Pediatric Weight Management

PWM: Treatment Context (2015)

• Intervention
  What is the association between family participation and weight status outcomes in multi-component pediatric weight management interventions?

  • Conclusion
    Including family involvement as part of a multi-component pediatric weight management intervention is highly consistent with positive weight status outcomes. Multi-component pediatric weight management interventions that include family involvement were consistent with positive weight status outcomes at both six and 12 months.
  • Grade: I
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: Treatment and Context Influences on Pediatric Weight Management Success
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Berkowitz R, Fujioka K, Daniels S, Hoppin A, Owen S, Perry A, Sothern M, Renz C, Pirner M, Walch J, Jasinsky O, Hewkin A, Blakesley V.. Effects of sibutramine treatment in obese adolescents: A randomized trial. Annals of Internal Medicine. 2006; 145:81-90.
      • Berkowitz R, Wadden T, Gehrman C, Bishop-Gilyard C, Moore R, Womble L, Cronquist J, Trumpikas N, Levitt Katz L, Xanthopoulos M. Meal replacements in the treatment of adolescent obesity: a randomized controlled trial. Obesity (Silver Spring, MD) 2011; 19:1,193-1,199
      • Budd G, Hayman L, Crump E, Pollydore C, Hawley K, Cronquist J, Berkowitz R. Weight loss in obese African American and Caucasian adolescents: secondary analysis of a randomized clinical trial of behavioral therapy plus sibutramine. The Journal of Cardiovascular Nursing. 2007; 22:288-296
      • Chanoine J, Richard M.. Early weight loss and outcome at one year in obese adolescents treated with orlistat or placebo. International Journal of Pediatric Obesity (IJPO: an official journal of the International Association for the Study of Obesity). 2011; 6:95-101.
      • Coppins D, Margetts B, Fa J, Brown M, Garrett F, Huelin S.. Effectiveness of a multi-disciplinary family-based programme for treating childhood obesity (the Family Project). European Journal of Clinical Nutrition. 2011; 65:903-909.
      • Díaz R, Esparza-Romero J, Moya-Camarena S, Robles-Sardín A, Valencia M.. Lifestyle intervention in primary care settings improves obesity parameters among Mexican youth. Journal of the American Dietetic Association. 2010; 110:285-290.
      • Ford A, Bergh C, Södersten P, Sabin M, Hollinghurst S, Hunt L, Shield J.. Treatment of childhood obesity by retraining eating behaviour: Randomised controlled trial. BMJ. 2010; 340:b5388
      • Garipagaoglu M, Sahip Y, Darendeliler F, Akdikmen O, Kopuz S, Sut N.. Family-based group treatment vs. individual treatment in the management of childhood obesity: Randomized, prospective clinical trial. European Journal of Pediatrics. 2009; 168:1091-1099.
      • Hughes A, Stewart L, Chapple J, McColl J, Donaldson M, Kelnar C, Zabihollah M, Ahmed F, Reilly J.. Randomized, controlled trial of a best-practice individualized behavioral program for treatment of childhood overweight: Scottish Childhood Overweight Treatment Trial (SCOTT). Pediatrics. 2008; 121:e539-e546.
      • Jelalian E, Lloyd-Richardson E, Mehlenbeck R, Hart C, Flynn-O'Brien K, Kaplan J, Neill M, Wing R.. Behavioral weight control treatment with supervised exercise or peer-enhanced adventure for overweight adolescents. The Journal of Pediatrics. 2010; 157:923-928.e1.
      • Jiang J, Xia X, Greiner T, Lian G, Rosenqvist U.. A two-year family based behaviour treatment for obese children. Archives of Disease in Childhood. 2005; 90:1235-1238.
      • Johnston C, Tyler C, Palcic J, Stansberry S, Gallagher M, Foreyt J.. Smaller weight changes in standardized body mass index in response to treatment as weight classification increases. The Journal of Pediatrics. 2011; 158:624-627.
      • Kalarchian M, Levine M, Arslanian S, Ewing L, Houck P, Cheng Y, Ringham R, Sheets C, Marcus M. Family-based treatment of severe pediatric obesity: randomized, controlled trial. Pediatrics. 2009; 124:1,060-1,068
      • Klesges R, Obarzanek E, Kumanyika S, Murray D, Klesges L, Relyea G, Stockton M, Lanctot J, Beech B, McClanahan B, Sherrill-Mittleman D, Slawson D.. The Memphis Girls' Health Enrichment Multi-site Studies (GEMS): An evaluation of the efficacy of a two-year obesity prevention program in African American girls. Archives of Pediatrics and Adolescent Medicine. 2010; 164:1007-1014.
      • Magarey A, Perry R, Baur L, Steinbeck K, Sawyer M, Hills A, Wilson G, Lee A, Daniels L.. A parent-led family-focused treatment program for overweight children aged 5 to 9 years: The PEACH RCT. Pediatrics. 2011; 127:214-222.
      • Nemet D,Barkan S,Epstein Y,Friedland O,Kowen G,Eliakim A. Short- and long-term beneficial effects of a combined dietary-behavioral-physical activity intervention for the treatment of childhood obesity. Pediatrics 2005; 115:e443-9
      • Nowicka P, Lanke J, Pietrobelli A, Apitzsch E, Flodmark C. Sports camp with six months of support from a local sports club as a treatment for childhood obesity. Scandinavian Journal of Public Health. 2009; 37:793-800
      • O'Brien P, Sawyer S, Laurie C, Brown W, Skinner S, Veit F, Paul E, Burton P, McGrice M, Anderson M, Dixon J.. Laparoscopic adjustable gastric banding in severely obese adolescents: A randomized trial. JAMA. 2010; 303:519-526.
      • Okely A, Collins C, Morgan P, Jones R, Warren J, Cliff D, Burrows T, Colyvas K, Steele J, Baur L. Multi-site randomized controlled trial of a child-centered physical activity program, a parent-centered dietary-modification program, or both in overweight children: the HIKCUPS study. The Journal of Pediatrics 2010; 157:388-394, 394.e1.
      • Pedrosa C, Oliveira B, Albuquerque I, Simões-Pereira C, Vaz-de-Almeida M, Correia F.. Metabolic syndrome, adipokines and ghrelin in overweight and obese schoolchildren: Results of a one-year lifestyle intervention programme. European Journal of Pediatrics. 2011; 170:483-492.
      • Reinehr T, de Sousa G, Toschke A, Andler W.. Long-term follow-up of cardiovascular disease risk factors in children after an obesity intervention. The American Journal of Clinical Nutrition. 2006; 84:490-496.
      • Reinehr T,Kleber M,Toschke A. Lifestyle intervention in obese children is associated with a decrease of the metabolic syndrome prevalence. Atherosclerosis 2009; 207:174-80
      • Robinson T, Matheson D, Kraemer H, Wilson D, Obarzanek E, Thompson N, Alhassan S, Spencer T, Haydel K, Fujimoto M, Varady A, Killen J.. A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African American girls: Stanford GEMS. Archives of Pediatrics and Adolescent Medicine. 2010; 164:995-1004.
      • Sacher P, Kolotourou M, Chadwick P, Cole T, Lawson M, Lucas A, Singhal A.. Randomized controlled trial of the MEND program: A family-based community intervention for childhood obesity. Obesity (Silver Spring, Md.). 2010; 18:S62-568.
      • Savoye M, Nowicka P, Shaw M, Yu S, Dziura J, Chavent G, O'Malley G, Serrecchia J, Tamborlane W, Caprio S. Long-term results of an obesity program in an ethnically diverse pediatric population. Pediatrics 2011; 127:402-410
      • Shalitin S, Ashkenazi-Hoffnung L, Yackobovitch-Gavan M, Nagelberg N, Karni Y, Hershkovitz E, Loewenthal N, Shtaif B, Gat-Yablonski G, Phillip M.. Effects of a twelve-week randomized intervention of exercise and/or diet on weight loss and weight maintenance, and other metabolic parameters in obese preadolescent children. Hormone Research. 2009; 72:287-301.
      • Stice E, Marti C, Spoor S, Presnell K, Shaw H.. Dissonance and healthy weight eating disorder prevention programs: Long-term effects from a randomized efficacy trial. Journal of Consulting and Clinical Psychology. 2008; 76:329-340.
      • Tjønna A, Stølen T, Bye A, Volden M, Slørdahl S, Odegård R, Skogvoll E, Wisløff U.. Aerobic interval training reduces cardiovascular risk factors more than a multitreatment approach in overweight adolescents. Clinical Science. 2009; 116:317-326.
      • Wake M, Baur L, Gerner B, Gibbons K, Gold L, Gunn J, Levickis P, McCallum Z, Naughton G, Sanci L, Ukoumunne O.. Outcomes and costs of primary care surveillance and intervention for overweight or obese children: The LEAP 2 randomised controlled trial. BMJ. 2009; 339:b3308.
      • Weigel C, Kokocinski K, Lederer P, Dötsch J, Rascher W, Knerr I.. Childhood obesity: Concept, feasibility, and interim results of a local group-based, long-term treatment program. Journal of Nutrition Education and Behavior. 2008; 40:369-373.
      • Wilfley D, Stein R, Saelens B, Mockus D, Matt G, Hayden-Wade H, Welch R, Schechtman K, Thompson P, Epstein L.. Efficacy of maintenance treatment approaches for childhood overweight: A randomized controlled trial. JAMA. 2007; 298:1661-1673.
      • Wilson D, Abrams S, Aye T, Lee P, Lenders C, Lustig R, Osganian S, Feldman H.. Metformin extended release treatment of adolescent obesity: A 48-week randomized, double-blind, placebo-controlled trial with 48-week follow-up. Archives of Pediatrics and Adolescent Medicine. 2010; 164:116-123.
  • Search Plan and Results: PWM: Multicomponent Weight Management and Treatment Context 2012
     
  What is the association between length of treatment and weight status outcomes in multi-component pediatric weight management interventions?

  • Conclusion
    Multi-component intensive weight management interventions in the clinic setting that were at least six months in length, included group pediatric weight management sessions and were not focused exclusively on teens, were consistently associated with positive weight status outcomes at 12 months. Shorter-term (less than six months) interventions were not consistently associated with positive weight status at 12 months.
  • Grade: II
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: Treatment and Context Influences on Pediatric Weight Management Success
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Berkowitz R, Fujioka K, Daniels S, Hoppin A, Owen S, Perry A, Sothern M, Renz C, Pirner M, Walch J, Jasinsky O, Hewkin A, Blakesley V.. Effects of sibutramine treatment in obese adolescents: A randomized trial. Annals of Internal Medicine. 2006; 145:81-90.
      • Berkowitz R, Wadden T, Gehrman C, Bishop-Gilyard C, Moore R, Womble L, Cronquist J, Trumpikas N, Levitt Katz L, Xanthopoulos M. Meal replacements in the treatment of adolescent obesity: a randomized controlled trial. Obesity (Silver Spring, MD) 2011; 19:1,193-1,199
      • Budd G, Hayman L, Crump E, Pollydore C, Hawley K, Cronquist J, Berkowitz R. Weight loss in obese African American and Caucasian adolescents: secondary analysis of a randomized clinical trial of behavioral therapy plus sibutramine. The Journal of Cardiovascular Nursing. 2007; 22:288-296
      • Chanoine J, Richard M.. Early weight loss and outcome at one year in obese adolescents treated with orlistat or placebo. International Journal of Pediatric Obesity (IJPO: an official journal of the International Association for the Study of Obesity). 2011; 6:95-101.
      • Coppins D, Margetts B, Fa J, Brown M, Garrett F, Huelin S.. Effectiveness of a multi-disciplinary family-based programme for treating childhood obesity (the Family Project). European Journal of Clinical Nutrition. 2011; 65:903-909.
      • Díaz R, Esparza-Romero J, Moya-Camarena S, Robles-Sardín A, Valencia M.. Lifestyle intervention in primary care settings improves obesity parameters among Mexican youth. Journal of the American Dietetic Association. 2010; 110:285-290.
      • Ford A, Bergh C, Södersten P, Sabin M, Hollinghurst S, Hunt L, Shield J.. Treatment of childhood obesity by retraining eating behaviour: Randomised controlled trial. BMJ. 2010; 340:b5388
      • Garipagaoglu M, Sahip Y, Darendeliler F, Akdikmen O, Kopuz S, Sut N.. Family-based group treatment vs. individual treatment in the management of childhood obesity: Randomized, prospective clinical trial. European Journal of Pediatrics. 2009; 168:1091-1099.
      • Hughes A, Stewart L, Chapple J, McColl J, Donaldson M, Kelnar C, Zabihollah M, Ahmed F, Reilly J.. Randomized, controlled trial of a best-practice individualized behavioral program for treatment of childhood overweight: Scottish Childhood Overweight Treatment Trial (SCOTT). Pediatrics. 2008; 121:e539-e546.
      • Jelalian E, Lloyd-Richardson E, Mehlenbeck R, Hart C, Flynn-O'Brien K, Kaplan J, Neill M, Wing R.. Behavioral weight control treatment with supervised exercise or peer-enhanced adventure for overweight adolescents. The Journal of Pediatrics. 2010; 157:923-928.e1.
      • Jiang J, Xia X, Greiner T, Lian G, Rosenqvist U.. A two-year family based behaviour treatment for obese children. Archives of Disease in Childhood. 2005; 90:1235-1238.
      • Johnston C, Tyler C, Palcic J, Stansberry S, Gallagher M, Foreyt J.. Smaller weight changes in standardized body mass index in response to treatment as weight classification increases. The Journal of Pediatrics. 2011; 158:624-627.
      • Kalarchian M, Levine M, Arslanian S, Ewing L, Houck P, Cheng Y, Ringham R, Sheets C, Marcus M. Family-based treatment of severe pediatric obesity: randomized, controlled trial. Pediatrics. 2009; 124:1,060-1,068
      • Klesges R, Obarzanek E, Kumanyika S, Murray D, Klesges L, Relyea G, Stockton M, Lanctot J, Beech B, McClanahan B, Sherrill-Mittleman D, Slawson D.. The Memphis Girls' Health Enrichment Multi-site Studies (GEMS): An evaluation of the efficacy of a two-year obesity prevention program in African American girls. Archives of Pediatrics and Adolescent Medicine. 2010; 164:1007-1014.
      • Magarey A, Perry R, Baur L, Steinbeck K, Sawyer M, Hills A, Wilson G, Lee A, Daniels L.. A parent-led family-focused treatment program for overweight children aged 5 to 9 years: The PEACH RCT. Pediatrics. 2011; 127:214-222.
      • Nemet D,Barkan S,Epstein Y,Friedland O,Kowen G,Eliakim A. Short- and long-term beneficial effects of a combined dietary-behavioral-physical activity intervention for the treatment of childhood obesity. Pediatrics 2005; 115:e443-9
      • Nowicka P, Lanke J, Pietrobelli A, Apitzsch E, Flodmark C. Sports camp with six months of support from a local sports club as a treatment for childhood obesity. Scandinavian Journal of Public Health. 2009; 37:793-800
      • O'Brien P, Sawyer S, Laurie C, Brown W, Skinner S, Veit F, Paul E, Burton P, McGrice M, Anderson M, Dixon J.. Laparoscopic adjustable gastric banding in severely obese adolescents: A randomized trial. JAMA. 2010; 303:519-526.
      • Okely A, Collins C, Morgan P, Jones R, Warren J, Cliff D, Burrows T, Colyvas K, Steele J, Baur L. Multi-site randomized controlled trial of a child-centered physical activity program, a parent-centered dietary-modification program, or both in overweight children: the HIKCUPS study. The Journal of Pediatrics 2010; 157:388-394, 394.e1.
      • Pedrosa C, Oliveira B, Albuquerque I, Simões-Pereira C, Vaz-de-Almeida M, Correia F.. Metabolic syndrome, adipokines and ghrelin in overweight and obese schoolchildren: Results of a one-year lifestyle intervention programme. European Journal of Pediatrics. 2011; 170:483-492.
      • Reinehr T, de Sousa G, Toschke A, Andler W.. Long-term follow-up of cardiovascular disease risk factors in children after an obesity intervention. The American Journal of Clinical Nutrition. 2006; 84:490-496.
      • Reinehr T,Kleber M,Toschke A. Lifestyle intervention in obese children is associated with a decrease of the metabolic syndrome prevalence. Atherosclerosis 2009; 207:174-80
      • Robinson T, Matheson D, Kraemer H, Wilson D, Obarzanek E, Thompson N, Alhassan S, Spencer T, Haydel K, Fujimoto M, Varady A, Killen J.. A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African American girls: Stanford GEMS. Archives of Pediatrics and Adolescent Medicine. 2010; 164:995-1004.
      • Sacher P, Kolotourou M, Chadwick P, Cole T, Lawson M, Lucas A, Singhal A.. Randomized controlled trial of the MEND program: A family-based community intervention for childhood obesity. Obesity (Silver Spring, Md.). 2010; 18:S62-568.
      • Savoye M, Nowicka P, Shaw M, Yu S, Dziura J, Chavent G, O'Malley G, Serrecchia J, Tamborlane W, Caprio S. Long-term results of an obesity program in an ethnically diverse pediatric population. Pediatrics 2011; 127:402-410
      • Shalitin S, Ashkenazi-Hoffnung L, Yackobovitch-Gavan M, Nagelberg N, Karni Y, Hershkovitz E, Loewenthal N, Shtaif B, Gat-Yablonski G, Phillip M.. Effects of a twelve-week randomized intervention of exercise and/or diet on weight loss and weight maintenance, and other metabolic parameters in obese preadolescent children. Hormone Research. 2009; 72:287-301.
      • Stice E, Marti C, Spoor S, Presnell K, Shaw H.. Dissonance and healthy weight eating disorder prevention programs: Long-term effects from a randomized efficacy trial. Journal of Consulting and Clinical Psychology. 2008; 76:329-340.
      • Tjønna A, Stølen T, Bye A, Volden M, Slørdahl S, Odegård R, Skogvoll E, Wisløff U.. Aerobic interval training reduces cardiovascular risk factors more than a multitreatment approach in overweight adolescents. Clinical Science. 2009; 116:317-326.
      • Wake M, Baur L, Gerner B, Gibbons K, Gold L, Gunn J, Levickis P, McCallum Z, Naughton G, Sanci L, Ukoumunne O.. Outcomes and costs of primary care surveillance and intervention for overweight or obese children: The LEAP 2 randomised controlled trial. BMJ. 2009; 339:b3308.
      • Weigel C, Kokocinski K, Lederer P, Dötsch J, Rascher W, Knerr I.. Childhood obesity: Concept, feasibility, and interim results of a local group-based, long-term treatment program. Journal of Nutrition Education and Behavior. 2008; 40:369-373.
      • Wilfley D, Stein R, Saelens B, Mockus D, Matt G, Hayden-Wade H, Welch R, Schechtman K, Thompson P, Epstein L.. Efficacy of maintenance treatment approaches for childhood overweight: A randomized controlled trial. JAMA. 2007; 298:1661-1673.
      • Wilson D, Abrams S, Aye T, Lee P, Lenders C, Lustig R, Osganian S, Feldman H.. Metformin extended release treatment of adolescent obesity: A 48-week randomized, double-blind, placebo-controlled trial with 48-week follow-up. Archives of Pediatrics and Adolescent Medicine. 2010; 164:116-123.
  • Search Plan and Results: PWM: Multicomponent Weight Management and Treatment Context 2012
     
  What is the association between treatment setting (clinic vs. outside the clinic) and weight status outcomes in multi-component pediatric weight management interventions?

  • Conclusion
    The clinic setting was consistently associated with positive weight status at six months, when pediatric weight management consisted of one of the following conditions:  

    • Multi-component intensive interventions in group pediatric weight management sessions for at least six months that included family involvement
    • Non-intensive interventions in individual pediatric weight management sessions for less than six months that did not focus exclusively on teens.

    The clinic setting was consistently associated with positive weight status at 12 months, when pediatric weight management consisted of one of the following conditions:  

    • Multi-component intensive interventions in group sessions for at least six months that did not focus exclusively on teens
    • Multi-component intensive interventions in group sessions that included family involvement and focused exclusively on teens.  

    Pediatric weight management outside a clinic setting was associated with positive weight status outcomes at 12 months in multi-component intensive interventions in group sessions that included family involvement and focused exclusively on teens.
  • Grade: II
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: Treatment and Context Influences on Pediatric Weight Management Success
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Berkowitz R, Fujioka K, Daniels S, Hoppin A, Owen S, Perry A, Sothern M, Renz C, Pirner M, Walch J, Jasinsky O, Hewkin A, Blakesley V.. Effects of sibutramine treatment in obese adolescents: A randomized trial. Annals of Internal Medicine. 2006; 145:81-90.
      • Berkowitz R, Wadden T, Gehrman C, Bishop-Gilyard C, Moore R, Womble L, Cronquist J, Trumpikas N, Levitt Katz L, Xanthopoulos M. Meal replacements in the treatment of adolescent obesity: a randomized controlled trial. Obesity (Silver Spring, MD) 2011; 19:1,193-1,199
      • Budd G, Hayman L, Crump E, Pollydore C, Hawley K, Cronquist J, Berkowitz R. Weight loss in obese African American and Caucasian adolescents: secondary analysis of a randomized clinical trial of behavioral therapy plus sibutramine. The Journal of Cardiovascular Nursing. 2007; 22:288-296
      • Chanoine J, Richard M.. Early weight loss and outcome at one year in obese adolescents treated with orlistat or placebo. International Journal of Pediatric Obesity (IJPO: an official journal of the International Association for the Study of Obesity). 2011; 6:95-101.
      • Coppins D, Margetts B, Fa J, Brown M, Garrett F, Huelin S.. Effectiveness of a multi-disciplinary family-based programme for treating childhood obesity (the Family Project). European Journal of Clinical Nutrition. 2011; 65:903-909.
      • Díaz R, Esparza-Romero J, Moya-Camarena S, Robles-Sardín A, Valencia M.. Lifestyle intervention in primary care settings improves obesity parameters among Mexican youth. Journal of the American Dietetic Association. 2010; 110:285-290.
      • Ford A, Bergh C, Södersten P, Sabin M, Hollinghurst S, Hunt L, Shield J.. Treatment of childhood obesity by retraining eating behaviour: Randomised controlled trial. BMJ. 2010; 340:b5388
      • Garipagaoglu M, Sahip Y, Darendeliler F, Akdikmen O, Kopuz S, Sut N.. Family-based group treatment vs. individual treatment in the management of childhood obesity: Randomized, prospective clinical trial. European Journal of Pediatrics. 2009; 168:1091-1099.
      • Hughes A, Stewart L, Chapple J, McColl J, Donaldson M, Kelnar C, Zabihollah M, Ahmed F, Reilly J.. Randomized, controlled trial of a best-practice individualized behavioral program for treatment of childhood overweight: Scottish Childhood Overweight Treatment Trial (SCOTT). Pediatrics. 2008; 121:e539-e546.
      • Jelalian E, Lloyd-Richardson E, Mehlenbeck R, Hart C, Flynn-O'Brien K, Kaplan J, Neill M, Wing R.. Behavioral weight control treatment with supervised exercise or peer-enhanced adventure for overweight adolescents. The Journal of Pediatrics. 2010; 157:923-928.e1.
      • Jiang J, Xia X, Greiner T, Lian G, Rosenqvist U.. A two-year family based behaviour treatment for obese children. Archives of Disease in Childhood. 2005; 90:1235-1238.
      • Johnston C, Tyler C, Palcic J, Stansberry S, Gallagher M, Foreyt J.. Smaller weight changes in standardized body mass index in response to treatment as weight classification increases. The Journal of Pediatrics. 2011; 158:624-627.
      • Kalarchian M, Levine M, Arslanian S, Ewing L, Houck P, Cheng Y, Ringham R, Sheets C, Marcus M. Family-based treatment of severe pediatric obesity: randomized, controlled trial. Pediatrics. 2009; 124:1,060-1,068
      • Klesges R, Obarzanek E, Kumanyika S, Murray D, Klesges L, Relyea G, Stockton M, Lanctot J, Beech B, McClanahan B, Sherrill-Mittleman D, Slawson D.. The Memphis Girls' Health Enrichment Multi-site Studies (GEMS): An evaluation of the efficacy of a two-year obesity prevention program in African American girls. Archives of Pediatrics and Adolescent Medicine. 2010; 164:1007-1014.
      • Magarey A, Perry R, Baur L, Steinbeck K, Sawyer M, Hills A, Wilson G, Lee A, Daniels L.. A parent-led family-focused treatment program for overweight children aged 5 to 9 years: The PEACH RCT. Pediatrics. 2011; 127:214-222.
      • Nemet D,Barkan S,Epstein Y,Friedland O,Kowen G,Eliakim A. Short- and long-term beneficial effects of a combined dietary-behavioral-physical activity intervention for the treatment of childhood obesity. Pediatrics 2005; 115:e443-9
      • Nowicka P, Lanke J, Pietrobelli A, Apitzsch E, Flodmark C. Sports camp with six months of support from a local sports club as a treatment for childhood obesity. Scandinavian Journal of Public Health. 2009; 37:793-800
      • O'Brien P, Sawyer S, Laurie C, Brown W, Skinner S, Veit F, Paul E, Burton P, McGrice M, Anderson M, Dixon J.. Laparoscopic adjustable gastric banding in severely obese adolescents: A randomized trial. JAMA. 2010; 303:519-526.
      • Okely A, Collins C, Morgan P, Jones R, Warren J, Cliff D, Burrows T, Colyvas K, Steele J, Baur L. Multi-site randomized controlled trial of a child-centered physical activity program, a parent-centered dietary-modification program, or both in overweight children: the HIKCUPS study. The Journal of Pediatrics 2010; 157:388-394, 394.e1.
      • Pedrosa C, Oliveira B, Albuquerque I, Simões-Pereira C, Vaz-de-Almeida M, Correia F.. Metabolic syndrome, adipokines and ghrelin in overweight and obese schoolchildren: Results of a one-year lifestyle intervention programme. European Journal of Pediatrics. 2011; 170:483-492.
      • Reinehr T, de Sousa G, Toschke A, Andler W.. Long-term follow-up of cardiovascular disease risk factors in children after an obesity intervention. The American Journal of Clinical Nutrition. 2006; 84:490-496.
      • Reinehr T,Kleber M,Toschke A. Lifestyle intervention in obese children is associated with a decrease of the metabolic syndrome prevalence. Atherosclerosis 2009; 207:174-80
      • Robinson T, Matheson D, Kraemer H, Wilson D, Obarzanek E, Thompson N, Alhassan S, Spencer T, Haydel K, Fujimoto M, Varady A, Killen J.. A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African American girls: Stanford GEMS. Archives of Pediatrics and Adolescent Medicine. 2010; 164:995-1004.
      • Sacher P, Kolotourou M, Chadwick P, Cole T, Lawson M, Lucas A, Singhal A.. Randomized controlled trial of the MEND program: A family-based community intervention for childhood obesity. Obesity (Silver Spring, Md.). 2010; 18:S62-568.
      • Savoye M, Nowicka P, Shaw M, Yu S, Dziura J, Chavent G, O'Malley G, Serrecchia J, Tamborlane W, Caprio S. Long-term results of an obesity program in an ethnically diverse pediatric population. Pediatrics 2011; 127:402-410
      • Shalitin S, Ashkenazi-Hoffnung L, Yackobovitch-Gavan M, Nagelberg N, Karni Y, Hershkovitz E, Loewenthal N, Shtaif B, Gat-Yablonski G, Phillip M.. Effects of a twelve-week randomized intervention of exercise and/or diet on weight loss and weight maintenance, and other metabolic parameters in obese preadolescent children. Hormone Research. 2009; 72:287-301.
      • Stice E, Marti C, Spoor S, Presnell K, Shaw H.. Dissonance and healthy weight eating disorder prevention programs: Long-term effects from a randomized efficacy trial. Journal of Consulting and Clinical Psychology. 2008; 76:329-340.
      • Tjønna A, Stølen T, Bye A, Volden M, Slørdahl S, Odegård R, Skogvoll E, Wisløff U.. Aerobic interval training reduces cardiovascular risk factors more than a multitreatment approach in overweight adolescents. Clinical Science. 2009; 116:317-326.
      • Wake M, Baur L, Gerner B, Gibbons K, Gold L, Gunn J, Levickis P, McCallum Z, Naughton G, Sanci L, Ukoumunne O.. Outcomes and costs of primary care surveillance and intervention for overweight or obese children: The LEAP 2 randomised controlled trial. BMJ. 2009; 339:b3308.
      • Weigel C, Kokocinski K, Lederer P, Dötsch J, Rascher W, Knerr I.. Childhood obesity: Concept, feasibility, and interim results of a local group-based, long-term treatment program. Journal of Nutrition Education and Behavior. 2008; 40:369-373.
      • Wilfley D, Stein R, Saelens B, Mockus D, Matt G, Hayden-Wade H, Welch R, Schechtman K, Thompson P, Epstein L.. Efficacy of maintenance treatment approaches for childhood overweight: A randomized controlled trial. JAMA. 2007; 298:1661-1673.
      • Wilson D, Abrams S, Aye T, Lee P, Lenders C, Lustig R, Osganian S, Feldman H.. Metformin extended release treatment of adolescent obesity: A 48-week randomized, double-blind, placebo-controlled trial with 48-week follow-up. Archives of Pediatrics and Adolescent Medicine. 2010; 164:116-123.
  • Search Plan and Results: PWM: Multicomponent Weight Management and Treatment Context 2012
     
  What is the association between including group sessions (vs. individual sessions only) and weight status outcomes in multi-component pediatric weight management interventions?

  • Conclusion
    Multi-component intensive interventions that included group pediatric weight management sessions and family participation were consistently associated with shorter-term (six months) and longer-term (12 months) positive weight status outcomes. Treatment interventions that relied exclusively on individual pediatric weight management sessions, with or without family participation, were associated with shorter-term positive weight status outcomes. Further research is needed regarding individual sessions and long-term weight status outcomes.  
  • Grade: II
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: Treatment and Context Influences on Pediatric Weight Management Success
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
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      • Weigel C, Kokocinski K, Lederer P, Dötsch J, Rascher W, Knerr I.. Childhood obesity: Concept, feasibility, and interim results of a local group-based, long-term treatment program. Journal of Nutrition Education and Behavior. 2008; 40:369-373.
      • Wilfley D, Stein R, Saelens B, Mockus D, Matt G, Hayden-Wade H, Welch R, Schechtman K, Thompson P, Epstein L.. Efficacy of maintenance treatment approaches for childhood overweight: A randomized controlled trial. JAMA. 2007; 298:1661-1673.
      • Wilson D, Abrams S, Aye T, Lee P, Lenders C, Lustig R, Osganian S, Feldman H.. Metformin extended release treatment of adolescent obesity: A 48-week randomized, double-blind, placebo-controlled trial with 48-week follow-up. Archives of Pediatrics and Adolescent Medicine. 2010; 164:116-123.
  • Search Plan and Results: PWM: Multicomponent Weight Management and Treatment Context 2012