Cochrane · systematic review · CD012547
Caregiver involvement in interventions for improving children's dietary intake and physical activity behaviors
Morgan, EH, Schoonees, A, Sriram, U, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Developmental, Psychosocial and Learning ProblemsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
10
No studies
11
Included studies
NR
No studies 11 · 52.4%Ungraded 0 · 0%Very low 4 · 19%Low 4 · 19%Moderate 2 · 9.5%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Dietary behavior change interventions with a caregiver component compared to interventions without a caregiver component for improving children's dietary intake
Population: children aged 7 to 18 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Percentage of children's total energy intake from saturated fat Measured by food record Assessed at end of intervention (9 months) Dietary behavior change interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 1 study · 207 participants | Low Downgraded: imprecision, indirectness |
Children's sodium intake (g/d) measured by food record Assessed at end of intervention (9 months) Dietary behavior change interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 1 study · 207 participants | Low Downgraded: imprecision, indirectness |
Children's fruit and vegetable intake (not measured) Dietary behavior change interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Children's SSB intake (not measured) Dietary behavior change interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Children's total physical activity (not measured) Dietary behavior change interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Children's MVPA (not measured) Dietary behavior change interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Adverse effects (not measured) Dietary behavior change interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Physical activity interventions with a caregiver component compared to interventions without a caregiver component for improving children's physical activity behaviors
Population: children aged 3 to 11 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Percentage of children's total energy intake from saturated fat (not measured) Physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Children's sodium intake (not measured) Physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Children's fruit and vegetable intake (not measured) Physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Children's SSB intake (not measured) Physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Children's total physical activity (min/h) Measured by accelerometry Assessed at end of intervention (6 months) Physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 1 study · 54 participants | Low Downgraded: risk of bias, indirectness |
Children's MVPA (% time spent/d and min/h) Measured by accelerometry Assessed at end of intervention (12 weeks and 6 months) Physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 2 studies · 80 participants | Moderate Downgraded: risk of bias |
Adverse effects (not measured) Physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |
Combined dietary and physical activity interventions with a caregiver component compared to interventions without a caregiver component for improving children's dietary intake and physical activity behaviors
Population: children aged 4 to 14 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Children's percentage of total energy intake from saturated fat Measured by food frequency questionnaire and 24‐hour recall Combined dietary and physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 2 studies · 216 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Children's sodium intake (mg/d) Measured by 24‐hour recall Combined dietary and physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 2 studies · 315 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Children's fruit and vegetable intake (servings/d) Measured by food frequency questionnaire Combined dietary and physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 1 study · 134 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Children's SSB intake (SSB drinks/d, soft drink glasses/d and regular soda servings/d) Measured by questionnaires Combined dietary and physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 3 studies · 651 participants | Moderate Downgraded: risk of bias |
Children's total physical activity (min/d) Measured by questionnaires Combined dietary and physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 2 studies · 573 participants | Low Downgraded: risk of bias, imprecision |
Children's MVPA (min/d) Measured by questionnaire Combined dietary and physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | 1 study · 622 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse effects (not reported by intervention arm) Combined dietary and physical activity interventions with a caregiver component vs interventions without a caregiver component | no estimate extracted | NR | No studies |