Table 2.
Subgroup analyses of school-based weight management interventions
| Subgroups | No of studies (Ref) | No of participants (intervention/control) | g | 95 % CI | Within-group Q | P | Subgroup difference Q | P | |
|---|---|---|---|---|---|---|---|---|---|
| Comparators | Passive comparator | 6 (51–53,55,58,59,62) | 561/604 | 0·73 | –1·19, 0·27 | 71·52 | <0·01‡ | ||
| Active comparator | 6 (54,56,57,60,61,63) | 306/284 | 0·28 | –0·60, 0·04 | 21·97 | <0·01‡ | 2·44 | 0·12 | |
| Counselling | With counselling | 5 (52–54,60,62) | 266/263 | 0·43 | –0·60, –0·25 | 4·21 | 0·38 | ||
| Without counselling | 7 (51,55–59,63) | 601/625 | 0·59 | –1·09, –0·09 | 103·94 | <0·01‡ | 0·37 | 0·55 | |
| Curriculum | During school | 5 (54,57,58,61,62) | 305/275 | 0·49 | –1·03, –0·05 | 50·77 | <0·01‡ | ||
| After school | 4 (51–53,55,63) | 418/452 | 0·39 | –0·67, –0·11 | 11·28 | <0·05† | |||
| During and after school | 2 (59,60) | 144/161 | 0·86 | –2·09, 0·36 | 25·09 | <0·01‡ | 0·61 | 0·74 | |
| Economies | Lower-middle to upper-middle economies | 5 (51–53,58,59,62) | 450/460 | 0·84 | –1·34, –0·33 | 60·70 | <0·01‡ | ||
| High-income economies | 7 (54–57,60,61,63) | 417/428 | 0·27 | –0·54, 0·01 | 22·01 | <0·01‡ | 3·81 | < 0·1* | |
| Intervention length (months) | 6 months or less | 6 (51,54,58,59,61,63) | 440/457 | 0·79 | –1·25, –0·32 | 67·16 | <0·01‡ | ||
| More than 6 months | 6 (52,53,55–57,60,62) | 427/431 | 0·24 | –0·48, –0·00 | 17·91 | <0·01‡ | 4·14 | 0·04† | |
| Focus of intervention | Individual | 6 (54,56,58,60,61,63) | 262/266 | 0·59 | –0·99, –0·19 | 29·56 | <0·01‡ | ||
| Group | 6 (51–53,55,57,59,62) | 605/622 | 0·46 | –0·93, 0·01 | 72·73 | <0·01‡ | 0·18 | 0·67 | |
| Number of sessions | 40 sessions or less | 7 (51,54,57,58,61–63) | 503/479 | 0·50 | –0·91, –0·09 | 59·49 | <0·01‡ | ||
| More than 40 sessions | 5 (52,53,55,56,59,60) | 364/409 | 0·54 | –1·03, –0·06 | 44·47 | <0·01‡ | 0·02 | 0·89 | |
| Nutrition education | With nutrition education | 9 (51–53,55–59,62,63) | 729/750 | 0·59 | –0·97, –0·20 | 104·64 | <0·01‡ | ||
| Without nutrition education | 3 (54,60,61) | 138/138 | 0·31 | –0·55, –0·06 | 2·01 | 0·37 | 1·43 | 0·23 | |
| Parental involvement | No parental involvement | 5 (54,57,58,60,61) | 318/292 | 0·42 | –0·96, 0·13 | 49·92 | <0·01‡ | ||
| Parental involvement | 7 (51–53,55,56,59,62,63) | 549/596 | 0·59 | –0·95, –0·24 | 55·36 | <0·01‡ | 0·29 | 0·59 | |
| Physical activity | With physical activity | 9 (51–53,55–57,59,60,62,63) | 715/739 | 0·45 | –0·79, –0·12 | 79·27 | <0·01‡ | ||
| Without physical activity | 3 (54,58,61) | 152/149 | 0·71 | –1·43, 0·01 | 19·92 | <0·01‡ | 0·40 | 0·53 | |
| Professional | Medical and health science professionals | 8 (51–56,59–61) | 255/235 | 0·45 | –0·76, –0·14 | 54·74 | <0·01‡ | ||
| Educators and trained staff | 4 (57,58,62,63) | 612/653 | 0·67 | –1·35, 0·01 | 53·19 | <0·01‡ | 0·32 | < 0·57 | |
| Size per cluster | 25 participants or less | 7 (51–54,56,60,61,63) | 445/446 | 0·38 | –0·60, –0·17 | 12·49 | <0·1* | ||
| More than 25 participants | 5 (55,57–59,62) | 422/442 | 0·69 | –1·34, –0·03 | 108·20 | <0·01‡ | 0·74 | 0·39 | |
| Theoretical framework | With theoretical framework | 9 (52–54,56–58,60–63) | 502/477 | 0·48 | –0·80, –0·17 | 57·78 | <0·01‡ | ||
| Without theoretical framework | 3 (51,55,59) | 365/411 | 0·62 | –1·46, 0·22 | 50·29 | <0·01‡ | 0·09 | 0·77 |
P < 0·1.
P < 0·05.
P < 0·01.