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. 2019 Jul 23;2019(7):CD001871. doi: 10.1002/14651858.CD001871.pub4

Summary of findings 2. Physical activity interventions compared to control for preventing obesity in children aged 0 to 5 years.

Physical activity interventions compared to control for preventing obesity in children aged 0 to 5 years
Patient or population: children aged 0‐5 years
Setting: childcare/preschool or healthcare setting
Intervention: physical activity interventions
Comparison: control
Outcomes Anticipated absolute effects* (95% CI) № of participants
(studies) Certainty of the evidence
(GRADE) Comments
Risk with control Risk with physical activity interventions
Body‐mass index (BMI) The mean BMI ranged from 15.94 to 16.4 kg/m2 MD 0.22 kg/m2 lower
(0.44 lower to 0.01 higher) 2233
(5 RCTs) ⊕⊕⊕⊕
High Physical activity interventions likely do not reduce BMI
Body‐mass index z score (zBMI) The mean zBMI ranged from −0.15 to −0.22 MD 0.01 higher
(0.10 lower to 0.13 higher) 1053
(4 RCTs) ⊕⊕⊕⊕
High Physical activity interventions likely do not reduce zBMI
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

BMI: body‐mass index; CI: confidence interval; MD: mean difference; RCT: randomised controlled trial; zBMI: body‐mass index z score
GRADE Working Group grades of evidenceHigh certainty: we are very confident that the true effect lies close to that of the estimate of the effect.
Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different.
Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect.
Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.