The Impact of Parental Involvement in the Prevention and Management of Obesity in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

The Impact of Parental Involvement in the Prevention and Management of Obesity in Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Obesity in children is a critical public health issue in developed countries and developing countries. The establishment of health-related behaviors in childhood, significantly influenced by parental involvement, underscores the need for effective intervention measures. This original research is a s...

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Bibliographic Details
Published in:Children (Basel) Vol. 11; no. 6; p. 739
Main Authors: Aleid, Abdulsalam M, Sabi, Noor M, Alharbi, Ghaida Saleh, Alharthi, Atheer A, Alshuqayfi, Sarah M, Alnefiae, Nirmeen S, Ismail, Gawaher M, Allhybi, Abdulaziz K, Alrasheeday, Awatif M, Alshammari, Bushra, Alabbasi, Yasmine, Al Mutair, Abbas
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 01-06-2024
MDPI
Subjects:
Behavior
Bias
BMI z-score
Body fat
Body mass index
Caregivers
Children
Developing countries
Diet
Exercise
exercise levels
Families & family life
Health aspects
Intervention
Meta-analysis
Obesity
Obesity in children
Parent and child
Parent participation
Parents & parenting
Pediatrics
Physical fitness
prevention
Screen time
Self-efficacy
Software
Standard scores
Strategic planning (Business)
Systematic review
Saudi Arabia
caregivers
percentage body fat
exercise levels
BMI z-score
pediatrics
screen time
dietary self-efficacy
prevention
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Summary:Obesity in children is a critical public health issue in developed countries and developing countries. The establishment of health-related behaviors in childhood, significantly influenced by parental involvement, underscores the need for effective intervention measures. This original research is a systematic review and meta-analysis that aimed to investigate the impact of parental involvement on the prevention and management of childhood obesity, focusing on outcomes such as BMI z-score, exercise levels, screen time, dietary self-efficacy, and percentage body fat. Adhering to the PRISMA guidelines, we conducted a systematic review and meta-analysis of 12 randomized controlled trials (RCTs) identified through comprehensive searches of PubMed, Scopus, Web of Science, and the Cochrane Library, including RCTs involving children aged 2-18 years with parental or caregiver participation, reporting on the specified outcomes. Data analysis was performed using RevMan 5.3, employing a random effects model. A total of 5573 participants were included. The meta-analysis revealed a significant reduction in BMI z-score (MD = -0.06, 95% CI: -0.09 to -0.02, = 0.005, I = 58%), a non-significant increase in exercise levels (SMD = 0.26, 95% CI: -0.01 to 0.52, = 0.05, I = 52%), and a significant reduction in screen time (MD = -0.36 h per day, 95% CI: -0.61 to -0.11, = 0.005, I = 0%). Dietary self-efficacy also improved significantly (MD = 0.59, 95% CI: 0.12 to 1.05, = 0.01, I = 0%). However, changes in percentage body fat did not reach statistical significance (MD = -1.19%, 95% CI: -2.8% to 0.41%, = 0.15, I = 0%). Parental involvement in childhood obesity interventions significantly impacts BMI z-score, exercise levels, screen time, and dietary self-efficacy but not percentage body fat. These findings highlight the importance of engaging parents in obesity prevention and management strategies.
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ISSN:2227-9067
2227-9067
DOI:10.3390/children11060739