• Intervention
    In adolescents, what balanced macronutrient dietary interventions are effective in treating obesity?
    • Conclusion

      Using a reduced-calorie diet (over 1,200-DRI kcal per day) in the acute treatment phase of adolescent obesity is generally effective for short-term improvement in weight status. However, without continuing intervention, weight is regained.

      All the studies reviewed had treatment programs lasting less than one year (three weeks to nine months) and evidence on longer-term treatment trials was not available.

    • 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.
    In children ages 2-5, what is the effectiveness of using balanced macronutrient, reduced calorie dietary interventions for treating childhood obesity?
    • Conclusion

      No studies were identified that used a reduced-calorie, balanced-macronutrient intervention to treat pediatric obesity in pre-school children (ages two to five).

    • Grade: V
      • 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.
    In children ages 6-12, what is the effectiveness of using balanced macronutrient, low calorie (900-1200 kcal per day) dietary interventions for treating childhood obesity?
    • Conclusion

      Using a low-calorie diet (900 to 1,200kcal per day) as part of a clinically supervised, multi-component weight-loss program is associated with both short-term and longer-term reduction in adiposity among six- to 12-year-old children.

    • 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.
    In children ages 6-12, what is the effectiveness of using balanced macronutrient, reduced calorie (>1200 kcal-DRI per day) dietary interventions for treating childhood obesity?
    • Conclusion

      Reduced calorie diets (over 1,200kcal-DRI) may be an effective part of a multi-component weight-management (weight-loss or weight-stabilization) program in children ages six to 12 in both the short-term and longer-term (one to two years).

    • Grade: III
      • 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.