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Pediatric Weight Management

PWM: Physical Activity (2006)

Physical Activity interventions to treat pediatric overweight

Intervention
How do different physical activity interventions compare as part of a multicomponent childhood obesity treatment program?
- Conclusion
  High-dose and high-intensity physical activity interventions, included as part of a multi-component pediatric weight management program, may bring about improvements in body composition. However, because of differences in program design, it is unclear how different physical activity regimens interact with other program interventions to bring about longer-term (more than one year) improvements in adiposity and body composition in children and adolescents.
- 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.
- Evidence Summary: Differences in Physical Activity Interventions in Pediatric Weight Management Programs
- Search Plan and Results: Treatment Focus: Comparing Physical Activity Interventions 2004
What is the effectiveness of using a program to decrease sedentary behaviors as a part of an intervention program to treat childhood obesity?
- Conclusion
  In children (ages six to 12) the addition of interventions to decrease sedentary activities is associated with improved adiposity outcomes in multi-component childhood overweight programs. For adolescents however, the results are promising, but less clear.
- 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.
- Evidence Summary: What Is the effectiveness of using a program to decrease sedentary behaviors as a part of an intervention program to treat childhood obesity?
- Search Plan and Results: Treatment Focus: Decreasing Sedentary Behaviors 2004
What is the effectiveness of using a program to increase physical activity as a part of an intervention program to treat childhood obesity?
- Conclusion
  Using a program to increase physical activity as part of a pediatric weight-management program results in significant improvements in weight status and adiposity in children and adolescents.
- 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.
- Evidence Summary: Increasing physical activity as a part of an intervention program to treat childhood obesity
- Search Plan and Results: Treatment Focus: Increasing Physical Activity 2004