The effectiveness of nurse-led interventions to prevent childhood and adolescent overweight and obesity: A systematic review of randomised trials.

Content Provider	Europe PMC
Author	Whitehead, Lisa Kabdebo, Istvan Dunham, Melissa Quinn, Robyn Hummelshoj, Jennifer George, Cobie Denney‐Wilson, Elizabeth
Abstract	AbstractBackgroundObesity among children and adolescents continues to rise worldwide. Despite the efforts of the healthcare workforce, limited high‐quality evidence has been put forward demonstrating effective childhood obesity interventions. The role of nurses as primary actors in childhood obesity prevention has also been underresearched given the size of the workforce and their growing involvement in chronic disease prevention.AimTo examine the effectiveness of nurse‐led interventions to prevent childhood and adolescent overweight and obesity.DesignA systematic review of randomised trials.Data sourcesMedline, CINAHL, EMBASE, Cochrane (CENTRAL), ProQuest Central and SCOPUS were searched from inception to March 2020.Review methodsThis review was informed by the Cochrane handbook for systematic reviews of interventions.ResultsTwenty‐six publications representing 18 discrete studies were included (nine primary prevention and nine secondary prevention). Nurse‐led interventions were conducted in diverse settings, were multifaceted, often involved parents and used education, counselling and motivational interviewing to target behaviour change in children and adolescents’ diet and physical activity. Most studies did not determine that nurse‐led interventions were more effective than their comparator(s) in preventing childhood and adolescent overweight and obesity.ConclusionsNurse‐led interventions to prevent juvenile obesity are feasible but have not yet determined effectiveness. With adequate training, nurses could make better use of existing clinical and situational opportunities to assist in the effort to prevent childhood obesity.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9290653&blobtype=pdf
Page Count	20
ISSN	03092402
Journal	Journal of Advanced Nursing [J Adv Nurs]
Volume Number	77
DOI	10.1111/jan.14928
PubMed Central reference number	PMC9290653
Issue Number	12
PubMed reference number	34142727
e-ISSN	13652648
Language	English
Publisher	John Wiley and Sons Inc.
Publisher Date	2021-06-18
Publisher Place	Hoboken
Access Restriction	Open
Rights License	This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. © 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Subject Keyword	adolescent body mass index child nurses obesity overweight prevention randomised controlled trials systematic review
Content Type	Text
Resource Type	Article
Subject	Nursing