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

Summary of findings 16. Diet and physical activity interventions combined compared to physical activity interventions alone for preventing obesity in children aged 6 to 12 years.

Diet and physical activity interventions combined compared to physical activity interventions alone for preventing obesity in children aged 6 to 12 years
Patient or population: children aged 6‐12 years
Setting: school
Intervention: combined diet and physical activity interventions
Comparison: physical activity interventions alone
Outcomes Anticipated absolute effects* (95% CI) № of participants
(studies) Certainty of the evidence
(GRADE) Comments
Risk with physical activity interventions Risk with diet and physical activity interventions combined
Body‐mass index (BMI) The mean BMI was 17.7 kg/m2 MD 0.04 kg/m2 lower (1.05 lower to 0.97 higher) 3946
(1 RCT) ⊕⊕⊕⊕
High Combined dietary and physical activity interventions result in little to no difference in BMI compared to physical activity interventions when delivered in schools to children aged 6‐12 years
Body‐mass index z score (zBMI) The mean zBMI was 0.15 MD 0.16 lower (0.57 lower to 0.25 higher) 3946
(1 RCT) ⊕⊕⊕⊕
High Combined dietary and physical activity intrventions result in little to no difference in zBMI compared to physical activity interventions when delivered in schools to children aged 6‐12 years
*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.