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

Summary of findings 5. Dietary interventions compared to control for preventing obesity in children aged 6 to 12 years.

Dietary interventions compared to control for preventing obesity in children aged 6 to 12 years
Patient or population: children aged 6‐12 years
Setting: school or wider community
Intervention: dietary interventions
Comparison: control
Outcomes Anticipated absolute effects* (95% CI) № of participants
(studies) Certainty of the evidence
(GRADE) Comments
Risk with control Risk with dietary interventions
Body‐mass index z score (zBMI) The mean zBMI ranged from 0.09 to 0.41 MD 0.03 lower (0.06 lower to 0.01 higher) 7231
(9 RCTs) ⊕⊕⊕⊕
High Dietary interventions alone do not reduce zBMI
Body‐mass index (BMI) The mean BMI ranged from 17.9 to 25.1 kg/m2 MD 0.02 kg/m2 lower (0.11 lower to 0.06 higher) 5061
(6 RCTs) ⊕⊕⊕⊕
High Dietary interventions alone do not reduce BMI
*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.