Review articleA Meta-Analysis of Obesity Interventions Among U.S. Minority Children
Section snippets
Search strategy
The search consisted of seven online databases: MEDLINE, Academic Search Premier, Educational Resource Information Center (ERIC), Health Source Nursing/Academic Edition, PsycARTICLES, CINAHL Plus with Full Text, and SPORTDiscus. The search terms used were “minority or black or African American or American Indian or Mexican American or Hispanic or Latino or Asian American,” “child or adolescent or youth,” “obesity or overweight,” in combination with “intervention or trial” and various suffixes.
Results
The on-line library database search initially produced 1,544 hits, and a search through a reference lists review yielded 4 additional studies. Of the total, 40 studies [84], [85], [86], [87], [88], [89], [90], [91], [92], [93], [94], [95], [96], [97], [98], [99], [100], [101], [102], [103], [104], [105], [106], [107], [108], [109], [110], [111], [112], [113], [114], [115], [116], [117], [118], [119], [120], [121], [122], [123] were selected in the present meta-analysis. Figure 1 illustrates the
Discussion and Conclusion
Previous research [2], [3], [16], [17] has shown continuing racial/ethnic disparity in the prevalence of childhood obesity. However, no study has reviewed obesity interventions among U.S. minority children. The current review provides the first systematic analysis that focused on the efficacy of obesity interventions among U.S. multiethnic and minority children. Six conclusions could be drawn from this review. First, as hypothesized, interventions addressing three or more components, such as
Summary and Implications
Evidence shows that obesity interventions using three or more components are more efficacious than those that address less, illustrating the importance of applying multiple components to affect obesity risk factors among minority children. Intervention strategies, such as involving parents, changing lifestyles by integrating desired physical activity, and diet changes into participants' daily routines, considering cultural characteristics, and using interactive computer programs, may be
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