Cited by 144Eating Disorders and BehaviorsObesity, Physical Activity, DietNutrition, Health and Food Behavior

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Psychological benefits of weight loss following behavioural and/or dietary weight loss interventions. A systematic research review

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Lasikiewicz, N., Myrissa, K., Hoyland, A., Lawton, C.L.·2014·Appetite

DOI 10.1016/j.appet.2013.09.017

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Abstract

It is generally accepted that weight loss has significant physiological benefits, such as reduced risk of diabetes, lowered blood pressure and blood lipid levels. However, few behavioural and dietary interventions have investigated psychological benefit as the primary outcome. Hence, systematic review methodology was adopted to evaluate the psychological outcomes of weight loss following participation in a behavioural and/or dietary weight loss intervention in overweight/obese populations. 36 Studies were selected for inclusion and were reviewed. Changes in self-esteem, depressive symptoms, body image and health related quality of life (HRQoL) were evaluated and discussed. Where possible, effect sizes to indicate the magnitude of change pre- to post- intervention were calculated using Hedges' g standardised mean difference. The results demonstrated consistent improvements in psychological outcomes concurrent with and sometimes without weight loss. Improvements in body image and HRQoL (especially vitality) were closely related to changes in weight. Calculated effect sizes varied considerably and reflected the heterogeneous nature of the studies included in the review. Although the quality of the studies reviewed was generally acceptable, only 9 out of 36 studies included a suitable control/comparison group and the content, duration of intervention and measures used to assess psychological outcomes varied considerably. Further research is required to improve the quality of studies assessing the benefits of weight loss to fully elucidate the relationship between weight loss and psychological outcomes.

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BackgroundInfluential
Bodyweight Changes Are Associated with Reduced Health Related Quality of Life: The Hordaland Health Study
Thorbjørnsen, G. H., Riise, T., & Øyen, J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0110173 · Cited by 10
“A systematic review of weight loss interventions studies found beneficial changes in HRQL following weight loss, regardless of method including or not including physical activity [20].”
Background
Impact of adult weight management interventions on mental health: a systematic review and meta-analysis protocol
Jones, R. A. P., Lawlor, E. R., Griffin, S. J., van Sluijs, E. M. F., & Ahern, A. L. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-031857 · Cited by 10
Changes in body image during a 6-month lifestyle behaviour intervention in a sample of overweight and obese individuals
Černelič-Bizjak, M. (2019) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2019.01.015 · Cited by 12
The Effectiveness of an Acceptance and Commitment Therapy and Mindfulness Group Intervention for Enhancing the Psychological and Physical Well-Being of Adults with Overweight or Obesity Seeking Treatment: The Mind&Life Randomized Control Trial Study Protocol
Iturbe, I., Pereda, E. P., Echeburúa, E., & Maíz, E. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18094396 · Cited by 10
“One possible explanation for this could be that health-related quality of life is positively associated with the amount of weight lost, and as previously mentioned, these interventions are ineffective for weight loss maintenance [13].”
Background
Mental Health Symptom Reduction Using Digital Therapeutics Care Informed by Genomic SNPs and Gut Microbiome Signatures
Pedroso, I., Kumbhare, S. V., Joshi, B., Saravanan, S. K., Mongad, D., Singh-Rambiritch, S., Uday, T., Muthukumar, K., Irudayanathan, C., Reddy-Sinha, C., et al. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12081237 · Cited by 16
Effects of Lifestyle Modification on Psychosocial Function in Patients With Resistant Hypertension
Blumenthal, J. A., Smith, P. J., Mabe, S., Hinderliter, A. L., Craighead, L. W., Watkins, L. L., Ingle, K., Tyson, C. C., Lin, P., Kraus, W. E., et al. (2023) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000801 · Cited by 11
“In a review by Lasikiewicz et al, 15 improved psychological functioning is considered a direct result of weight loss, and it has been noted that a 5% reduction in weight is associated with a 3% improvement in mental health.”
Background
Attitude Matters! How Attitude towards Bariatric Surgery Influences the Effects of Behavioural Weight Loss Treatment
Bauer, K., Schild, S., Sauer, H., Teufel, M., Stengel, A., Giel, K. E., Schellhorn, P., Junne, F., Niess, A. M., Zipfel, S., et al. (2021) · Obesity Facts · doi:10.1159/000517850 · Cited by 11
The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Adults with Overweight
Marshall, R. D., O’Brien, K., & Latner, J. D. (2022) · Obesities · doi:10.3390/obesities2010003 · Cited by 8
“However, a systematic review of 12 weight loss studies found that despite improvements in self-esteem across most interventions, changes in self-esteem were generally not directly associated with the amount of weight lost [6].”
BackgroundInfluential
Improvement in binge eating and alexithymia predicts weight loss at 9-month follow-up of the lifestyle modification program
Conti, C. M., Nardo, M. D., Lanzara, R., Guagnano, M. T., Cardi, V., & Porcelli, P. (2023) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-023-01560-5 · Cited by 8
A cross‐sectional survey study exploring provision and delivery of expanded community tier 2 behavioural weight management services in England
Fong, M., McSweeney, L., Adamson, A., Mathews, C., Lloyd, S., & Rothwell, C. (2023) · Clinical Obesity · doi:10.1111/cob.12629 · Cited by 8
“Whilst there is evidence that behavioural weight loss interventions can improve some psychological outcomes 21,22 research on the effectiveness of psychological support embedded WMS is sparse.”
Background
Meal replacement as a weight loss strategy for night shift workers with obesity: a protocol for a randomized controlled trial
Sooriyaarachchi, P., Jayawardena, R., Pavey, T., & King, N. A. (2022) · Trials · doi:10.1186/s13063-022-06784-x · Cited by 9
“Furthermore, following involvement in weight loss interventions, consistent significant increases in psychological indices such as self-esteem, depressive symptoms, body image, and health-related quality of life have been reported [18].”
Background
Efficacy and mechanisms of change in exposure-based and cognitive stand-alone body image interventions in women with overweight and obesity
Baur, J., Krohmer, K., Naumann, E., & Svaldi, J. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104210 · Cited by 9
Psychological support within tier 2 adult weight management services, are we doing enough for people with mental health needs? A mixed‐methods survey
Marwood, J., Brown, T. J., Kaiseler, M., Clare, K., Feeley, A. B., Blackshaw, J., & Ells, L. J. (2023) · Clinical Obesity · doi:10.1111/cob.12580 · Cited by 7
“Integrating psychological support into T2 WMS has the potential to alleviate psychological distress (including disordered eating, low self-esteem, and body image distress), improve emotional well-being, health-related quality of life, weight, and risk factors for related co-morbidities, and could help prevent progress…”
Background
Energy Expenditure, Body Composition, and Skeletal Muscle Oxidative Capacity in Patients with Myotonic Dystrophy Type 1
Joosten, I. B. T., Fuchs, C. J., Beelen, M., Plasqui, G., van Loon, L. J. C., & Faber, C. G. (2023) · Journal of Neuromuscular Diseases · doi:10.3233/jnd-230036 · Cited by 7
Evaluation of an 18‐month commercial multidisciplinary obesity treatment programme
Aller, E. E. J. G., & van Baak, M. A. (2015) · Clinical Obesity · doi:10.1111/cob.12122 · Cited by 7
“Although reductions in weight and improvements in cardiometabolic risk factors are important aims of obesity treatment, improvements in quality of life and eating behaviour are also relevant outcomes (32).”
Background
Effects of an Aerobic and Resistance Exercise Intervention on Health‐Related Quality of Life in Women with Obesity
Megakli, T., Vlachopoulos, S. P., & Theodorakis, Y. (2016) · Journal of Applied Biobehavioral Research · doi:10.1111/jabr.12047 · Cited by 7
Longitudinal quality of life improvement in underserved rural youth with obesity
Engebretsen, S. R., Sorrells, R., Yi‐Frazier, J. P., & Early, K. B. (2016) · Obesity Science & Practice · doi:10.1002/osp4.82 · Cited by 7
“Expectantly, youth with obesity have been shown to have lower HRQoL compared with normal or overweight peers (21– 23), and indeed, HRQoL has been shown to increase following weight loss (24,25).”
BackgroundInfluential
Twelve-month outcomes in overweight/obese users with mental disorders following a multi-element treatment including diet, physical activity, and positive thinking: the real-world "an apple a day" controlled trial
Giusti, L., Bianchini, V., Aggio, A., Mammarella, S., Salza, A., Necozione, S., Alunno, A., Ferri, C., Casacchia, M., & Roncone, R. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.903759 · Cited by 6
“Improvements in body image and health-related quality of life seem closely linked to changes in weight (89).”
Background
Exploring bi-directional impacts of Lisdexamfetamine dimesylate on psychological comorbidities and quality of life in people with Binge Eating Disorder
Griffiths, K. R., Boulet, S., Barakat, S., Touyz, S. W., Hay, P., Maguire, S., & Kohn, M. R. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-01041-9 · Cited by 9
“It may be that weight loss alone improves mental health [41], particularly if it alleviates any physical health concerns.”
Background
Effects of total diet replacement programs on mental well‐being: A systematic review with meta‐analyses
Harris, R. A., Fernando, H. A., Seimon, R. V., da Luz, F. Q., Gibson, A. A., Touyz, S. W., & Sainsbury, A. (2022) · Obesity Reviews · doi:10.1111/obr.13465 · Cited by 6
Understanding the implementation of ‘Making Every Contact Count’ (MECC) delivered by healthcare professionals in a mental health hospital: protocol for a pragmatic formative process evaluation
Rodrigues, A., Kemp, E., Aquino, M. R. J., Wilson, R., Vasiljevic, M., McBride, K., Robson, C. N., Loraine, M., Harland, J., & Haighton, C. (2023) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2023.2174698 · Cited by 6
“Nutritional and behavioural weight loss strategies are also associated with improvements in psychological outcomes (Lasikiewicz et al., 2014), with weight loss also improving depressive symptoms and self-esteem (Blaine et al., 2007; Fabricatore et al., 2011).”
Background
Addressing Hispanic Obesity Disparities Using a Community Health Worker Model Grounded in Motivational Interviewing
Brown, L. D., Vasquez, D., Lopez, D. I., & Portillo, E. (2021) · American Journal of Health Promotion · doi:10.1177/08901171211049679 · Cited by 8
Effect of severe compared with moderate energy restriction on physical activity among postmenopausal female adults with obesity: a prespecified secondary analysis of the Type of Energy Manipulation for Promoting optimum metabolic health and body composition in Obesity (TEMPO) Diet randomized controlled Trial
Jin, X., Gibson, A. A., Salis, Z., Seimon, R. V., Harper, C., Markovic, T., Byrne, N. M., Keating, S. E., Stamatakis, E. A., Eroglu, E. I., et al. (2022) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqac024 · Cited by 6
Occupational balance as a component in weight loss interventions
Jessen-Winge, C., Kolind, M. I., Lee, K., Leth, M. B., Surrow, S., Knürr, D. S., Christensen, C. S., & Christensen, J. R. (2023) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038128.2023.2217544 · Cited by 5
How to reduce the adverse effects of weight stigma on the quality of life: a preferred reported items for systematic reviews and meta-analyses (PRISMA)
Ramsamy, G., Mosbah, H., Faure, J. P., Plault, V., Albouy-Llaty, M., & Esnard, C. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1421609 · Cited by 7
“Traditional obesity treatments focus on significant weight loss through intensive behavioral intervention targeting diet and physical activity (Lasikiewicz et al., 2014).”
WAT’s up? Exploring the Impact of Wearable Activity Trackers on Physical Activity and Wellbeing: A Systematic Research Review
Scudds, A., & Lasikiewicz, N. (2024) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-024-00442-6 · Cited by 6
“An 18-item quality assessment tool, based on a tool previously used by Lasikiewicz et al. (2014) and adapted from a similar tool used in Hoyland et al. (2009)was used.”
Associations between weight-control methods and depression among Korean adolescents: a study based on a national dataset
Kong, J., Lee, K., Lee, S., Kim, S., Jeong, J., Son, Y., Lee, H., Jacob, L., Rahmati, M., Fond, G. B., et al. (2024) · Nutrition Research and Practice · doi:10.4162/nrp.2024.18.6.818 · Cited by 4
Dieting Behavior Characterized by Caloric Restriction and Relation to Sleep: A Brief Contemporary Review
Cao, V., Clark, A., & Aggarwal, B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010276 · Cited by 4
“Although “dieting behavior” has potential negative psychological effects, successful weight loss attempts can improve psychological outcomes such as depressive symptoms and health-related quality of life [24].”
Background
Psychiatric morbidities of female obesity before and after dieting: an Egyptian sample
Shalaby, A. S., Sadik, S. A.-M., & Mahmoud, D. A. M. (2020) · Middle East Current Psychiatry · doi:10.1186/s43045-020-00068-3 · Cited by 4
Perceived consequences of a successful weight loss: A pluralist qualitative study
Rosas, R., Pimenta, F., Marôco, J. P., & Leal, I. M. P. (2017) · Journal of Health Psychology · doi:10.1177/1359105316685901 · Cited by 4
Intermittent Fasting: Clinical Considerations
Harding, S. (2021) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2021.01.019 · Cited by 3
Evaluating the effect of targeting body shape concerns on long‐term weight change
Olson, K. L., Thaxton, T. T., Landers, J. D., & Emery, C. F. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.24096 · Cited by 3
Effect of aerobic and resistance exercises on body composition and quality of life in overweight and obese women: a randomized control trial
Çiçek, G., & Sıngın, R. H. Ö. (2023) · Universa Medicina · doi:10.18051/univmed.2023.v42.70-83 · Cited by 4
Biopsychosocial Modifiers of Obesity
Rubino, D. (2018) · Springer eBooks · doi:10.1007/978-3-319-95655-8_18 · Cited by 3
Classification of psychiatric symptoms using deep interaction networks: the CASPIAN-IV study
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“21) SVM 14 (12, 16) 96 (95, 96) 29 (25, 33) 90 (89, 91) 87 (86, 87) 0.”
Comparing Calorie Counting versus MyPlate Recommendations for Weight Loss
McCarthy, W. J., Gelberg, L., Herman, D. R., Belin, T. R., Chandler, M., Love, S., & Ramirez, E. (2019) · doi:10.25302/4.2019.cer.130601150 · Cited by 4
Less is more: calorie restriction as a therapeutic for mental health disorders
Nguyen, J. C. D., Govic, A., Levay, E. A., Zelko, M. D., Arumugam, T. V., Penman, J., Johns, T. G., & Boskovic, Z. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1584890 · Cited by 2
Multi-omic modelling of body mass index response to a dietary weight loss intervention
Yeo, E. N., Scadden, A. W., Caterer, Z., Sutton, K. J., Konigsberg, I. R., Cole, J. B., LITKOWSKI, E. M., Pan, Z., Lozupone, C., Ostendorf, D. M., et al. (2026) · Gut Microbes · doi:10.1080/19490976.2026.2696645 · Cited by 2
Experimental comparison between intensive interventions based on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy for overweight and obese people
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Investigating the effect of an online self-compassion for weight management (SC4WM) intervention on self-compassion, eating behaviour, physical activity and body weight in adults seeking to manage weight: protocol for a randomised controlled trial
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Impact of semaglutide on health outcomes and mood in obese heart failure patients: a retrospective analysis
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An interpretive phenomenological analysis study exploring the lived experience of personal growth in individuals who have experienced weight loss during a structured weight loss programme
Baxter, K., & Seth, P. S. (2022) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2022.102186 · Cited by 2
On the Randomness of Suicide
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Authors: Lasikiewicz, N., Myrissa, K., Hoyland, A., & Lawton, C. L.
Affiliations: University of Leeds (GB)
Kellogg's (United Kingdom) (GB)
Corresponding author: Lasikiewicz, N.
ORCID: Lasikiewicz, N.
Myrissa, K.
Lawton, C.L.
Venue: Appetite
Publisher: Elsevier BV
Published: 2014-01
Volume: 72
Pages: 123-137
ISSN: 0195-6663 (ISSN-L)
DOI: 10.1016/j.appet.2013.09.017
OpenAlex: W2125999894
Cited by: 144
References: 77
Citations by year: 2026: 8 · 2025: 8 · 2024: 12 · 2023: 17 · 2022: 22 · 2021: 11 · 2020: 14 · 2019: 10 · 2018: 11 · 2017: 11 · 2016: 11 · 2015: 7 · 2014: 2
FWCI: 0.97
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
creativecommons.org/licenses/by/3.0/ (vor)
Locations: Appetite (publishedVersion, cc-by)
PubMed (publishedVersion)
ResearchOnline at James Cook University (James Cook University) (submittedVersion)
ChesterRep (University of Chester) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: weight loss, psychological outcomes, overweight, obesity, self-esteem, depressive symptoms, body image, health-related quality of life, vitality
MeSH terms: Body Image, Depression, Diet, Humans, Mental Health, Obesity, Quality of Life, Self Concept, Weight Loss, Health Behavior

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Psychological benefits of weight loss following behavioural and/or dietary weight loss interventions. A systematic research review

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