Evidence map›Paper›PMID 42802014›Full record

SynthesisPediatric obesity2026

Effects of Teleintervention Maintenance Programs for Children (Age 6-12) and Adolescents (Age 13-18) With Overweight or Obesity-Promoting a Healthy Lifestyle: A Systematic Review.

Anna Wittmann, Pia Späth, Feline Zocher, Eckard Nagel, Michael Lauerer, Magdalena Schellenberg

Abstract readSystematic Review
In one paragraph

Synthesis in Pediatric obesity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anna WittmannInstitute for Medical Management and Health Sciences, University of Bayreuth, Bayreuth, Germany.ORCID https://orcid.org/0009-0005-5713-6966
Pia SpäthInstitute for Medical Management and Health Sciences, University of Bayreuth, Bayreuth, Germany.ORCID https://orcid.org/0009-0000-5463-8876
Feline ZocherDeutsche Rentenversicherung Nordbayern, Bayreuth, Germany.ORCID https://orcid.org/0000-0002-8463-7169
Eckard NagelInstitute for Medical Management and Health Sciences, University of Bayreuth, Bayreuth, Germany.
Michael LauererInstitute for Medical Management and Health Sciences, University of Bayreuth, Bayreuth, Germany.
Magdalena SchellenbergInstitute for Medical Management and Health Sciences, University of Bayreuth, Bayreuth, Germany.ORCID https://orcid.org/0000-0002-2895-3191

Funding

Bundesministerium für Arbeit und Soziales
6 · The paper itself

Abstract

backgroundWeight management and maintenance of healthy habits are crucial in combating paediatric obesity. This systematic review examines outcomes beyond BMI in teleintervention maintenance programmes, with a focus on sustaining a healthy lifestyle.

methodsA PubMed, LIVIVO and Web of Science search was conducted for publications between 2012 and 4 November 2025 to identify primary studies evaluating teleintervention maintenance programmes of at least 12 weeks' duration, delivered to children and adolescents with overweight or obesity following structured obesity treatment. We extracted healthy lifestyle parameters (e.g., quality of life), behaviour change (e.g., diet) and clinician-reported outcomes (e.g., BMI). Quality assessment was tailored to study type. As data did not permit meta-analysis, we performed a narrative synthesis.

resultsScreening 2543 articles yielded 6 RCTs and 2 pre-post studies. Findings highlight improvements in psychosocial outcomes (e.g., social well-being), lifestyle modifications in daily choices (e.g., dietary patterns) and behaviours (e.g., screen time), and statistically significant outcomes including reductions in body fat percentage, metabolic profile improvements, cardiovascular enhancements and BMI stabilisation. Feasibility insights were also gained.

conclusionTeleintervention maintenance programmes following structured paediatric obesity treatment were associated with stabilisation of previously achieved weight-related and behavioural gains, rather than greater weight loss than comparator care, alongside consistently high feasibility and substantial reductions in healthcare visits and cost. Given the heterogeneity of designs and outcomes, findings should be interpreted as directional rather than pooled effect estimates, and a human component may be necessary to sustain them.

Indexed as

Health PromotionHealthy LifestyleOverweightPediatric ObesityAdolescentChildFemaleHumansMaleTelemedicineWeight Reduction Programsdigital aftercaremaintenance phasepaediatric obesitypost‐rehabilitation interventionteleintervention programsweight management

Identifiers

PMID42802014
PMCPMC13616525

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.