness on the reduction of BMI (mean deviation (MD) = 0.49,...