期刊
JOURNAL OF PEDIATRIC PSYCHOLOGY
卷 42, 期 4, 页码 379-394出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/jpepsy/jsw101
关键词
adolescent; at-risk youth; health promotion and prevention; meta-analysis; obesity; systematic review; weight management
资金
- Australian Government Research Training Program Scholarship
Objective Building self-esteem in overweight adolescents is key to long-term weight management; yet, self-esteem is rarely a key outcome of adolescent weight management interventions. This systematic review investigates the impact of multicomponent weight management interventions on self-esteem in overweight and obese adolescents. Method Six databases were searched in December 2014. Eligible studies met the following criteria: (1) randomized controlled trial, (2) overweight or obese participants, (3) adolescents (10-19 years), (4) multicomponent weight management intervention, (5) reported self-esteem and weight changes. Results Thirteen studies with 1,157 overweight or obese adolescents, aged 10-19 years, were included. Meta-analyses showed no significant change in self-esteem (0.27 [ 0.04, 0.59]), but body mass index z-score reduced following intervention (-0.17 [-0.22, -0.11]). Conclusion 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.
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