Shan Rui, Shao Shuming, Li Lin-DaLinda, Zhang Dexing, Chen Jing, Xiao Wucai, Zhang Xiaorui, Liu Zheng
Department of Maternal and Child Health, School of Public Health, Peking University, Beijing, 100191, China.
Department of Pediatric, Peking University People's Hospital, Beijing, 100044, China.
Eur J Pediatr. 2025 Jan 14;184(2):132. doi: 10.1007/s00431-024-05958-w.
This study aimed to synthesize evidence from primary studies on the acceptability and effectiveness of mindfulness-based interventions (MBIs) for improving lifestyle behaviors and body mass index (BMI) in children with overweight or obesity. We conducted a meta-analysis or followed the Synthesis Without Meta-analysis (SWiM) guidelines to synthesize study findings. The analysis included both mindfulness-only interventions and comprehensive behavioral interventions incorporating mindfulness components. Participants were overweight or obese children, with a mean age below 18 years. A total of 11 studies were included: 7 randomized controlled trials (RCTs), 1 non-randomized parallel-controlled study, and 3 single-group studies. Retention rates for MBIs ranged from 62 to 100%, and participants generally expressed positive attitudes toward the interventions. Regarding effectiveness, no significant improvement in BMI was observed overall (pooled mean difference 0.12 kg/m (95% CI - 0.38 to 0.62); I = 44%). Subgroup analysis revealed that comprehensive behavioral interventions integrating mindfulness were effective in influencing BMI, while only 11% of mindfulness-only interventions showed similar results. Moreover, 71% of the included studies reported improvements in diet or physical activity behaviors following MBIs.
Mindfulness-based interventions are generally acceptable and show potential for improving lifestyle behaviors. However, their impact on BMI remains inconsistent in children with overweight or obesity. Comprehensive behavioral interventions that combine mindfulness practices with conventional approaches may enhance effectiveness. Given the limited evidence, these findings should be interpreted with caution.PROSPERO registration number: CRD42023411790.
• Childhood obesity is a significant public health concern, and conventional interventions have achieved limited success. • Mindfulness-based interventions offer a promising alternative to conventional approaches. A systematic review is urgently needed to evaluate their acceptability and effectiveness in improving lifestyle behaviors and body mass index (BMI) in children with overweight or obesity.
• Mindfulness-based interventions are generally acceptable to children with overweight or obesity. • Mindfulness-based interventions show potential for improving lifestyle behaviors, but their effectiveness in reducing BMI remains inconsistent.
本研究旨在综合来自原始研究的证据，这些研究涉及基于正念的干预措施（MBIs）在改善超重或肥胖儿童生活方式行为和体重指数（BMI）方面的可接受性和有效性。我们进行了一项荟萃分析，或遵循非荟萃分析的综合方法（SWiM）指南来综合研究结果。该分析包括仅正念干预措施以及包含正念成分的综合行为干预措施。参与者为超重或肥胖儿童，平均年龄低于18岁。共纳入11项研究：7项随机对照试验（RCTs）、1项非随机平行对照研究和3项单组研究。MBIs的保留率在62%至100%之间，参与者总体上对这些干预措施表达了积极态度。关于有效性，总体上未观察到BMI有显著改善（合并平均差异0.12kg/m²（95%CI -0.38至0.62）；I² = 44%）。亚组分析显示，整合正念的综合行为干预措施在影响BMI方面有效，而仅正念干预措施中只有11%显示出类似结果。此外，71%的纳入研究报告称MBIs后饮食或身体活动行为有所改善。
基于正念的干预措施总体上是可接受的，并显示出改善生活方式行为的潜力。然而，它们对超重或肥胖儿童BMI的影响仍然不一致。将正念练习与传统方法相结合的综合行为干预措施可能会提高有效性。鉴于证据有限，这些发现应谨慎解读。
PROSPERO注册号：CRD****。
• 儿童肥胖是一个重大的公共卫生问题，传统干预措施取得的成功有限。
• 基于正念的干预措施为传统方法提供了一个有前景的替代方案。迫切需要进行系统评价，以评估其在改善超重或肥胖儿童生活方式行为和体重指数（BMI）方面的可接受性和有效性。
• 基于正念的干预措施通常为超重或肥胖儿童所接受。
• 基于正念的干预措施显示出改善生活方式行为的潜力，但其在降低BMI方面的有效性仍然不一致。
