The association of weight loss and cardiometabolic outcomes in obese children: Systematic review and meta-regression

Tamim Rajjo, Jehad Almasri, Alaa Al Nofal, Wigdan Farah, Mouaz Alsawas, Ahmed T. Ahmed, Khaled Mohammed, Amrit Kanwar, Noor Asi, Zhen Wang, Larry J. Prokop, Mohammad H Murad

Research output: Contribution to journalReview article

13 Citations (Scopus)

Abstract

Background: Excess body weight in children is associated with multiple immediate and long-term medical comorbidities. We aimed to identify the degree of reduction in excess body weight associated with cardiometabolic changes (lipid panel, liver function tests, systolic blood pressure (SBP), diastolic blood pressure, glycosylated hemoglobin, and fasting blood glucose) in overweight and obese children. Methods: We conducted a comprehensive search of MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, and Scopus through February 12, 2015. We included randomized controlled trials and cohort studies that evaluated interventions to treat pediatric obesity (medication, surgery, lifestyle, and community-based interventions) with a 6-month follow-up. We used a random effects meta-regression approach to assess the association between body mass index (BMI)/weight and cardiometabolic changes. Results: We included 42 studies (37 randomized controlled trials and five cohorts) enrolling 3807 children (mean age, 12.2 years; weight, 74.7 kg; and BMI, 31.7 kg/m2). Studies had overall moderate to low risk of bias. A 1-mm Hg decrease in SBP was significantly associated with a decrease of 0.16 kg/m2 (P 5 .04) in BMI. A 1-mg/dL increase in HDL was significantly associated with a 0.74-kg decrease in weight (P 5 .02). A 1-mg/dL decrease in triglycerides was significantly associated with a 0.1-kg decrease in weight (P 5 .03). The remaining associations were not statistically significant. Conclusions: Weight reduction in children is associated with significant changes in several cardiometabolic outcomes, particularly HDL, SBP, and triglycerides. The magnitude of improvement may help in setting expectations and may inform shared decision-making and counseling.

Original languageEnglish (US)
Pages (from-to)758-762
Number of pages5
JournalJournal of Clinical Endocrinology and Metabolism
Volume102
Issue number3
DOIs
StatePublished - Mar 1 2017

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Blood pressure
Weight Loss
Association reactions
Blood Pressure
Triglycerides
Weights and Measures
Pediatrics
Body Mass Index
Glycosylated Hemoglobin A
Liver
Surgery
Blood Glucose
Randomized Controlled Trials
Decision making
Body Weight
Lipids
Pediatric Obesity
Liver Function Tests
MEDLINE
Life Style

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Biochemistry
  • Endocrinology
  • Clinical Biochemistry
  • Biochemistry, medical

Cite this

The association of weight loss and cardiometabolic outcomes in obese children : Systematic review and meta-regression. / Rajjo, Tamim; Almasri, Jehad; Al Nofal, Alaa; Farah, Wigdan; Alsawas, Mouaz; Ahmed, Ahmed T.; Mohammed, Khaled; Kanwar, Amrit; Asi, Noor; Wang, Zhen; Prokop, Larry J.; Murad, Mohammad H.

In: Journal of Clinical Endocrinology and Metabolism, Vol. 102, No. 3, 01.03.2017, p. 758-762.

Research output: Contribution to journalReview article

Rajjo, T, Almasri, J, Al Nofal, A, Farah, W, Alsawas, M, Ahmed, AT, Mohammed, K, Kanwar, A, Asi, N, Wang, Z, Prokop, LJ & Murad, MH 2017, 'The association of weight loss and cardiometabolic outcomes in obese children: Systematic review and meta-regression', Journal of Clinical Endocrinology and Metabolism, vol. 102, no. 3, pp. 758-762. https://doi.org/10.1210/jc.2016-2575
Rajjo, Tamim ; Almasri, Jehad ; Al Nofal, Alaa ; Farah, Wigdan ; Alsawas, Mouaz ; Ahmed, Ahmed T. ; Mohammed, Khaled ; Kanwar, Amrit ; Asi, Noor ; Wang, Zhen ; Prokop, Larry J. ; Murad, Mohammad H. / The association of weight loss and cardiometabolic outcomes in obese children : Systematic review and meta-regression. In: Journal of Clinical Endocrinology and Metabolism. 2017 ; Vol. 102, No. 3. pp. 758-762.
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abstract = "Background: Excess body weight in children is associated with multiple immediate and long-term medical comorbidities. We aimed to identify the degree of reduction in excess body weight associated with cardiometabolic changes (lipid panel, liver function tests, systolic blood pressure (SBP), diastolic blood pressure, glycosylated hemoglobin, and fasting blood glucose) in overweight and obese children. Methods: We conducted a comprehensive search of MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, and Scopus through February 12, 2015. We included randomized controlled trials and cohort studies that evaluated interventions to treat pediatric obesity (medication, surgery, lifestyle, and community-based interventions) with a 6-month follow-up. We used a random effects meta-regression approach to assess the association between body mass index (BMI)/weight and cardiometabolic changes. Results: We included 42 studies (37 randomized controlled trials and five cohorts) enrolling 3807 children (mean age, 12.2 years; weight, 74.7 kg; and BMI, 31.7 kg/m2). Studies had overall moderate to low risk of bias. A 1-mm Hg decrease in SBP was significantly associated with a decrease of 0.16 kg/m2 (P 5 .04) in BMI. A 1-mg/dL increase in HDL was significantly associated with a 0.74-kg decrease in weight (P 5 .02). A 1-mg/dL decrease in triglycerides was significantly associated with a 0.1-kg decrease in weight (P 5 .03). The remaining associations were not statistically significant. Conclusions: Weight reduction in children is associated with significant changes in several cardiometabolic outcomes, particularly HDL, SBP, and triglycerides. The magnitude of improvement may help in setting expectations and may inform shared decision-making and counseling.",
author = "Tamim Rajjo and Jehad Almasri and {Al Nofal}, Alaa and Wigdan Farah and Mouaz Alsawas and Ahmed, {Ahmed T.} and Khaled Mohammed and Amrit Kanwar and Noor Asi and Zhen Wang and Prokop, {Larry J.} and Murad, {Mohammad H}",
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T1 - The association of weight loss and cardiometabolic outcomes in obese children

T2 - Systematic review and meta-regression

AU - Rajjo, Tamim

AU - Almasri, Jehad

AU - Al Nofal, Alaa

AU - Farah, Wigdan

AU - Alsawas, Mouaz

AU - Ahmed, Ahmed T.

AU - Mohammed, Khaled

AU - Kanwar, Amrit

AU - Asi, Noor

AU - Wang, Zhen

AU - Prokop, Larry J.

AU - Murad, Mohammad H

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Background: Excess body weight in children is associated with multiple immediate and long-term medical comorbidities. We aimed to identify the degree of reduction in excess body weight associated with cardiometabolic changes (lipid panel, liver function tests, systolic blood pressure (SBP), diastolic blood pressure, glycosylated hemoglobin, and fasting blood glucose) in overweight and obese children. Methods: We conducted a comprehensive search of MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, and Scopus through February 12, 2015. We included randomized controlled trials and cohort studies that evaluated interventions to treat pediatric obesity (medication, surgery, lifestyle, and community-based interventions) with a 6-month follow-up. We used a random effects meta-regression approach to assess the association between body mass index (BMI)/weight and cardiometabolic changes. Results: We included 42 studies (37 randomized controlled trials and five cohorts) enrolling 3807 children (mean age, 12.2 years; weight, 74.7 kg; and BMI, 31.7 kg/m2). Studies had overall moderate to low risk of bias. A 1-mm Hg decrease in SBP was significantly associated with a decrease of 0.16 kg/m2 (P 5 .04) in BMI. A 1-mg/dL increase in HDL was significantly associated with a 0.74-kg decrease in weight (P 5 .02). A 1-mg/dL decrease in triglycerides was significantly associated with a 0.1-kg decrease in weight (P 5 .03). The remaining associations were not statistically significant. Conclusions: Weight reduction in children is associated with significant changes in several cardiometabolic outcomes, particularly HDL, SBP, and triglycerides. The magnitude of improvement may help in setting expectations and may inform shared decision-making and counseling.

AB - Background: Excess body weight in children is associated with multiple immediate and long-term medical comorbidities. We aimed to identify the degree of reduction in excess body weight associated with cardiometabolic changes (lipid panel, liver function tests, systolic blood pressure (SBP), diastolic blood pressure, glycosylated hemoglobin, and fasting blood glucose) in overweight and obese children. Methods: We conducted a comprehensive search of MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, and Scopus through February 12, 2015. We included randomized controlled trials and cohort studies that evaluated interventions to treat pediatric obesity (medication, surgery, lifestyle, and community-based interventions) with a 6-month follow-up. We used a random effects meta-regression approach to assess the association between body mass index (BMI)/weight and cardiometabolic changes. Results: We included 42 studies (37 randomized controlled trials and five cohorts) enrolling 3807 children (mean age, 12.2 years; weight, 74.7 kg; and BMI, 31.7 kg/m2). Studies had overall moderate to low risk of bias. A 1-mm Hg decrease in SBP was significantly associated with a decrease of 0.16 kg/m2 (P 5 .04) in BMI. A 1-mg/dL increase in HDL was significantly associated with a 0.74-kg decrease in weight (P 5 .02). A 1-mg/dL decrease in triglycerides was significantly associated with a 0.1-kg decrease in weight (P 5 .03). The remaining associations were not statistically significant. Conclusions: Weight reduction in children is associated with significant changes in several cardiometabolic outcomes, particularly HDL, SBP, and triglycerides. The magnitude of improvement may help in setting expectations and may inform shared decision-making and counseling.

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U2 - 10.1210/jc.2016-2575

DO - 10.1210/jc.2016-2575

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