Yasmina Al Ghadban, Nerys M Astbury, Abdallah Kurdi, Ankita Sharma, Beatrice Ope, Tzu-Ying Liu, Lucy MacKillop, Huiqi Y Lu, Jane E Hirst
{"title":"Prediction Models for Maternal and Offspring Short- and Long-Term Outcomes Following Gestational Diabetes: A Systematic Review.","authors":"Yasmina Al Ghadban, Nerys M Astbury, Abdallah Kurdi, Ankita Sharma, Beatrice Ope, Tzu-Ying Liu, Lucy MacKillop, Huiqi Y Lu, Jane E Hirst","doi":"10.1111/obr.13934","DOIUrl":"https://doi.org/10.1111/obr.13934","url":null,"abstract":"<p><strong>Objectives: </strong>Gestational diabetes mellitus (GDM), affecting one in seven pregnant women worldwide, can have short- and long-term adverse outcomes for both the mother and her baby. Despite a raft of prognostic models aiming to predict adverse GDM outcomes, very few have impacted clinical practice. This systematic review summarizes and critically evaluates prediction models for GDM outcomes, to identify promising models for further evaluation.</p><p><strong>Methods: </strong>We searched EMBASE, MEDLINE, Web of Science, CINAHL, and CENTRAL for studies that reported the development or validation of predictive models for GDM outcomes in mother or offspring (PROSPERO: CRD42023396697).</p><p><strong>Results: </strong>Sixty-four articles detailing 103 developed and 12 validated models were included in this review. Of these, 45% predicted long term, 31% birth, and 23% pregnancy outcomes. Most models (87%) had a high risk of bias, lacking sufficient outcome events, internal validation, or proper calibration. Only eight models were found at low risk of bias.</p><p><strong>Conclusions: </strong>Our findings highlight a gap in rigorously developed prediction models for adverse GDM outcomes. There is a need to further validate existing models and evaluate their clinical utility to generate risk prediction tools capable of improving clinical decision-making for women with GDM and their children.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13934"},"PeriodicalIF":8.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to \"Emotional Processing in Obesity: A Systematic Review and Exploratory Meta-Analysis\".","authors":"","doi":"10.1111/obr.13935","DOIUrl":"https://doi.org/10.1111/obr.13935","url":null,"abstract":"","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13935"},"PeriodicalIF":8.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anca T Dobrescu, Alice Porter, Danielle Ferriday, Peter J Rogers
{"title":"A systematic review of the relationship between portion size and indexes of adiposity in children.","authors":"Anca T Dobrescu, Alice Porter, Danielle Ferriday, Peter J Rogers","doi":"10.1111/obr.13928","DOIUrl":"https://doi.org/10.1111/obr.13928","url":null,"abstract":"<p><p>Research suggests that larger food portion sizes (PS) during a meal or snack increase daily energy intake in children. However, it remains unclear whether this 'PS effect' would lead to a sustained increase in consumption and affect body adiposity. This systematic review assesses the evidence for a relationship between served, consumed, and preferred PS (food or drink size in grams or kcal) and indexes of adiposity (e.g., BMI percentile, BMI z-scores) in children (< 19 years). A total of 17 articles were identified using six electronic databases (PsycINFO, MEDLINE, EMBASE, Web of Science, Cochrane Library, and ProQuest Dissertations & Theses Global). Articles were screened independently by 2 researchers; 21 studies were included (15 cross-sectional, 2 experimental, 1 case study, 1 longitudinal, and two interventions). A narrative review was conducted due to high levels of heterogeneity. Cross-sectional and experimental studies (n = 13) reported positive associations between PS and adiposity, but results differed according to the sex/gender of the participants and food type. Interventions (n = 2) showed that portion size reduction may be effective in reducing child adiposity. Due to the limited evidence on the causality and direction of the effect, and over-reliance on cross-sectional studies, more evidence on the longer-term impact of PS on indexes of body adiposity is required.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13928"},"PeriodicalIF":8.0,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Serafien Depoorter, Willem Staels, Elise Nauwynck, Jesse Vanbesien, Jean De Schepper, Inge Gies
{"title":"Overweight and obesity in preschoolers: Overview of current treatment options.","authors":"Serafien Depoorter, Willem Staels, Elise Nauwynck, Jesse Vanbesien, Jean De Schepper, Inge Gies","doi":"10.1111/obr.13931","DOIUrl":"https://doi.org/10.1111/obr.13931","url":null,"abstract":"<p><p>Overweight and obesity present a burgeoning global health concern affecting both children and adults. Of particular alarm is the escalating prevalence among preschool-aged children, associated with a five-fold increased risk of persistent obesity and its attendant comorbidities in adulthood. Urgent intervention is thus imperative. Nevertheless, knowledge concerning treatment options for preschoolers remains limited. This study aims to provide a narrative overview of extant and potential treatment modalities for early childhood obesity. A review of randomized controlled trials and clinical studies emphasizes the crucial role of parents in the treatment paradigm. Several studies have delved into parent-support treatment programs, revealing a statistically significant reduction in body mass index (BMI) compared to conventional interventions. Notably, implementing a digital support system offering personalized data and feedback for home-based therapy has yielded a statistically significant decrease in BMI among preschoolers, suggesting its efficacy in fostering sustained therapeutic outcomes.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13931"},"PeriodicalIF":8.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emma Boyland, Nicholas Davies, Moon Wilton, Andrew Jones, Michelle Maden, Ffion Curtis, Rebecca Evans, Amy Finlay, Lauren McGale, Caroline Cerny, Nika Pajda, Abigail K Rose
{"title":"Impact of food, beverage, and alcohol brand marketing on consumptive behaviors and health in children and adults: A systematic review and meta-analysis.","authors":"Emma Boyland, Nicholas Davies, Moon Wilton, Andrew Jones, Michelle Maden, Ffion Curtis, Rebecca Evans, Amy Finlay, Lauren McGale, Caroline Cerny, Nika Pajda, Abigail K Rose","doi":"10.1111/obr.13932","DOIUrl":"https://doi.org/10.1111/obr.13932","url":null,"abstract":"<p><p>Exposure to unhealthy food, beverage, and alcohol marketing can contribute to inadequate diet and excess alcohol consumption, both risk factors for diet-related non-communicable diseases including obesity and cancer. By not featuring specific products, brand-only marketing strategies circumvent restrictions that assess healthiness at the product level and restrict accordingly. Currently, there is no global or national government policy that explicitly addresses brand marketing for unhealthy products linked to diet-related non-communicable diseases. This systematic review and meta-analysis synthesizes contemporary evidence on the effects of food, beverage, and alcohol brand-marketing on diet-related cognitive outcomes (preference, choice), diet-related behavioral outcomes (purchase requests, purchase, consumption), and health-related outcomes (body weight, body mass index, obesity) in children and adults. Included studies manipulated acute marketing exposure, with at least one brand-only marketing condition. Fourteen databases were searched (including MEDLINE and PubMed) for articles published from January 2004 to February 2024. Nineteen eligible studies were identified and assessed for bias; five were included in the meta-analysis assessing effects on consumption. Findings from the review suggest brand marketing for food, beverages, and alcohol can influence preference, choice, and purchase intent. The meta-analysis found no evidence of a significant effect of brand-only marketing on consumption. Overall, evidence was limited and of mixed quality so further robust research is needed to inform regulatory action. Government policies for reducing brand-only marketing are needed to protect vulnerable populations from brand marketing promoting unhealthy consumption behaviors that increase the risk of non-communicable disease.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13932"},"PeriodicalIF":8.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alyssa J Budin, Wendy A Brown, Andrew D MacCormick, Ian Caterson, Priya Sumithran
{"title":"Depressive symptoms at short-, medium-, and long-term follow-up after bariatric surgical procedures: A systematic review and meta-analysis.","authors":"Alyssa J Budin, Wendy A Brown, Andrew D MacCormick, Ian Caterson, Priya Sumithran","doi":"10.1111/obr.13927","DOIUrl":"https://doi.org/10.1111/obr.13927","url":null,"abstract":"<p><strong>Importance: </strong>Patients experience both positive and negative changes in mood following bariatric surgery and mental health outcomes have been reported to differ between procedure types. Understanding changes in symptoms over time and between surgical procedures is vital to providing meaningful, long-term, patient-centered care.</p><p><strong>Objective: </strong>To examine the nature and time course of changes in depressive symptoms after different bariatric procedures.</p><p><strong>Evidence review: </strong>Medline, Embase, Emcare, PsycINFO, CINAHL, and CENTRAL databases were systematically searched from inception to January 18, 2024. Ninety publications describing patient-reported depressive symptoms in 13,146 individuals undergoing bariatric procedures were included.</p><p><strong>Findings: </strong>Qualitative analysis indicated a reduction of depressive symptoms at all time points following all bariatric procedure types. However, a subset of patients experienced worsening symptoms post-surgery. Meta-analyses indicated depressive symptoms improve following bariatric surgery by an SMD of -0.6 (95% CI: -0.8, -0.4) in the short term (0-4 months post-surgery), -0.9 (95% CI: -1.0, -0.8) in the medium term (5-12 months), and -0.7 (95% CI: -0.9, -0.5) in the long term (> 12 months). There was no evidence that surgery type was associated with the change in depressive symptoms at any time point post-surgery.</p><p><strong>Conclusions and relevance: </strong>Patient-reported depressive symptoms improve following bariatric surgery with improvements peaking in the medium term and diminishing over time. Significant heterogeneity in the results cannot be explained by surgery type, baseline depression, or depression instrument used across studies. Long-term management of post-bariatric surgery patients must consider the potential for adverse psychological effects of surgery.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13927"},"PeriodicalIF":8.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roshan Ravindran, Damiano Pizzol, Masoud Rahmati, Susanna Caminada, Dong Keon Yon, Jae Il Shin, Nicola Veronese, Pinar Soysal, Guillaume Fond, Laurent Boyer, José Francisco López-Gil, Karel Kostev, Julia Gawronska, Lee Smith
{"title":"Cryolipolysis and associated health outcomes, adverse events, and satisfaction: A systematic review and meta-analysis.","authors":"Roshan Ravindran, Damiano Pizzol, Masoud Rahmati, Susanna Caminada, Dong Keon Yon, Jae Il Shin, Nicola Veronese, Pinar Soysal, Guillaume Fond, Laurent Boyer, José Francisco López-Gil, Karel Kostev, Julia Gawronska, Lee Smith","doi":"10.1111/obr.13925","DOIUrl":"https://doi.org/10.1111/obr.13925","url":null,"abstract":"<p><strong>Background: </strong>Cryolipolysis is a nonsurgical adiposity reduction treatment that is increasing in popularity globally. The aim of this paper was to carry out a systematic review with meta-analysis on cryolipolysis and associated health outcomes, adverse events (AE) and patient satisfaction.</p><p><strong>Methods: </strong>Major databases were searched from inception until April 4, 2024. Meta-analysis was performed using random-effect models to calculate the pooled effects size and 95% confidence interval (CI) of each finding. The systematic review protocol was registered on PROSPERO, CRD-42024548077.</p><p><strong>Results: </strong>A total of 30 studies were included, including 3158 participants. The result of meta-analyses showed reduced body mass index (mean differences [MD] = -1.80, 95% confidence interval [CI] -2.98, -0.62, p = 0.0003), waist-to-hip ratio (MD = -0.09, 95% CI -0.16, -0.02, p = 0.001), mean abdominal circumference (cm) (MD = -3.56, 95% CI -4.98, -2.15, p = 0.000001), and mean suprailiac fat thickness (FT) (mm) (MD = -5.22, 95% CI -9.03, -1.42, p = 0.0007), 12 weeks after cryolipolysis as compared with baseline values. The satisfaction rate was 80.4% and the AE of cryolipolysis was 49.5% for numbness, 44.5% for erythema, 30.5% for edema, 28.8% for pain, 25.4% for sensitivity, 15.2% for tingling, and 2% for hyperpigmentation.</p><p><strong>Conclusion: </strong>In the present study, it was found that cryolipolysis was associated with a reduction in the number of adiposity parameters at 3 months follow-up. A relatively high level of minor AEs was reported; however, patient satisfaction was high suggesting that the treatment is well tolerated.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13925"},"PeriodicalIF":8.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Magaly Aceves-Martins, Yareni Yunuen Gutierrez-Gómez, Carlos Francisco Moreno-García
{"title":"Socioeconomic determinants of overweight and obesity among Mexican children and adolescents: Systematic review and meta-analysis.","authors":"Magaly Aceves-Martins, Yareni Yunuen Gutierrez-Gómez, Carlos Francisco Moreno-García","doi":"10.1111/obr.13926","DOIUrl":"https://doi.org/10.1111/obr.13926","url":null,"abstract":"<p><p>Socioeconomic status (SES) has widely been studied as a potential risk factor for obesity among children and adolescents. Nevertheless, SES determinants are rarely contextualized within a country's situation. This work aimed to identify SES factors associated with childhood and adolescent obesity in Mexico. Eleven scientific databases were searched, and 54 studies met the inclusion criteria. When measuring SES, 56% of the studies measured wealth, 50% living environment (urban vs rural areas), 44% parental education, 30% ethnic origin, 24% income or monetary measurements, 20% parental occupation and 18% the type of school participants attended. We found that Mexican children and adolescents were significantly more likely to have either overweight or obesity if they had a higher wealth (estimated through household characteristics) (OR 1.43, 95% CI 1.19, 1.72), lived in urban areas (OR 1.41, 95% CI 1.20, 1.66), identified as non-Indigenous (OR 1.55, 95% CI 1.22, 1.96), had mothers with secondary school studies or higher (OR 1.44, 95% CI 1.14, 1.82), or mothers who were employed (OR 1.39, 95% CI 1.30, 1.48). Not all indicators of a higher SES (e.g., attending private school or not participating in a food provision program) were significantly associated with childhood overweight or obesity in Mexico. Furthermore, the evidence for other indicators, such as family structure, family size, household income, and monetary measures, remains uncertain. This work presents evidence of childhood obesity inequalities in Mexico.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13926"},"PeriodicalIF":8.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Piotr Małczak, Sung Ryul Shim, Michał Wysocki, Justyna Rymarowicz, Mateusz Wierdak, Michał Pędziwiatr, Piotr Major
{"title":"Comparison of different revisional surgeries after sleeve gastrectomy: A network meta-analysis.","authors":"Piotr Małczak, Sung Ryul Shim, Michał Wysocki, Justyna Rymarowicz, Mateusz Wierdak, Michał Pędziwiatr, Piotr Major","doi":"10.1111/obr.13930","DOIUrl":"https://doi.org/10.1111/obr.13930","url":null,"abstract":"<p><p>IntroductionSleeve gastrectomy (SG) is the most commonly performed bariatric surgery worldwide. Despite its effectiveness, over 20% of patients require revisional surgery due to weight regain, insufficient weight loss, or complications such as gastroesophageal reflux disease (GERD). Various revisional bariatric procedures are available. This study aims to systematically compare the efficacy and safety of these revisional procedures following failed SG. MethodsThis systematic review and network meta-analysis (NMA) adhered to PRISMA guidelines. A comprehensive literature search was conducted until May 2024. Studies comparing at least two bariatric surgeries for revisions after SG were included. Data on total weight loss percentage (%TWL), excess weight loss percentage (%EWL), and morbidity rates were extracted. Bayesian NMA was performed using the \"gemtc\" package in R software. Outcomes were assessed using mean differences (MD) and odds ratios (OR) with 95% credible intervals (CrI). ResultsTwenty-three studies involving 3266 participants were included. In %EWL, SADI-S (MD 14.80; 95% CrI: 5.38, 24.40) and OAGB (MD 8.28; 95% CrI: 1.99, 14.30) were significantly more effective. In %TWL, SADI-S (MD 9.27; 95% CrI: 1.06, 17.8) showed superior outcomes. No significant differences in morbidity rates were observed among the revisions. SUCRA analysis ranked SADI-S highest for both %EWL and %TWL, and re-LSG as the best choice in regards to morbidity. ConclusionSingle anastomosis duodeno-ileal bypass with sleeve (SADI-S) is the preferred revisional procedure following sleeve gastrectomy due to superior weight loss outcomes and comparable complication rates. Further randomized controlled trials are needed to confirm these findings.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13930"},"PeriodicalIF":8.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Hussien, Marine Asselin, Dale Bond, Yin Wu, Valentina Ly, David Creel, Pavlos Papasavas, Bret H Goodpaster, Aurélie Baillot
{"title":"Exercise training in metabolic and bariatric surgery: An overview of systematic reviews.","authors":"Julia Hussien, Marine Asselin, Dale Bond, Yin Wu, Valentina Ly, David Creel, Pavlos Papasavas, Bret H Goodpaster, Aurélie Baillot","doi":"10.1111/obr.13920","DOIUrl":"https://doi.org/10.1111/obr.13920","url":null,"abstract":"<p><p>Understanding how to incorporate exercise into metabolic and bariatric surgery programs to optimize treatment outcomes is of great interest, as evidenced by 11 reviews published on this topic in 2022 alone. This overview of reviews was conducted to create a single cohesive resource to aid clinicians and researchers by exploring the effects of pre- and post-operative exercise training on health outcomes. A literature search of 7 electronic databases was performed (updated 09/2023) and 24 reviews met preset PICOS eligibility criteria and were included: 4 exploring preoperative exercise training, 13 postoperative, and 7 both. Comparing reviews, outcome results were organized as concordant, discordant, or inconclusive, and then categorized into \"what we currently know\", \"what we think we know\" and \"what we still don't know\". We do not currently know the effects of pre- or post-operative exercise training on any outcomes, but we think we know that preoperative exercise training has a positive effect on BMI and 6-minute walking test distance, and postoperative exercise training has a positive effect on body weight and BMI, waist circumference, bone mineral density, 6-minute walking test distance, muscle strength, and systolic blood pressure. Despite the abundance of research, much still needs to be done in terms of enhancing methodological rigor and reporting to achieve greater confidence in our conclusions; recommendations for the next research steps are made.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13920"},"PeriodicalIF":8.0,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}