Obesity

Effect of weight loss interventions on liver-related health in children and adolescents with obesity: a systematic review and meta-analyses

Int J Obes (Lond)Published Systematic review and meta-analysis

Authors' conclusion

The present results indicate improved overall liver status in response to weight loss interventions in this population, further studies remain however needed to clarify the effects of physical activity alone.

Study context

Population
Children and adolescents with obesity (aged 5–18 years)
Participants
18,609 children145 studies
Comparison
Weight loss interventions on liver parameters
  • Dietn = 26
  • Medicationn = 24
  • Multidisciplinaryn = 96
  • Controlsn = 39reference
  • Physical activityn = 16
  • Supplementationn = 41
  • Surgeryn = 15
Outcome
Circulating, imagery-related and histology-related liver parameters
Methodological detailsmeta-regression
  • Meta-regression

Pooled result

As reported in the abstract

Liver parameters

Intervention arms with significant improvements in hepatic fat; no effect of physical activity interventions per meta-analysis

67%

Further pooled results

Meta-regression: NAFLD Activity Score

Improvements in NAFLD Activity Score associated with degree of weight loss and BMI reduction

Original publication

Effect of weight loss interventions on liver-related health in children and adolescents with obesity: a systematic review and meta-analyses. Int J Obes (Lond). Published 8 July 2026. doi:10.1038/s41366-026-02144-w

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