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Durham Research Online
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Exploring the evidence base for Tier 3 specialist weight management interventions for children aged 2–18 years in the UK : a rapid systematic review.

Brown, Tamara and O’Malley, Claire and Blackshaw, Jamie and Coulton, Vicki and Tedstone, Alison and Summerbell, Carolyn and Ells, Louisa J (2018) 'Exploring the evidence base for Tier 3 specialist weight management interventions for children aged 2–18 years in the UK : a rapid systematic review.', Journal of public health., 40 (4). pp. 835-847.

Abstract

Background: The impact of specialist weight management services (Tier 3) for children with severe and complex obesity in the UK is unclear. This review aims to examine the impact of child Tier 3 services in the UK, exploring service characteristics and implications for practice. Methods: Rapid systematic review of any study examining specialist weight management interventions in any UK setting including children (2–18 years) with a body mass index >99.6th centile or >98th centile with comorbidity. Results: Twelve studies (five RCTs and seven uncontrolled) were included in a variety of settings. Study quality was moderate or low and mean baseline body mass index z-score ranged from 2.7 to 3.6 units. Study samples were small and children were predominantly older (10–14 years), female and white. Multidisciplinary team composition and eligibility criteria varied; dropout ranged from 5 to 43%. Improvements in zBMI over 1–24 months ranged from −0.13 to −0.41 units. Conclusions: Specialist weight management interventions for children with severe obesity demonstrated a reduction in zBMI, across a variety of UK settings. Studies were heterogeneous in content and thus conclusions on service design cannot be drawn. There is a paucity of evidence for Tier 3 services for children, and further research is required.

Item Type:Article
Full text:(AM) Accepted Manuscript
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Status:Peer-reviewed
Publisher Web site:https://doi.org/10.1093/pubmed/fdx166
Publisher statement:This is a pre-copyedited, author-produced PDF of an article accepted for publication in Journal of public health following peer review. The version of record Brown, Tamara and O’Malley, Claire and Blackshaw, Jamie and Coulton, Vicki and Tedstone, Alison and Summerbell, Carolyn and Ells, Louisa J (2018) 'Exploring the evidence base for Tier 3 specialist weight management interventions for children aged 2–18 years in the UK : a rapid systematic review.', Journal of public health., 40 (4). pp. 835-847 is available online at: https://doi.org/10.1093/pubmed/fdx166
Date accepted:No date available
Date deposited:07 August 2018
Date of first online publication:08 December 2017
Date first made open access:08 December 2018

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