The role of emotion regulation in childhood obesity: Implications for prevention and treatment
Open accessAbstract
Stress and negative emotions pose a major threat to public health, by increasing the risk of obesity. Since the management process for emotions (emotion regulation; ER) is developed in childhood, we present a novel conceptual framework model for the role of ER in the prevention and treatment of childhood obesity. A narrative review of the literature by electronic database search (MEDLINE, Web of Knowledge and Scopus) was conducted of observational and interventional/experimental literature on ER and obesity and the underlying concepts. We also present an overview of ER intervention techniques. Our model indicates that childhood ER is a link between stress and obesity. Stress along with ineffective ER leads to abnormal cortisol patterns, emotional eating, sedentary lifestyle, reduction of physical activity, and sleep problems. Simultaneously, a healthy lifestyle could show benefits on ER and in developing adaptive ER strategies. In the development of obesity and ER, parents also play a role. By contrast, effective ER skills decrease obesity-related unhealthy behaviour and enhance protective factors, which boost health. The literature contains some observational studies of children but very few intervention studies, most of which are pilot or on-going studies. In conclusion, encouraging effective ER could be a useful new approach for combating and treating childhood obesity. Future ER intervention studies are needed to confirm the validity of this model in children.
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Few studies have been implemented to provide psychological interventions targeting emotional regulation in children and adolescents.
“Conversely, few studies have been implemented to provide psychological interventions, targeting emotional regulation in children and adolescents”
From The actyourchange in teens study protocol: An acceptance and commitment therapy-based intervention for adolescents with obesity: A randomized controlled trial (2021) · cites this paper as [67]
The ‘Interventions in children’ section says few childhood-obesity intervention studies have focused on emotional factors and identifies only a small number involving stress management and emotional-control training. It also says emotion-regulation techniques have been applied to children and adolescents with mental disorders. The source therefore supports the claim in the context of childhood obesity, but not its unqualified implication that such interventions are scarce across all child and adolescent settings. (LLM, conf=0.84)
Experimental — accuracy not yet measuredEmotional regulation is essential for healthy psychological functioning and healthy eating habits.
“which is essential for healthy psychological functioning [67] and healthy eating habits.”
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“It was developed following the main ACT-based manuals [33,34], with adjustments according to the users [35,36] and the context of the study implementation.”
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- Authors
- Aparicio, E., Canals, J., Arija, V., De Henauw, S., & Michels, N.
- Affiliations
- Institut de Recerca Biomèdica Catalunya Sud (ES)
- Ghent University (BE)
- Corresponding author
- Michels, N.
- Venue
- Nutrition Research Reviews
- Publisher
- Cambridge University Press (CUP)
- Published
- 2016-04-05
- Volume
- 29
- Issue
- 1
- Pages
- 17-29
- ISSN
- 0954-4224 (ISSN-L)
- 1475-2700
- OpenAlex
- W2323906516
- Cited by
- 157
- References
- 168
- Citations by year
- 2026: 10 · 2025: 12 · 2024: 22 · 2023: 18 · 2022: 25 · 2021: 19 · 2020: 17 · 2019: 15 · 2018: 12 · 2017: 5 · 2015: 1
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nutrition Research Reviews (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Rovira & Virgili repository (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- emotion regulation, childhood obesity, stress, cortisol, emotional eating, sedentary lifestyle, sleep disorders, physical activity, parental influence, obesity prevention, obesity treatment, emotion regulation interventions, conceptual framework
- MeSH terms
- Child, Emotions, Humans, Parents, Exercise, Sedentary Behavior, Pediatric Obesity
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