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Clinical relevance and validity of tools to predict infant, childhood and adulthood obesity: a systematic review.

Abstract：

OBJECTIVE:To determine the global availability of a multicomponent tool predicting overweight/obesity in infancy, childhood, adolescence or adulthood; and to compare their predictive validity and clinical relevance.Design/SettingThe PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed. The databases PubMed, EMBASE, CINAHL, Web of Science and PsycINFO were searched. Additional articles were identified via reference lists of included articles. Risk of bias was assessed using the Academy of Nutrition and Dietetics' Quality Criteria Checklist. The National Health and Medical Research Council's Levels of Evidence hierarchy was used to assess quality of evidence. Predictive performance was evaluated using the ABCD framework. SUBJECTS:Eligible studies: tool could be administered at any life stage; quantified the risk of overweight/obesity onset; used more than one predictor variable; and reported appropriate prediction statistical outcomes. RESULTS:Of the initial 4490 articles identified, twelve articles (describing twelve tools) were included. Most tools aimed to predict overweight and/or obesity within childhood (age 2-12 years). Predictive accuracy of tools was consistently adequate; however, the predictive validity of most tools was questioned secondary to poor methodology and statistical reporting. Globally, five tools were developed for dissemination into clinical practice, but no tools were tested within a clinical setting. CONCLUSIONS:To our knowledge, a clinically relevant and highly predictive overweight/obesity prediction tool is yet to be developed. Clinicians can, however, act now to identify the strongest predictors of future overweight/obesity. Further research is necessary to optimise the predictive strength and clinical applicability of such a tool.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Canfell OJ,Littlewood R,Wright OR,Walker JL

doi

10.1017/S1368980018001684

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

3135-3147

issue

eissn

1368-9800

issn

1475-2727

pii

S1368980018001684

journal_volume

pub_type

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Clinical relevance and validity of tools to predict infant, childhood and adulthood obesity: a systematic review.