An Integrative Literature Review of Interventions for School-aged Overweight and Obese Children

Juhyun Jo; Sang-Youn Jang; Dajeong Kum; Jihee Lim; Jeongeun Kim

doi:10.16952/pns.2019.16.2.75

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Jo, Jang, Kum, Lim, and Kim: An Integrative Literature Review of Interventions for School-aged Overweight and Obese Children

Original Article

Perspectives in Nursing Science 2019; 16(2): 75-83.

Published online: 30 October 2019

DOI: https://doi.org/10.16952/pns.2019.16.2.75

An Integrative Literature Review of Interventions for School-aged Overweight and Obese Children

Juhyun Jo, Sang-Youn Jang, Dajeong Kum, Jihee Lim, Jeongeun Kim

Graduate Student, College of Nursing, Seoul National University, Seoul, Korea.

Corresponding author: Jang, Sang-Youn. College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea. Tel: +82-2-740-8467, wish3640@snu.ac.kr

Received 23 September 2019 Revised 13 October 2019 Accepted 13 October 2019

The Research Institute of Nursing Science Seoul National University

Abstract

Purpose

This study aimed to identify the characteristics of an intervention program for school-aged overweight and obese children through an integrated literature review.

Methods

We used five databases (MEDLINE [PubMed], CINAHL, Embase, DBpia, and RISS) to search for studies published between January 1, 2013, and April 18, 2018. The studies were reviewed according to specific inclusion and exclusion criteria.

Results

Finally, nine studies were selected and classified into three types: school-based, community-based, and home-based. Specific intervention methods were identified, including exercise, diet, exercise and diet, and cognitive behavioral therapy.

Conclusion

Most studies have shown the effectiveness of obesity intervention programs. However, the variables, tools, and methods of measuring the effectiveness of intervention varied, making it difficult to compare the intervention studies. Therefore, future studies should develop objective and integrated measurement tools and evaluate the effects with long-term follow-up.

Keywords: Children, Overweight, Obesity, Review

Figures and Tables

Figure 1

Process of integrative review.

Figure 2

Flowchart for article relevance assessment.

Table 1

General Analysis of the Reviewed Papers (N=9)

Table 2

Content Analysis of Intervention

C=Control group; CPA=Children physical activity; CW=Cooking workshop; E=Experimental group; N=No; N/A=Not applicable; Y=Yes.

Appendix

1. Cho IS, Ryu HS. The effect of community based participatory obesity management program in obese school children. J Oil Appl Sci. 2017 Dec;34(4):737–45. https://doi.org/10.12925/jkocs.2017.34.4.737

2. Sigmund E, Sigmundová D. Longitudinal 2-year follow-up on the effect of a non-randomised school-based physical activity intervention on reducing overweight and obesity of Czech children aged 10–12 years. Int J Environ Res Public Health. 2013 Aug 16;10(8):3667–83. https://doi.org/10.3390/ijerph10083667

3. Koo HC, Poh BK, Ruzita AT. Intervention on whole grain with healthy balanced diet to manage childhood obesity (GReat- Childtrial): study protocol for a quasi-experimental trial. Springer-Plus. 2016 Jun 22;5(1):840. https://doi.org/10.1186/s40064-016-2431-y

4. Guo H, Zeng X, Zhuang Q, Zheng Y, Chen S. Intervention of childhood and adolescents obesity in Shantou city. Obes Res Clin Pract. 2015 Jul-Aug;9(4):357–64. https://doi.org/10.1016/j.orcp.2014.11.006

5. Lee GY, Choi YJ. Effects of an obesity management mentoring program for Korean children. Appl Nurs Res. 2016 Aug;31: 160–4. https://doi.org/10.1016/j.apnr.2016.03.001

6. Rito AI, Carvalho MA, Ramos C, Breda J. Program obesity zero (POZ) - a community-based intervention to address overweight primary-school children from five Portuguese municipalities. Public Health Nutr. 2013 Jun;16(6):1043–151. https://doi.org/10.1017/s1368980013000244

7. Lee A, Ho M, Keung VM, Kwong AC. Childhood obesity management shifting from health care system to school system: intervention study of school-based weight management programme. BMC Public Health. 2014 Nov 3;14:1128. https://doi.org/10.1186/1471-2458-14-1128

8. Maddison R, Marsh S, Foley L, Epstein LH, Olds T, Dewes O, et al. Screen-time weight-loss intervention targeting children at home (SWITCH): a randomized controlled trial. Int J Behav Nutr Phys Act. 2014 Sep 10;11:111. https://doi.org/10.1186/s12966-014-0111-2

9.Wong EM, Cheng MM. Effects of motivational interviewing to promote weight loss in obese children. J Clin Nurs. 2013 Sep; 22(17–18):2519–30. https://doi.org/10.1111/jocn.12098

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