A meta-analysis of obesity interventions among U.S. minority children.

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 com...

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Publicado en:Journal of Adolescent Health Vol. 46; no. 4; pp. 309 - 324
Autores principales: Seo DC, Sa J
Formato: meta analysis research Journal Article
Publicado: Elsevier B.V. Apr2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2010
      vid: 46
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.jadohealth.2009.11.202
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        atl: A meta-analysis of obesity interventions among U.S. minority children.
      aug:
        au:
          Seo DC
          Sa J
        affil: Department of Applied Health Science, Indiana University, Bloomington, Indiana 47405, USA. seo@indiana.edu
      sug:
        subj:
          Child Nutritional Physiology
          Minority Groups Statistics and Numerical Data
          Obesity Epidemiology
          Obesity Prevention and Control
          Adolescence
          Behavior
          Body Mass Index
          Child
          Child Welfare
          Culture
          Female
          Human
          Life Style
          Male
          Meta Analysis
          Parent-Child Relations
          United States
          Young Adult
          Adolescent: 13-18 years
          Child: 6-12 years
          Female
          Male
      ab: 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.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        Journal Article
      ougenre: Article
    language: English
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