mHealth Interventions for Preventing and Managing Childhood Obesity: An Integrative Review of Efficacy, Parental Involvement, and Physical Activity Outcomes

Authors

  • Ranjana Dhiman Chitkara University College of Nursing, Chitkara University, Himachal Pradesh, India
  • Kanika Rai Chitkara School of Health Sciences; Centre for Evidence Based Practice in Health Care, Chitkara University, Punjab, India

DOI:

https://doi.org/10.55489/njcm.161220256064

Keywords:

Childhood obesity, Overweight children, Weight control, mhealth Interventions, Mobile Applications

Abstract

Introduction: Childhood obesity is a rapidly expanding issue that has long-term repercussions. Innovative mHealth interventions, such as web-based programs and mobile applications, have been implemented to assist in the prevention and management of pediatric obesity. The present review primarily concentrates on the most recent evidence regarding the efficacy of mHealth innovations that contribute to reducing childhood obesity through the promotion of physical activity and parental support.

Methodology: A comprehensive analysis of 12 randomized controlled trials, 1 quasi-experimental research design, 1 mixed-method study, 6 meta-analysis, integrative review and systematic review (total n=20) was done to evaluate the effect of mHealth interventions on obesity among children.

Results: The review's results indicated that mHealth interventions are beneficial for the significant reductions in BMI z-scores, as well as for the enhancement of their physical activity and dietary habits e.g. BMI z-score SMD -0.35 to -0.21; p<0.05; PA outcomes SMD ≈0.30-0.40. The behaviour of the children is influenced by the involvement of the parents through the web or the use of innovations, which in turn facilitates lifestyle modifications. The likelihood of success is increased for programs that incorporate a variety of components, such as education, monitoring, and personalized feedback. But altogether, the whole evidence is limited by short follow-up durations and predominance of high-income country studies.

Conclusion: mHealth interventions, when multi-component and parent-involved, are effective and scalable for integration into primary care.

References

World Obesity Federation. Obesity NCD preparedness calculated from multiple metrics. In: World Obesity Atlas 2022 [Internet]. Appendix 1. London: World Obesity Federation 2022 [cited 2025 Apr 2]. Available from: https://data.worldobesity.org/publications/World-Obesity-Atlas-2022-updated

World Obesity Federation. World Obesity Atlas 2025 [Internet]. London: World Obesity Federation; 2025 [cited 2025 Apr 2]. Available from: https://www.worldobesity.org/resources/resource-library/world-obesity-atlas-2025

NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults. Lancet. 2024 Mar 16;403(10431):1027-1050. DOI: https://doi.org/10.1016/S0140-6736(23)02750-2 PMID: 38432237 PMCID: PMC7615769

Sethi V, Bassi S, Bahl D, Kumar A, Choedon T, Bhatia N, de Wagt A, Joe W, Arora M. Prevalence of overweight and obesity and associated demographic and health factors in India: Findings from Comprehensive National Nutrition Survey (CNNS). Pediatr Obes. 2024 Apr;19(4): e13092. DOI: https://doi.org/10.1111/ijpo.13092 PMid:38326947

Centers for Disease Control and Prevention (CDC). Obesity [Internet]. Atlanta: CDC; 2018 [cited 2025 October 13]. Available from: https://archive.cdc.gov/www_cdc_gov/healthyschools/obesity/index.htm

Henderson M, Moore SA, Harnois-Leblanc S, Johnston BC, Fitzpatrick-Lewis D, Usman AM, et al. Effectiveness of behavioural and psychological interventions for managing obesity in children and adolescents: a systematic review and meta-analysis framed using minimal important difference estimates based on GRADE guidance to inform a clinical practice guideline. Pediatr Obes. 2025;20(3):e13193. DOI: https://doi.org/10.1111/ijpo.13193 PMid:39823182 PMCid:PMC11803187

Hwalla N, Nasreddine L, El Labban S. Cultural determinants of obesity in low- and middle-income countries in the Eastern Mediterranean Region. In: Romieu I, Dossus L, Willett WC, editors. Energy Balance and Obesity [Internet]. Lyon (FR): International Agency for Research on Cancer; 2017. (IARC Working Group Reports, No. 10.) Chapter 8. Available from: https://www.ncbi.nlm.nih.gov/books/NBK565803/

Power TG, Baker SS, Barale KV, Aragón MC, Lanigan JD, Parker L, Garcia KS, Auld G, Micheli N, Hughes SO. Using Mobile Technology for Family-Based Prevention in Families with Low Incomes: Lessons from a Randomized Controlled Trial of a Childhood Obesity Prevention Program. Prev Sci. 2024 Feb;25(2):369-379. DOI: https://doi.org/10.1007/s11121-023-01637-8 PMid:38321316 PMCid:PMC10891227

World Health Organization. WHO guideline: Digital interventions for health system strengthening [Internet]. Geneva: World Health Organization; 2021 [cited 2025 Apr 4]. Available from: https://www.who.int/publications/i/item/9789241550505

Mbunge E, Sibiya MN. Mobile health interventions for improving maternal and child health outcomes in South Africa: a systematic review. Glob Health J. 2024;8(3):103-112. DOI: https://doi.org/10.1016/j.glohj.2024.08.002

World Health Organization. Digital health [Internet]. Geneva: World Health Organization; 2024 [cited 2025 Apr 4]. Available from: https://www.who.int/health-topics/digital-health

Park J, Park MJ, Seo YG. Effectiveness of Information and Communication Technology on Obesity in Childhood and Adolescence: Systematic Review and Meta-analysis. J Med Internet Res. 2021 Nov 17;23(11):e29003. DOI: https://doi.org/10.2196/29003 PMid:34787572 PMCid:PMC8726568

Hammersley ML, Jones RA, Okely AD. Parent-Focused Childhood and Adolescent Overweight and Obesity eHealth Interventions: A Systematic Review and Meta-Analysis. J Med Internet Res. 2016 Jul 21;18(7):e203. DOI: https://doi.org/10.2196/jmir.5893 PMid:27443862 PMCid:PMC4974451

Nyström CD, Sandin S, Henriksson P, Henriksson H, Trolle-Lagerros Y, Larsson C, et al. Mobile-based intervention intended to stop obesity in preschool-aged children: the MINISTOP randomized controlled trial. Am J Clin Nutr. 2017 Jun;105(6):1327-1335. DOI: https://doi.org/10.3945/ajcn.116.150995 PMid:28446496

Moschonis G, Michalopoulou M, Tsoutsoulopoulou K, Vlachopapadopoulou E, Michalacos S, Charmandari E, Chrousos GP, Manios Y. Assessment of the Effectiveness of a Computerised Decision-Support Tool for Health Professionals for the Prevention and Treatment of Childhood Obesity. Results from a Randomised Controlled Trial. Nutrients. 2019 Mar 26;11(3):706. DOI: https://doi.org/10.3390/nu11030706 PMid:30917561 PMCid:PMC6471646

Delisle Nyström C, Sandin S, Henriksson P, Henriksson H, Maddison R, Löf M. A 12-month follow-up of a mobile-based (mHealth) obesity prevention intervention in pre-school children: the MINISTOP randomized controlled trial. BMC Public Health. 2018 May 24;18(1):658. DOI: https://doi.org/10.1186/s12889-018-5569-4 PMid:29793467 PMCid:PMC5968487

Likhitweerawong N, Boonchooduang N, Kittisakmontri K, Chonchaiya W, Louthrenoo O. Short-term outcomes of tablet/smartphone-based (OBEST) application among obese Thai school-aged children and adolescents: a randomized controlled trial. Obes Med. 2020 Dec;20:100287. DOI: https://doi.org/10.1016/j.obmed.2020.100287

Reddy P, Dukhi N, Sewpaul R, Ellahebokus MAA, Kambaran NS, Jobe W. Mobile Health Interventions Addressing Childhood and Adolescent Obesity in Sub-Saharan Africa and Europe: Current Landscape and Potential for Future Research. Front Public Health. 2021 Mar 11;9:604439. DOI: https://doi.org/10.3389/fpubh.2021.604439 PMid:33777878 PMCid:PMC7991289

Turner T, Spruijt-Metz D, Wen CK, Hingle MD. Prevention and treatment of pediatric obesity using mobile and wireless technologies: a systematic review. Pediatr Obes. 2015 Dec;10(6):403-409. DOI: https://doi.org/10.1111/ijpo.12002 PMID: 25641770 PMCID: PMC4499498

Dam R, Robinson HA, Vince-Cain S, Heaton G, Greenstein A, Sperrin M, Hassan L. Engaging parents using web-based feedback on child growth to reduce childhood obesity: a mixed methods study. BMC Public Health. 2019 Mar 13;19(1):300. DOI: https://doi.org/10.1186/s12889-019-6618-3 PMid:30866878 PMCid:PMC6415344

Wang JW, Zhu Z, Shuling Z, Fan J, Jin Y, Gao ZL, Chen WD, Li X. Effectiveness of mHealth App-Based Interventions for Increasing Physical Activity and Improving Physical Fitness in Children and Adolescents: Systematic Review and Meta-Analysis. JMIR Mhealth Uhealth. 2024 Apr 30;12:e51478. DOI: https://doi.org/10.2196/51478 PMid:38687568 PMCid:PMC11094610

Elinder LS, Patterson E, Nyberg G, Norman Å. A Healthy School Start Plus for prevention of childhood overweight and obesity in disadvantaged areas through parental support in the school setting - study protocol for a parallel group cluster randomised trial. BMC Public Health. 2018 Apr 6;18(1):459. DOI: https://doi.org/10.1186/s12889-018-5354-4 PMid:29625599 PMCid:PMC5889522

Fan Y, Li J, Wong JYH, Fong DYT, Wang KMP, Lok KYW. Text messaging interventions for breastfeeding outcomes: a systematic review and meta-analysis. Int J Nurs Stud. 2024;150:104647. DOI: https://doi.org/10.1016/j.ijnurstu.2023.104647 PMid:38056353

Helle C, Hillesund ER, Omholt ML, Øverby NC. Early food for future health: a randomized controlled trial evaluating the effect of an eHealth intervention aiming to promote healthy food habits from early childhood. BMC Public Health. 2017 Sep 20;17(1):729. DOI: https://doi.org/10.1186/s12889-017-4731-8 PMid:28931384 PMCid:PMC5607575

Byrd-Bredbenner C, Martin-Biggers J, Koenings M, Quick V, Hongu N, Worobey J. HomeStyles, A Web-Based Childhood Obesity Prevention Program for Families With Preschool Children: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2017 Apr 25;6(4):e73. DOI: https://doi.org/10.2196/resprot.7544 PMid:28442452 PMCid:PMC5424124

Elbert SP, Dijkstra A, Oenema A. A mobile phone app intervention targeting fruit and vegetable consumption: the efficacy of textual and auditory tailored health information tested in a randomized controlled trial. J Med Internet Res. 2016 Jun 10;18(6):e147. DOI: https://doi.org/10.2196/jmir.5056 PMid:27287823 PMCid:PMC4920964

Rerksuppaphol L, Rerksuppaphol S. Internet-based obesity prevention program for Thai school children-a randomized control trial. J Clin Diagn Res. 2017 Mar;11(3):SC07-SC11. DOI: https://doi.org/10.7860/JCDR/2017/21423.9368 PMid:28511471 PMCid:PMC5427397

Abraham AA, Chow WC, So HK, Yip BH, Li AM, Kumta SM, et al. Lifestyle intervention using an internet-based curriculum with cell phone reminders for obese Chinese teens: a randomized controlled study. PLoS One. 2015 May 6;10(5):e0125673. DOI: https://doi.org/10.1371/journal.pone.0125673 PMid:25946465 PMCid:PMC4422741

Antwi F, Fazylova N, Garcon MC, Lopez L, Rubiano R, Slyer JT. The effectiveness of web-based programs on the reduction of childhood obesity in school-aged children: a systematic review. JBI Libr Syst Rev. 2012;10(42 Suppl):1-14. DOI: https://doi.org/10.11124/jbisrir-2012-248 PMid:27820152

Hammersley ML, Okely AD, Batterham MJ, Jones RA. An internet-based childhood obesity prevention program (Time2bHealthy) for parents of preschool-aged children: randomized controlled trial. J Med Internet Res. 2019 Feb;21(2):e11964. DOI: https://doi.org/10.2196/11964 PMid:30735139 PMCid:PMC6384541

Zhou P, Li Y, Lau PW, Yan L, Song H, Shi TL. Effectiveness of parent-based electronic health (eHealth) intervention on physical activity, dietary behaviors, and sleep in preschoolers: a systematic review. J Exerc Sci Fit. 2024 Jan;22(1):1-13. DOI: https://doi.org/10.1016/j.jesf.2023.10.004 PMid:38021206 PMCid:PMC10663681

Mahalakshmi B, Chaudhary AJ, Shilpa Gottlieb A, Sivasubramanian N, Parthasarathy P, Ramalakshmi G, Jamunarani P. Effect of aerobic exercise on anthropometric parameters among Indian primary school children. Bioinformation. 2024 Feb 29;20(2):170-174. DOI: https://doi.org/10.6026/973206300200170 PMid:38497070 PMCid:PMC10941778

Yang HJ, Kang JH, Kim OH, Choi M, Oh M, Nam J, Sung E. Interventions for preventing childhood obesity with smartphones and wearable devices: a protocol for a non-randomized controlled trial. Int J Environ Res Public Health. 2017 Feb 13;14(2):184. DOI: https://doi.org/10.3390/ijerph14020184 PMid:28208839 PMCid:PMC5334738

Downloads

Published

2025-12-01

How to Cite

1.
Dhiman R, Rai K. mHealth Interventions for Preventing and Managing Childhood Obesity: An Integrative Review of Efficacy, Parental Involvement, and Physical Activity Outcomes. Natl J Community Med [Internet]. 2025 Dec. 1 [cited 2025 Dec. 1];16(12):1264-73. Available from: https://njcmindia.com/index.php/file/article/view/6064

Issue

Section

Review Articles

Similar Articles

<< < 49 50 51 52 53 54 55 56 57 58 > >> 

You may also start an advanced similarity search for this article.