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The feasibility, acceptability and benefit of interventions that target eating speed in the clinical treatment of children and adolescents with overweight or obesity: A Protocol for a Systematic Review


 Background: Eating speed is positively correlated with higher BMI. Thus, modifying pace of eating may provide a treatment opportunity for those with overweight and obesity, which may have additional, longitudinal benefits if established in childhood. Researchers have designed interventions to help both adults and children reduce eating speed as a mechanism for weight-loss. These interventions include those that change the food that is eaten, those that use technology to support a slower eating speed, and those that work to change eating speed by cognitive means. This review seeks to understand the feasibility, acceptability and benefit to using eating speed in paediatric populations who have experienced such methods as part of a clinical weight-management programme.Methods: Clinical studies that use eating speed interventions as a treatment for paediatric patients (age 5–18 years) with overweight or obesity will be included in this review. No limits to language or search date will be implemented. A systematic search of the literature will be conducted using the following databases - MEDLINE, PyschINFO and EMBASE via OVID, Web of Science and JBI, Database of systematic reviews and Implementation reports, along with trial registers NICE, ClinicalTrials.gov and Cochrane Central Register of Controlled Trials. A grey literature search will be conducted via OpenGrey, and by writing to experts in the field. Study quality will be assessed and meta-analyses for trials that use similar interventions and report similar outcomes will be undertaken where possible.Discussion: This review will synthesise evidence regarding the feasibility, acceptability and benefit of using eating speed interventions to develop a narrative review. An assessment of heterogeneity will be assessed and where there is sufficient data, we will carry out a meta-analysis; for example, on the secondary outcomes of BMISDS or eating speed change following the interventions.