000099686 001__ 99686
000099686 005__ 20230519145418.0
000099686 0247_ $$2doi$$a10.1186/s12889-021-10297-8
000099686 0248_ $$2sideral$$a123125
000099686 037__ $$aART-2021-123125
000099686 041__ $$aeng
000099686 100__ $$0(orcid)0000-0001-6899-5938$$aSeral-Cortes, M.$$uUniversidad de Zaragoza
000099686 245__ $$aEffectiveness and process evaluation in obesity and type 2 diabetes prevention programs in children: a systematic review and meta-analysis
000099686 260__ $$c2021
000099686 5060_ $$aAccess copy available to the general public$$fUnrestricted
000099686 5203_ $$aBackground: Obesity in children is one of the most severe public health challenges of the current century and Type 2 Diabetes Mellitus (T2DM) frequency is also escalating. More so, the importance of process evaluation (PE) in complex interventions is increasingly recognized. The present review, aims to identify the effectiveness in terms of body composition parameters in a generation of articles to prevent obesity and T2DM in children. We hypothesise that those studies reporting PE applying the latest implementation guidelines suggested by the researchers would potentially show positive changes in body composition compared to those not reporting it. Additionally, we will evaluate the implementation degree of PE in those articles considering it and describe the PE subcomponents. Lastly, we aim to assess the intervention target used and its results.
Methods: A literature review was performed in parallel by 2 independent reviewers. A final number of 41 studies were selected for inclusion criteria.
Results: Meta-analysis of BMI and zBMI found non-significant effects of the proposed interventions. Sub-group analysis revealed only a significant effect in studies which performed PE. Moreover, PE was reported in 42% effective studies and 57% non-effective studies. Fidelity and satisfaction were the most implemented PE subcomponents, although there was a generally low grade of PE use (7/41). The highest proportion of effectiveness (83%) was shown in interventions of physical activity alone while the intervention most used was 3-arm target (diet, PA and BS).
Conclusions: Overall, obesity and T2DM prevention studies included in this review are not effective in terms of BMI and zBMI. Those studies performing PE reported to be effective in terms of BMI, while studies not reporting PE did not have positive results in terms of BMI and zBMI. In addition, none of the intervention studies included all PE indicators and most studies, which included PE in their interventions, did not provide full report of the PE components, according to the guidelines used for the present review. PROSPERO registration number: CRD42018093667.
000099686 536__ $$9info:eu-repo/grantAgreement/EC/H2020/801586/EU/International Doctoral Programme for Talent Attraction to the Campus of International Excellence of the Ebro Valley/IberusTalent$$9This project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No H2020 801586-IberusTalent$$9info:eu-repo/grantAgreement/ES/UZ/UZ-SANTANDER
000099686 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000099686 590__ $$a4.135$$b2021
000099686 592__ $$a1.156$$b2021
000099686 594__ $$a4.9$$b2021
000099686 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b83 / 210 = 0.395$$c2021$$dQ2$$eT2
000099686 593__ $$aPublic Health, Environmental and Occupational Health$$c2021$$dQ1
000099686 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000099686 700__ $$0(orcid)0000-0001-6173-5850$$aDe Miguel-Etayo, P.
000099686 700__ $$aZapata, P.
000099686 700__ $$0(orcid)0000-0002-2411-9538$$aMiguel-Berges, M.L.$$uUniversidad de Zaragoza
000099686 700__ $$0(orcid)0000-0003-0454-653X$$aMoreno, L.A.$$uUniversidad de Zaragoza
000099686 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000099686 773__ $$g21, 1 (2021), 348 [17 pp]$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458
000099686 8564_ $$s1522472$$uhttps://zaguan.unizar.es/record/99686/files/texto_completo.pdf$$yVersión publicada
000099686 8564_ $$s1912892$$uhttps://zaguan.unizar.es/record/99686/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000099686 909CO $$ooai:zaguan.unizar.es:99686$$particulos$$pdriver
000099686 951__ $$a2023-05-18-14:04:18
000099686 980__ $$aARTICLE