Authors & year | Interventions | Intervention intensity & duration | All outcomes | Follow-up time points | Key findings | Weight-related outcomes | Between group mean difference | P-value* |
---|---|---|---|---|---|---|---|---|
(95% CI) | ||||||||
Chen et al., 2011 | 1) Taored web-based intervention 2) General health, web-based information | Weekly online sessions for 8 weeks | 1) BMI 2) WHtR 3) BP 4) Dietary intake 5) PA; knowledge and self-efficacy 6) Nutrition | 2, 6, and 8 months | Statistically significantly more adolescents in the intervention group than the control group had: - decreased their WHtR (−0.01, p = 0.02) - decreased their DBP (− 1.12, p = 0.02) - increased PA as measured by the actigraph (12.46, p = 0.01) - increased FV intake (0.14, p = 0.001) - increased knowledge of PA (0.16, p = 0.008) and nutrition (0 .18, p = 0.001) - Statistically significant within group changes for the intervention group included WHtR, DBP, PA, FV intake and knowledge related to PA and nutrition (p < 0.05) -There were no statistically significant changes for any outcomes in the control group | BMI (kg/m2) | 0.01 (−0.03, 0.04) | 0.84 |
WHtR | −0.01 (− 0.01, − 0.001) | 0.02 | ||||||
% BF | 0.24 (− 0.49, 0.01) | 0.06 | ||||||
Ezendam et al., 2012 | 1) FATaintPHAT- computer-tailored intervention 2) No intervention control group | 15 min allocated for each of 8 lessons timetabled into regular school curriculum over 10 weeks | 1) Self-reported behaviours (diet, PA, sedentary behaviour) 2) Pedometer counts 3) BMI 4) WC 5) Fitness | 4 months and 2 years | Among the students at risk, those in the intervention group, compared to the control group: - reported eating more FV at 4-month follow-up (0.3, p = 0.02) - reported more steps at 2-year follow-up (12,389, p = 0.03) - The intervention had no effects on anthropometric outcomes or on sedentary behaviour | BMI (kg/m2) | 0.25 (− 0.29, 0.79) | 0.37 |
WC (cm) | 1.3 (−0.12, 2.72) | 0.08 | ||||||
Jones et al., 2008 | 1) SB2-BED - an internet-based weight maintenance program 2) Wait-list control group | Over 16 weeks, a new topic was introduced weekly with previous content accessible at any time | 1) BMI 2) Binge eating behaviours 3) Dietary fat and sugar intake 4) Depression 5) Programme adherence | Post treatment and 9 months | - Compared to the wait- list control group, the SB2-BED group had significantly reduced weight and shape concerns from baseline assessment to follow-up assessment at 9 months (−0.33, p = 0.03) - No difference in all other outcomes between groups - Statistically significant reductions in OBEs and SBEs from baseline assessment to posttreatment assessment (p < 0.01) and from baseline assessment to follow-up assessment (p < 0.05) were observed among SB2-BED participants | BMI (kg/m2) | −1.4 (−3.87, 1.05) | 0.26 |
BMI z-score | −0.16 (−0.41, 0.09) | 0.21 | ||||||
Nawi & Jamaludin., 2015 | 1) ObeseGO! – healthy lifestyle website 2) Health education pamphlets | 12 weeks Intensity not stated | 1) BMI 2) WC 3) % BF | Post treatment and at 12 weeks post-intervention | - There was no statistically significant reduction in BMI, WC or BF % between the intervention and control groups - The mean BMI, WC and % BF in the obeseGO! group were statistically significantly lower after the intervention (p < 0.001, p = 0.001, p = 0.001) | BMI (kg/m2) | −0.49 (−2.41, 1.42) | 0.61 |
WC (cm) | −1.57 (−6.18, 3.03) | 0.5 | ||||||
% BF | 0.09 (−2.14, 2.33) | 0.93 | ||||||
Williamson et al., 2006 | 1) Interactive behavioural internet programme 2) Passive internet health education programme | Programmes continuously available for use over 24 months | 1) BMI 2) BMI percentile 3) Body weight 4) % BF 5) Weight loss behaviours: dieting, weight concerns, exercise, overeating, and avoidance of fattening foods 6) Website use | 6, 12, 18 and 24 months | - In comparison with the control group, adolescents in the behavioural programme statistically significantly reduced their % BF (−1.12 (0.47) vs 0.43 (0.47), p < 0.05) during the first 6 months. However, after 2 years, % BF did not differ between the two groups (−0.08 (0.71) vs. 0.84 (0.72), p > 0.05) - Adolescents in both the treatment and control groups reported improvement in exercise and overeating, in comparison with baseline (p < 0.05) | BMI (kg/m2) | - 0.47 (− 2.29, 1.35) | 0.61 |
% BF | −0.9 (−2.9, 1.06) | 0.37 | ||||||
BMI percentile | −0.003 (− 0.011, 0.0053) | 0.48 |