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FOOD DRINK NUTRITION DIET: DIET :
MEDICAL: CONDITIONS: OBESITY :
CHILDREN :
ADOLESCENTS :
PHYSICAL EXERCISE AND FITNESS :
INTERVENTIONS :
OUTCOMES :
SYSTEMATIC REVIEWS :
META-ANALYSIS :
RANDOMIZED TRIALS:
Impact of Dietary and Exercise Interventions
on Weight Change and Metabolic Outcomes
in Obese Children and Adolescents
A Systematic Review and Meta-analysis of Randomized Trials
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Impact of Dietary and Exercise Interventions on Weight Change and
Metabolic Outcomes in Obese Children and Adolescents A Systematic Review
and Meta-analysis of Randomized Trials
Author: Ho, Mandy
Journal: JAMA pediatrics
ISSN: 2168-6203
Date: 08/2013
Volume: 167 Issue: 8 Page: 759
DOI: 10.1001/jamapediatrics.2013.1453
ABSTRACT
Importance
Diet and exercise represent the mainstays of obesity
treatment. No systematic review has been conducted comparing the effect of
dietary and exercise intervention in reducing metabolic risks in
overweight children.
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Objective
To compare the effects of diet-only intervention with those of
diet plus exercise or exercise only on weight loss and metabolic risk
reduction in overweight children.
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Evidence Review
English-language articles from 1975 to 2010 available
from 7 databases were reviewed. One person searched the databases. Two
independent reviewers assessed abstracts and articles against the
following eligibility criteria: randomized controlled trials conducted in
overweight and obese children aged 18 years or younger, comparing dietary
intervention with a diet plus exercise program or an exercise-only
program. Study quality was critically appraised by 2 reviewers using
established criteria. The main outcome measures were body mass index, body
fat percentage, lean body mass, high-density lipoprotein cholesterol,
low-density lipoprotein cholesterol, triglycerides, fasting glucose, and
fasting insulin.
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snip
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Conclusions and Relevance
This review provides insights into the impact
of dietary and exercise interventions on metabolic risk reduction in the
pediatric population. However, further studies are required to confirm the
evidence with rigorous design, appropriate sample size, longer duration of
follow-up, and better strategies to improve compliance and achieve
long-term sustainability.
http://archpedi.jamanetwork.com/article.aspx?articleid=1697988
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Works Citing or Cited by This Article FROM Google Scholar
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Content Sample
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