tailieunhanh - Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with ‘best practice’ recommendations

The results from the library database searches (13 158 hits), the Internet search and key informant surveys were reduced to a review of 982 reports of which 500 were selected for critical appraisal. In total 158 articles, representing 147 pro- grammes, were included for further analysis. The majority of reports were included based on high appraisal scores in programme development and evalua- tion with limited numbers eligible based on scores in other categories of appraisal. While no single programme emerged as a model of best practice, synthesis of included programmes provided rich information on elements that represent inno- vative rather than best practice under particular circumstances that are. | obesity reviews Reducing obesity and related chronic disease risk in children and youth a synthesis of evidence with best practice recommendations MẠ t Plvnn1 2 3 a L loKloil4 R IX lrdlíotí6 D L li itrncúnmA rn4 A I4 c ForH4 5 nnd s S Toiir ih4 7 .. FlyiIII 1Nutrition and Active Living Healthy Living Calgary Health Region 2Department of Community Health Sciences University of Calgary 3Department of Agriculture and Food Sciences University of Alberta 4Decision Support Research Team Child and Women s Health Calgary Health Region 5Graduate Student Community Health Sciences University of Calgary 6Community Development Healthy Living Calgary Health Region departments of Paediatrics and Community Health Sciences University of Calgary Calgary Canada Received 5 May 2005 revised 13 September 2005 accepted 28 September 2005 Address for correspondence DA McNeil Decision Support Research Team Child and Women s Health Calgary Health Region Calgary Canada. E-mail Currently at Food Safety Authority of Ireland Dublin. Summary Childhood obesity is a global epidemic and rising trends in overweight and obesity are apparent in both developed and developing countries. Available estimates for the period between the 1980s and 1990s show the prevalence of overweight and obesity in children increased by a magnitude of two to five times in developed countries . from 11 to over 30 in boys in Canada and up to almost four times in developing countries . from 4 to 14 in Brazil . The goal of this synthesis research study was to develop best practice recommendations based on a systematic approach to finding selecting and critically appraising programmes addressing prevention and treatment of childhood obesity and related risk of chronic diseases. An international panel of experts in areas of relevance to obesity provided guidance for the study. This synthesis research encompassed a .