Systematic Review and Meta-Analysis: The Impact of Multicomponent Weight Management Interventions on Self-Esteem in Overweight and Obese Adolescents

Murray, Margaret; Dordevic, Aimee L.; Bonham, Maxine P.

doi:10.1093/jpepsy/jsw101

Cited by 38 publications

(39 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This view was not replicated in our review, with moderator analyses not identifying any intervention characteristics predictive of change in self‐esteem. While the review of RCTs by Murray et al reported a strong correlation between weight loss and improved self‐esteem in both intervention and control groups, the present review did not find an association. Furthermore, the current review identified that, at the latest follow‐up time point, intervention groups achieved greater improvements in self‐esteem compared with no treatment control groups, with no difference between groups for the change in weight‐related outcomes.…”

Section: Discussioncontrasting

confidence: 92%

“…This is the first systematic review with meta‐analysis to report on the effect of obesity treatment interventions for children and adolescents with overweight or obesity on body image and extends the reviewed literature of the effect on self‐esteem.…”

Section: Discussionmentioning

confidence: 82%

“…There have been three previous reviews investigating the impact of pediatric obesity treatment on self‐esteem . The most recent of these by Murray et al published in 2017 included 13 RCTs.…”

Section: Discussionmentioning

confidence: 99%

“…Previously, it has been speculated that parental involvement in the intervention may contribute to improvements in self‐esteem. This view was not replicated in our review, with moderator analyses not identifying any intervention characteristics predictive of change in self‐esteem.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, the impact of obesity treatment on body image has not been reviewed. There have been three published reviews examining the impact of obesity treatment interventions on self‐esteem . The most recent, by Murray et al in 2017, included meta‐analysis of randomized controlled trials (RCTs) in adolescents only, and found no difference in the change in self‐esteem between intervention and control groups.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

et al. 2020

View full text Add to dashboard Cite

Summary Background Pediatric obesity impacts on multiple domains of psychological health, including self‐esteem and body image. Objective To determine the effect of multicomponent pediatric obesity treatment interventions on self‐esteem and body image. Methods A systematic search of published literature up to June 2019 was undertaken using electronic databases MEDLINE, EMBASE, Cochrane Library, and PsychINFO. Eligible studies implemented an obesity treatment intervention, including a dietary and physical activity component with/without a behavioral component, in children and adolescents with overweight/obesity, and assessed self‐esteem and/or body image. Data were extracted by one reviewer and cross‐checked. Meta‐analysis was used to combine outcome data and moderator analysis conducted to identify intervention characteristics influencing outcomes. Results 64 studies were identified. Meta‐analysis of 49 studies (n = 10471) indicated that pediatric obesity treatment results in increased self‐esteem postintervention (standardized mean difference, [SE] 0.34 [0.03], P < .001, I2 87%), maintained at follow‐up (0.35 [0.05] P < .001, I2 79%, 17 studies). Similarly, meta‐analysis of 40 studies (n = 2729) indicated improvements in body image postintervention (0.40 [0.03], P < .001, I2 73%), maintained at follow‐up (0.41 [0.08], P < .001, I2 89%, 16 studies). Conclusions Pediatric obesity treatment improves self‐esteem and body image in the short and medium term. These findings may underpin improvements in other psychological outcomes.

show abstract

Section: Discussioncontrasting

confidence: 92%

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

et al. 2020

View full text Add to dashboard Cite

show abstract

Transition of Care Model for Pediatric Patients With Nonalcoholic Fatty Liver Disease

Mitrani

Kohut

Panganiban

et al. 2021

Clinical Liver Disease

View full text Add to dashboard Cite

Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease seen in adults and children worldwide with a prevalence rate of 24% in adults and 10% in children in the United States. Many factors influence the development of NAFLD, including ethnicity, genetics, body weight, environment, coexisting diseases, and access to health care. 1,2 Childhood obesity is concerning because of its association with end-stage liver disease in adulthood. For each 1-unit gain in body mass index (BMI) z score among children aged 7 to 13 years, the risk for cirrhosis increases by 16% in adulthood. 3 Moreover, the rate of fibrosis progression in adults with NAFLD is on average one stage of progression over 14 years; however, some adults exhibit the rapid fibrosis phenotype with accelerated fibrosis development in less than 10 years. 4,5 Consequently, early identification and longitudinal management of NAFLD from childhood to adulthood are crucial for preventing progression and complications.Pediatric patients with NAFLD are best managed with a multidisciplinary team, including a gastroenterologist or hepatologist, dietician, exercise specialist, and psychological and other supportive services; however, there are currently no NAFLD-specific models that seamlessly transition patients from the pediatric to adult provider. During this period, patients are at high risk for recidivism and loss of integrated care. Here, we propose a NAFLD-specific model based on other models for chronic diseases to successfully transition pediatric patients with NAFLD to adult care.

show abstract

Addressing psychosocial health in the treatment and care of adolescents with obesity

Jebeile

Cardel

Kyle³

et al. 2021

Obesity

View full text Add to dashboard Cite

Obesity affects 158 million youth worldwide and is associated with psychosocial comorbidity. This review describes weight management options utilized by adolescents, including both self-directed weight loss and medically supervised obesity treatment interventions, and associated psychosocial impacts. A majority of adolescents with How to cite this article: Jebeile H, Cardel MI, Kyle TK, Jastreboff AM. Addressing psychosocial health in the treatment and care of adolescents with obesity. Obesity

show abstract

Systematic Review and Meta-Analysis: The Impact of Multicomponent Weight Management Interventions on Self-Esteem in Overweight and Obese Adolescents

Abstract: The lack of change in self-esteem suggests weight loss alone is insufficient to improve self-esteem. Multicomponent weight management interventions require a specific focus on self-esteem to improve this outcome in overweight and obese adolescents.

Cited by 38 publications

References 43 publications

Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

Transition of Care Model for Pediatric Patients With Nonalcoholic Fatty Liver Disease

Addressing psychosocial health in the treatment and care of adolescents with obesity

Contact Info

Product

Resources

About