{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:33:09Z","timestamp":1790616789684,"version":"4.1.0"},"reference-count":146,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Conduct a systematic review and meta\u2010analysis of randomized controlled trials (RCTs) of behavioural and psychological interventions for managing paediatric obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eligible studies, published between 1985 and 2022, included 0 to 18\u2009year olds\u00a0with outcomes reported \u22653\u2009months post\u2010baseline, including patient\u2010reported outcome measures (PROMs), cardiometabolic and anthropometric outcomes,\u00a0and 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 73 unique RCTs (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096305 participants, 53% female). Intervention types included physical activity (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091437), nutrition (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009447), psychological (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091336), technology\u2010based (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009901) or multicomponent (\u22652 intervention types,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092184). Physical activity had a small effect on health\u2010related 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.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Physical 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 &lt;6\u2009years of age.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpo.13193","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T22:11:36Z","timestamp":1737065496000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Effectiveness of behavioural and psychological interventions for managing obesity in children and adolescents: A systematic review and meta\u2010analysis framed using minimal important difference estimates based on\n                    <scp>GRADE<\/scp>\n                    guidance to inform a clinical practice guideline"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0102-2389","authenticated-orcid":false,"given":"M.","family":"Henderson","sequence":"first","affiliation":[{"name":"Sainte\u2010Justine University Hospital Research Center Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Quebec Canada"},{"name":"Department of Pediatrics, Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Quebec Canada"},{"name":"Department of Social and Preventive Medicine School of Public Health, Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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