Cited by 158Obesity, Physical Activity, DietEating Disorders and BehaviorsObesity and Health Practices

Psychological Aspects of Obesity in Children and Adolescents

Sagar, Rajesh, Gupta, Tanu·2018·The Indian Journal of Pediatrics

Abstract

Childhood obesity is multi factorial health condition, so the simple evaluation of body fat will not be sufficed to manage the global epidemic of childhood obesity. Literature consistently provides evidence for physical health risks associated with childhood obesity; however in recent times, mental health of the obese children has also gained attention of the researchers as well as clinicians. Obese children experience number of psycho-social problems that significantly affect their quality of life and wellbeing. Co-morbid psychosocial and emotional problems of obesity generally act as causal or maintaining factors of obesity and thus significantly affect the treatment outcome. Therefore it becomes imperative for the clinicians/pediatricians to broaden their clinical assessment and include screening of important psycho-social factors within the clinical examination of childhood obesity. This article provides an evidence based comprehensive overview about the psychological factors and psychiatric factors (depression, anxiety, eating disorder, stress, body shape concerns, low self esteem) associated with childhood obesity that can further be utilized in the evaluation and management of this epidemic. The article also elaborates the role of current evidence based psychological approaches such as Cognitive Behavior Therapy (CBT) for management of obesity in children and adolescents. CBT techniques combined with lifestyle intervention and involving parents have been recommended by literature repetitively. However, there are a number of environmental, familial and personal barriers that hinder the whole process of weight loss in children. The article also discusses potential strategies to overcome those barriers.

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Crossref · 10.1007/s12098-017-2539-2

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Authors
Sagar, R., & Gupta, T.
Affiliations
  • All India Institute of Medical Sciences (IN)
  • All India Institute of Medical Sciences Jodhpur (IN)
Corresponding author
Sagar, Rajesh
Venue
The Indian Journal of Pediatrics
Published
2017-11-18
Volume
85
Issue
7
Pages
554-559
ISSN
  • 0019-5456 (ISSN-L)
  • 0973-7693
OpenAlex
W2769284732
Cited by
158
References
54
Citations by year
2026: 14 · 2025: 19 · 2024: 20 · 2023: 27 · 2022: 23 · 2021: 29 · 2020: 11 · 2019: 8 · 2018: 7
FWCI
6.67
Type
journal article
Language
en
Open access
closed
Locations
  • The Indian Journal of Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
None
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Keywords
childhood obesity, adolescent obesity, psychosocial problems, depression, anxiety, eating disorders, stress, body image concern, low self-esteem, quality of life, cognitive behavioral therapy, lifestyle intervention, parental involvement, barriers to weight loss, obesity screening
MeSH terms
Adolescent, Anxiety, Child, Depression, Humans, Life Style, Quality of Life, Self Concept, Weight Loss, Pediatric Obesity

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