Treatment of obesity, with a dietary component, and eating disorder risk in children and adolescents: A systematic review with meta-analysis
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This review aimed to investigate the impact of obesity treatment, with a dietary component, on eating disorder (ED) prevalence, ED risk, and related symptoms in children and adolescents with overweight or obesity. Four databases were searched to identify pediatric obesity treatment interventions, with a dietary component, and validated pre-post intervention assessment of related outcomes. Of 3078 articles screened, 36 met inclusion criteria, with a combined sample of 2589 participants aged 7.8 to 16.9 years. Intervention duration ranged from 1 week to 13 months, with follow-up of 6 months to 6 years from baseline. Prevalence of ED was reported in five studies and was reduced post-intervention. Meta-analyses showed a reduction in bulimic symptoms (eight studies, standardized mean difference [SE], -0.326 [0.09], P < 0.001), emotional eating (six studies, -0.149 [0.06], P = 0.008), binge eating (three studies, -0.588 [0.10], P < 0.001), and drive for thinness (three studies, -0.167 [0.06], P = 0.005) post-intervention. At follow-up, a reduction in ED risk (six studies, -0.313 [0.13], P = 0.012), emotional eating (five studies, -0.259 [0.05], P < 0.001), eating concern (three studies, -0.501 [0.06], P < 0.001), and drive for thinness (two studies, -0.375 [0.07], P < 0.001) was found. Structured and professionally run obesity treatment was associated with reduced ED prevalence, ED risk, and symptoms.
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Structured and professionally run obesity treatments are associated with reduced eating disorder prevalence, risk, and symptoms in children.
“A recent systematic review and meta-analysis found that structured and professionally run obesity treatments are associated with reduced ED prevalence, risk, and symptoms in children [41].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [41]
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Hampl, S. E., Hassink, S. G., Skinner, A. C., Armstrong, S. C., Barlow, S. E., Bolling, C. F., Avila Edwards, K. C., Eneli, I., Hamre, R., Joseph, M. M., et al. (2023) · Pediatrics · doi:10.1542/peds.2022-060640 · Cited by 1,389 · see citing works
Jebeile, H., Gow, M. L., Baur, L. A., Garnett, S. P., Paxton, S. J., & Lister, N. B. (2019) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2019.2841 · Cited by 70 · see citing works
Self-citationWiss, D., & Brewerton, T. (2020) · Nutrients · doi:10.3390/nu12102937 · Cited by 63 · see citing works
Leme, A. C., Haines, J., Tang, L., Dunker, K., Tucunduva Philippi, S., Fisberg, M., Ferrari, G. L., & Fisberg, R. M. (2020) · doi:10.20944/preprints202008.0299.v1 · Cited by 49 · see citing works
- Authors
- Jebeile, H., Gow, M. L., Baur, L. A., Garnett, S. P., Paxton, S. J., & Lister, N. B.
- Affiliations
- The University of Sydney (AU)
- La Trobe University (AU)
- Corresponding author
- Jebeile, Hiba
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2019-05-26
- Volume
- 20
- Issue
- 9
- Pages
- 1287-1298
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- PMC
- PMC6851692
- OpenAlex
- W2946847194
- Cited by
- 160
- References
- 92
- Citations by year
- 2026: 20 · 2025: 19 · 2024: 26 · 2023: 21 · 2022: 21 · 2021: 25 · 2020: 20 · 2019: 7
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Obesity Reviews (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- The Sydney eScholarship Repository (The University of Sydney) (submittedVersion, cc-by-nc)
- 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
- childhood obesity, adolescents, eating disorders, dietary intervention, obesity treatment, bulimic symptoms, emotional eating, binge eating, drive for thinness, eating concerns, eating disorder risk, overweight
- MeSH terms
- Obesity Management, Adolescent, Adolescent Behavior, Feeding and Eating Disorders, Behavior Therapy, Child, Child Behavior, Female, Humans, Male, Risk Factors, Prevalence, Guidelines as Topic, Pediatric Obesity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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