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*Dagens forskningsoversigt fra Scias Update:*
Motivational Interviewing to Treat Adolescents With Obesity: A
Meta-analysis.
Pediatrics. 2018 11;142(5):
Authors: Vallabhan MK, Jimenez EY, Nash JL, Gonzales-Pacheco D, Coakley KE,
Noe SR, DeBlieck CJ, Summers LC, Feldstein-Ewing SW, Kong AS
Abstract
CONTEXT: Successful treatment approaches are needed for obesity in
adolescents. Motivational interviewing (MI), a counseling approach designed
to enhance behavior change, shows promise in promoting healthy lifestyle
changes.
OBJECTIVE: Conduct a systematic review of MI for treating overweight and
obesity in adolescents and meta-analysis of its effects on anthropometric
and cardiometabolic outcomes.
DATA SOURCES: We searched Medline, Embase, Cumulative Index to Nursing and
Allied Health Literature, PsychINFO, Web of Science, Cochrane Library, and
Google Scholar from January 1997 to April 2018.
STUDY SELECTION: Four authors reviewed titles, abstracts, and full-text
articles.
DATA EXTRACTION: Two authors abstracted data and assessed risk of bias and
quality of evidence.
RESULTS: Seventeen studies met inclusion criteria; 11 were included in the
meta-analysis. There were nonsignificant effects on reducing BMI (mean
difference [MD] -0.27; 95% confidence interval -0.98 to 0.44) and BMI
percentile (MD -1.07; confidence interval -3.63 to 1.48) and no discernable
effects on BMI z score, waist circumference, glucose, triglycerides,
cholesterol, or fasting insulin. Optimal information size necessary for
detecting statistically significant MDs was not met for any outcome.
Qualitative synthesis suggests MI may improve health-related behaviors,
especially when added to complementary interventions.
LIMITATIONS: Small sample sizes, overall moderate risk of bias, and short
follow-up periods.
CONCLUSIONS: MI alone does not seem effective for treating overweight and
obesity in adolescents, but sample size and study dose, delivery, and
duration issues complicate interpretation of the results. Larger, longer
duration studies may be needed to properly assess MI for weight management
in adolescents.
PMID: 30348753
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
<https://www.ncbi.nlm.nih.gov/home/about/policies>.
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Du kan også finde ovenstående abstract på *Facebook*
<https://evidens.link/2VzyE4A> eller *PubMed* <https://fsv.link/2wkdwFv>.
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