SynthesisPediatric obesity2025
Effectiveness of behavioural and psychological interventions for managing obesity in children and adolescents: A systematic review and meta-analysis framed using minimal important difference estimates based on GRADE guidance to inform a clinical practice guideline.
Synthesis in Pediatric obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Public health interventions for the prevention and management of overweight and obesity in children and adolescents: a rapid review.Frontiers in public health · 2026Pooled it
- Guideline
- Managing obesity in children: a clinical practice guideline.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Guideline
- Pooled it
- Testing Implementation Strategies for a Family Healthy Weight Program: Results From the Nebraska Childhood Obesity Research Demonstration 3.0 Pilot Trial.Childhood obesity (Print) · 2026Trial
- Psychosocial Outcomes of the Fast Track to Health Clinical Trial in Adolescents with Obesity.Obesity facts · 2026Article
- Industrial Food Systems as Environmental Drivers of Women's Health and Childhood Obesity: A Cross-National Ecological Study.Nutrients · 2026Article
- Longitudinal Improvements in Health-Related Quality of Life Among Children Enrolled in the CANadian Paediatric Weight Management Registry (CANPWR) Over 3 Years.Pediatric obesity · 2026Article
- Article
- Motivation for physical activity participation and mindful eating in university students: a cross-sectional study using variable-centered regression and latent profile analysis.Frontiers in psychology · 2026Article
- Article
- "It's Not Healthy to Be Too Large"-A Qualitative Study Using Participatory Methods to Explore Children's and Adolescents' Perspectives on Obesity Treatment and Body Image.Children (Basel, Switzerland) · 2025Article
- Article
- Effects of technology-enhanced physical activity on brain and mental health in youth: An umbrella review of meta-analyses.World journal of psychiatry · 2025Article
- Virtual reality sports to tackle pediatric obesity.Nature medicine · 2025Article
- Changes in Anthropometric Measurements, Body Composition, and Blood Pressure in 6-10-Year-Old Children with Overweight and Obesity in Szczecin During a Year-Long Intervention Program.Journal of clinical medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveConduct a systematic review and meta-analysis of randomized controlled trials (RCTs) of behavioural and psychological interventions for managing paediatric obesity.
methodsEligible studies, published between 1985 and 2022, included 0 to 18 year olds with outcomes reported ≥3 months post-baseline, including patient-reported outcome measures (PROMs), cardiometabolic and anthropometric outcomes, and adverse events (AEs). We pooled data using a random effects model and assessed certainty of evidence (CoE) related to minimally important difference estimates for outcomes using GRADE.
resultsWe included 73 unique RCTs (n = 6305 participants, 53% female). Intervention types included physical activity (n = 1437), nutrition (n = 447), psychological (n = 1336), technology-based (n = 901) or multicomponent (≥2 intervention types, n = 2184). Physical activity had a small effect on health-related quality of life (HRQoL), varying effects ranging from moderate to very large on blood pressure, lipids and insulin resistance, and a small effect on BMIz. Nutrition had a small effect on lipids, insulin resistance and BMIz. Psychological interventions showed a small effect on HRQoL and triglycerides and moderate benefits on depressive symptoms, while technology interventions showed small benefits on blood pressure and BMIz. Multicomponent interventions had a large benefit on anxiety, small benefit on depressive symptoms, with large to very large benefits on lipids, and small benefits for diastolic blood pressure, insulin resistance and BMIz. AEs were reported infrequently, and when reported, were described as mild.
conclusionPhysical activity and multicomponent interventions showed improvements in PROMs, cardiometabolic and anthropometric outcomes. Future trials should consistently measure PROMs, evaluate outcomes beyond the intervention period, and study children <6 years of age.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.