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- Title
Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis.
- Authors
Gow, Megan L.; Tee, Melissa S.Y.; Garnett, Sarah P.; Baur, Louise A.; Aldwell, Katharine; Thomas, Sarah; Lister, Natalie B.; Paxton, Susan J.; Jebeile, Hiba
- Abstract
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.
- Subjects
TREATMENT of childhood obesity; BODY image; DIET; INFORMATION storage &; retrieval systems; MEDICAL databases; MEDICAL information storage &; retrieval systems; PSYCHOLOGY information storage &; retrieval systems; MEDLINE; META-analysis; SELF-perception; WEIGHT loss; SYSTEMATIC reviews; PHYSICAL activity
- Publication
Pediatric Obesity, 2020, Vol 15, Issue 3, pN.PAG
- ISSN
2047-6302
- Publication type
Article
- DOI
10.1111/ijpo.12600