Author/ Date

Sample

Method, conditions and outcome measures

Intervention

Findings

Effect size

Quality score

Baker and Saunders (in press)

West Midlands obesity awareness programme n= 212 families, Mean age = 10.5 years

Cohort 10 week after school Community group sessions (MEND), BMI, waist circumferences, PA, HR, Nutrition score

MEND involved 20 sessions, twice weekly for two hours. Primary carer’s attendance was mandatory when children were present. Comprised of measurements, nutrition, behaviour change and PA.

Attendance was 80.4%. The article states that significant improvements in PA behaviours were noted (3.8 hours more per week) as well as improvements in nutrition scores and a reduction in BMI (−0.8) and waist circumference (−2.7 cm).

N/A

Moderate

Croker, Viner, Nicholls, Haroun, Chadwick, Edwards, Wells, and Wardle (2011)

Great Ormond Street Hospital, n = 72 children (mean age = 10.3 years, 69.4% female), n = 59 parents (mean BMI = 30.8)

RCT 35 received FBBT intervention 37 went on a waiting list control.

BMI, SD, BP, FM & FFM

FBBT ran for 6 months and involved advice on whole family lifestyle change, behavioural weight control programme. Aim to reduce fat and energy intake, and increase PA and parent-child interaction.

22 children completed. Median number of sessions was 9 with 18 children completing 10 or more. Significant reduction in BMI SDS but not BMI. No significant changes in weight and body composition. Significant reduction in BP (p < 0.05). Significant BMI difference between groups (p = 0.03).

KG

BMI

BMI SDS

Moderate

Treatment

0.04

0.06

0.18

Control

0.15

0.02

0.15

Edwards, Nicholls, Croker, Van Zyl, Viner and Wardle (2006)

Great Ormond Street Hospital n = 33 families, n = 33 children (females = 23), mean age 10.1 years, BMI SDS = 3.23

CohortFour month group based intervention BMI, weight, height, Piers-Harris self concept scare, ChEAT, CDI

Four month intervention, the first two months consisted of weekly sessions, the latter two were fortnightly sessions. Assessments at each session, advice given on lifestyle change, behavioural weight control programmes, nutrition, PA, self-monitoring, goal setting, relapse prevention, food diaries and rewards for homework completion.

27 children completed the intervention and PA measurements, 25 children completed the psychological measures.

Significant differences in Weight (p = 0.01), height (p < 0.001) BMI SDS (p < 0.001), Piers-Harris score (P = 0.01), CDI (p = 0.001). No significant differences in ChEAT.

KG

BMI SDS

Moderate

0.08

0.31

Sabin, Ford, Hunt, Jamal, Crowne and Shield (2007)

NHS weight management programme n = 137 (females = 74), Median age = 11.7 years, mean BMI SDS = 3.6

Cohort Observation study of stand NHS weight management care for children.

Weight, BMI SDS,

Standard NHS childhood obesity care which comprised of one-to-one expert support. This includes lifestyle change, PA guide, Nutritional information, family behaviour change and invitations of PA sessions.

79 (58%) completed of which only 58 were seen for 12 months. Over 12 months mean BMI SDS reduction of 0.3. The fall in BMI was significantly correlated with age at entry (r = 0.567; p < 0.001). 61% of children had at least on parent affected by obesity.

N/A

Weak

Sacher, Kolotourou, Chadwick, Cole, Lawson, Lucas and Singhal (2010)

Five public health obesity service sites. n= 116 (females = 63), mean age 10.3 years, Mean BMI SDS = 2.77

RCT MEND Intervention = 60, Control = 56. BMI, weight, Waist circumference, body fat, Global self-esteem, PA, BP, HR,

Six month MEND intervention, consisting of 9 week MEND programme and 12 week free family swim pass. Multi-component lifestyle programme based on nutrition, sport science, psychology and social cognitive theories. Sessions were group based with 8 - 15 children in each session.

37 children completed the intervention and 45 for control however missing data for measures was high. A significant difference was noted in BMI (p = 0.05), waist circumference (p = 0.02), Diastolic BP (p = 0.03), HR (p = 0.001), PA hours (p = 0.07), Sedentary behaviour (p = 0.002) and global self-esteem (p = 0.05)

BMI

BMI z

Moderate

Intervention

0.41

0.59

Control

0.12

0.02