Effects of nutrition intervention strategies in the primary prevention of overweight and obesity in school settings: a protocol for a systematic review and network meta-analysis

Autor(en)
Edris Nury, Jakub Morze, Kathrin Grummich, Gerda Rücker, Georg Hoffmann, Claudia Maria Angele, Jürgen M. Steinacker, Johanna Conrad, Daniela Schmid, Jörg Meerpohl, Lukas Schwingshackl
Abstrakt

Background Overweight and obesity in children and adolescents are major public health challenges affecting quality of life and representing important risk factors in the development of non-communicable diseases. School environments provide great possibilities for the primary prevention of overweight and obesity and different school-based nutrition interventions are available. However, existing research on school-based nutrition interventions has important limitations and no network meta-analysis (NMA) has been performed yet to compare all available interventions. Therefore, the present research project aims to investigate the impact of different nutrition interventions in the school setting by comparing and ranking them using NMA methodology. Methods/design A systematic literature search will be performed in 11 electronic databases (PubMed, the Cochrane Library, Web of Science, ERIC, PsycINFO, CAB s, Campbell Library, BiblioMap EPPI, Australian Education Index, Joanna Briggs Institute Evidence-Based Practice Database and Practice-based Evidence in Nutrition Database). Parallel or cluster randomized controlled trials (RCTs) meeting the following criteria will be included: (1) generally healthy school students aged 4-18 years, (2) school-based intervention with >= 1 nutrition component, and (3) assessed anthropometric (overweight/obesity risk, body weight change, weight Z-score, [standardized] body mass index, body fat, waist circumference) and/or diet-quality measures (daily intake of fruits and vegetables, fat, and sugar-sweetened beverages). Random effects pairwise and NMA will be performed for these outcomes and surface under the cumulative ranking curve (SUCRA) estimated (P-score). Where possible, component NMA (CNMA) will be used additionally. Subgroup analyses are carried out for intervention duration, gender, age of school students, socioeconomic status, and geographical location, and sensitivity analyses by excluding high risk of bias RCTs. Discussion This systematic review and NMA will be the first to both directly and indirectly compare and rank different school-based nutrition interventions for the primary prevention of overweight and obesity in childhood and adolescence. Our analyses will provide important insights about the effects of the different interventions and show which are the most promising. The results of our study can help inform the design of new studies and will be of value to anyone interested in developing successful, evidence-based nutrition interventions in school settings. Systematic review registration PROSPERO: .

Organisation(en)
Institut für Lehrer*innenbildung, Department für Ernährungswissenschaften
Externe Organisation(en)
Albert-Ludwigs-Universität Freiburg, Deutsche Gesellschaft für Ernährung (DGE), University of Warmia and Mazury in Olsztyn, Cochrane Deutschland Stiftung (CDS), Deutsche Gesellschaft für Sportmedizin und Prävention, European Federation of Sports Medicine Associations (EFSMA), International Federation of Sports Medicine, Universitätsklinikum Ulm
Journal
Systematic Reviews
Band
10
Anzahl der Seiten
11
DOI
https://doi.org/10.1186/s13643-021-01661-1
Publikationsdatum
04-2021
Peer-reviewed
Ja
ÖFOS 2012
303009 Ernährungswissenschaften
Schlagwörter
ASJC Scopus Sachgebiete
Medicine (miscellaneous)
Sustainable Development Goals
SDG 3 – Gesundheit und Wohlergehen
Link zum Portal
https://ucris.univie.ac.at/portal/de/publications/effects-of-nutrition-intervention-strategies-in-the-primary-prevention-of-overweight-and-obesity-in-school-settings-a-protocol-for-a-systematic-review-and-network-metaanalysis(02725bac-ae39-4389-a9ff-87f959317240).html