Impact of Strategies for Preventing Obesity and Risk Factors for Eating Disorders among Adolescents: A Systematic Review

Leme, Ana Carolina Barco; Haines, Jess; Tang, Lisa; Dunker, Karin Louise Lenz; Philippi, Sônia Tucunduva; Fisberg, Mauro; Ferrari, Gérson; Fisberg, Regina Mara

doi:10.3390/nu12103134

Cited by 23 publications

(23 citation statements)

References 85 publications

(381 reference statements)

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“…However, it must be emphasized that variables that turn out as most central in psychological network analyses do not necessarily correspond to the most prevalent symptoms of mental health disorders. The main finding from this study (depressive/anxious mood, attention problems as central symptoms in a psychological network, thus representing promising key targets for intervention) contradicts the current practice of many psychological (preventive) interventions among overweight/obese adolescents which primarily aim to reduce disordered eating behavior and weight/shape concerns [53]. Rather, our results indicate that broader intervention approaches, not solely focusing on eating disorder symptoms but (also) incorporating contents to positively impact mood and reduce feelings of depression and anxiety might be most promising.…”

Section: Discussioncontrasting

confidence: 81%

Psychopathological Symptoms and Well-Being in Overweight and Underweight Adolescents: A Network Analysis

et al. 2021

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Overweight and underweight adolescents have an increased risk of psychological problems and reduced quality of life. We used a network analysis approach on a variety of psychopathology and well-being variables to identify central factors in these populations. The network analysis was conducted on data of 344 overweight adolescents (>90th BMI-percentile) and 423 underweight adolescents (<10th BMI-percentile) drawn from a large community sample (10–19 years) including behavioral and emotional problems (Youth Self-Report), eating disorder risk (SCOFF) and well-being variables (KIDSCREEN). Additionally, psychopathology and well-being scores of overweight and underweight individuals were compared with 1.560 normal weight adolescents. Compared to their normal weight peers, overweight adolescents showed elevated psychopathology and eating disorder risk as well as reduced well-being. Underweight adolescents reported increased levels of internalizing problems but no increased eating disorder risk or reduced well-being. The network analysis revealed that anxious/depressed mood and attention problems were the most central and interconnected nodes for both overweight and underweight subsamples. Among underweight individuals, social problems and socially withdrawn behavior additionally functioned as a bridge between other nodes in the network. The results support psychological interventions focusing on improving mood, coping with negative emotions and tackling inner tension.

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Section: Discussioncontrasting

confidence: 81%

Psychopathological Symptoms and Well-Being in Overweight and Underweight Adolescents: A Network Analysis

et al. 2021

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“…Disordered eating behaviors and EDs both cover a broad group of dimensional maladaptive cognitions and behaviors relating to eating and weight, but differ in their diagnosis [22]. Eating disorders refer to psychiatric disorders characterized by abnormal eating or weight control behaviors [23].…”

Section: Eating Disordersmentioning

confidence: 99%

“…Suffering from weight-related teasing during childhood and adolescence might lead to emotional eating which, in turn, could impair long-term weight loss maintenance [76]. Even when programs aiming to treat shared risk factors did not result in significant differences in terms of weight status, it had an impact on body dissatisfaction, dieting and weight-control behaviors [22].…”

Section: Weight Loss Diet Behavioral Therapy Lifestyle Modificationmentioning

confidence: 99%

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

et al. 2021

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Obesity, eating disorders and unhealthy dieting practices among children and adolescents are alarming health concerns due to their high prevalence and adverse effects on physical and psychosocial health. We present the evidence that eating disorders and obesity can be managed or prevented using the same interventions in the pediatric age. In the presence of obesity in the pediatric age, disordered eating behaviors are highly prevalent, increasing the risk of developing eating disorders. The most frequently observed in subjects with obesity are bulimia nervosa and binge-eating disorders, both of which are characterized by abnormal eating or weight-control behaviors. Various are the mechanisms overlying the interaction including environmental and individual ones, and different are the approaches to reduce the consequences. Evidence-based treatments for obesity and eating disorders in childhood include as first line approaches weight loss with nutritional management and lifestyle modification via behavioral psychotherapy, as well as treatment of psychiatric comorbidities if those are not a consequence of the eating disorder. Drugs and bariatric surgery need to be used in extreme cases. Future research is necessary for early detection of risk factors for prevention, more precise elucidation of the mechanisms that underpin these problems and, finally, in the cases requiring therapeutic intervention, to provide tailored and timely treatment. Collective efforts between the fields are crucial for reducing the factors of health disparity and improving public health.

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“…The association between sleep quality and disordered eating was investigated by examining serial multiple mediations linking sleep quality to EDs through PSU and psychological distress (i.e., depressive and anxiety) in Chinese Tibetan college students. Given that EDs require clinical diagnosis, disordered eating behaviors/attitudes (DEBs) were used, which refer to behaviors that deviate from normal but have not yet met the diagnostic criteria for eating disorder ( 40 ). We hypothesize that sleep quality would be related to DEBs and that PSU and depressive/anxiety would independently and in series mediate the association between sleep quality and DEBs ( Figure 1 ).…”

Section: Introductionmentioning

confidence: 99%

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

Guo

Rong

et al. 2021

Front. Psychiatry

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Background: Sleep problems and eating disorders (EDs) are both serious public health concerns often seen in young adults. Yet, the underlying mechanisms for such associations are largely unknown. This study aims to examine potential serial multiple mediation effects of problematic smartphone use (PSU) and psychological distress (i.e., depressive and anxiety symptoms) in the relationship between sleep quality and disordered eating behaviors/attitudes (DEBs).Methods: A total of 4,325 students from two Tibet universities in China (2,657 females and 1,668 males) completed an online survey that included the following measurements: Eating Attitude Test-26 for disordered eating behaviors/attitudes, the Chinese Version of Pittsburgh Sleep Quality Index (CPSQI), Smartphone Addiction Scale—Short Version (SAS-SV) for problematic smartphone use, Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) for psychological distress.Results: While the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.016, 95% CI = 0.0256~0.0591) and anxiety symptoms (Standardized β = 0.014, 95% CI = 0.0203~0.0526) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> anxiety symptoms -> DEBs” existed(Standardized β = 0.001, 95% CI = 0.0002~0.0012). Similarly, while the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.020, 95% CI = 0.0337~0.0692) and depressive symptoms (Standardized β = 0.015, 95% CI = 0.0139~0.0652) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> depressive symptoms -> DEBs” existed (Standardized β = 0.001, 95% CI = 0.0006~0.0038).Conclusions: Psychological and behavioral factors may comprehensively work together, leading to flow-on effects from sleep problems to disordered eating behaviors among university students. Appropriate interventions that target problematic smartphone use could thus potentially reduce anxiety and depression levels, which in turn will provide a buffer against the negative impact of poor sleep quality on eating disorder symptoms.

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Impact of Strategies for Preventing Obesity and Risk Factors for Eating Disorders among Adolescents: A Systematic Review

Cited by 23 publications

References 85 publications

Psychopathological Symptoms and Well-Being in Overweight and Underweight Adolescents: A Network Analysis

Psychopathological Symptoms and Well-Being in Overweight and Underweight Adolescents: A Network Analysis

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

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