Impact of Strategies for Preventing Obesity and Risk Factors for Eating Disorders Among Adolescents: A Systematic Review
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An effective behavior changes program is the first-line of prevention for youth obesity. However, effectiveness in prevention of adolescent obesity requires several approaches, with special attention paid to disordered eating behaviors and psychological support among other environmental factors. The aim of this systematic review was to compare the impact of two types of obesity prevention programs, inclusive of behavior change components on weight outcomes. Energy-balance studies were aimed at reducing calories from high-energy sources and increasing PA levels, while “shared risk factors for obesity and eating disorders” focused on reducing disordered eating behaviors to promote a positive relationship with food and eating. A systematic search of ProQuest, PubMed, PsycInfo, SciELO, and Web of Science identified 8825 articles. Twenty were considered “energy-balance” and fifteen “shared-risk factors for obesity and eating disorders”. Overall, energy-balance studies were unable to support a maintenance weight status, diet, and PA over time. Shared risk factors programs also did not result in significant differences in weight status over time. However, the majority of shared risk factors studies demonstrated reduced body dissatisfaction, dieting, and weight-control behaviors. More research is needed to examine how a shared risk factor approach can address both obesity and eating disorder.
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Depressive/anxious mood and attention problems are promising key targets for intervention in overweight/obese adolescents.
“The main finding from this study (depressive/anxious mood, attention problems as central symptoms in a psychological network, thus representing promising key targets for intervention) contradicts the current practice of many psychological (preventive) interventions among overweight/obese adolescents which primarily aim to reduce disordered eating behavior and weight/shape concerns [53].”
From Psychopathological symptoms and well-being in overweight and underweight adolescents: A network analysis (2021) · cites this paper as [53]
The citation is attached to the description of existing interventions, not to the citing study’s finding about central symptoms. The review’s Methods (§2.2) describes programs addressing dieting, body image, and weight-control behaviors, but it does not establish that many psychological interventions primarily target these concerns. It also does not identify attention problems as an intervention target. (LLM, conf=0.82)
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References 92 · Cited by 49
- Authors
- Leme, A. C., Haines, J., Tang, L., Dunker, K., Tucunduva Philippi, S., Fisberg, M., Ferrari, G. L., & Fisberg, R. M.
- Affiliations
- Universidade de São Paulo (BR)
- University of Guelph (CA)
- Universidade Federal de São Paulo (BR)
- Instituto Pensi (BR)
- Corresponding author
- Leme, Ana Carolina
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2020-08-13
- Volume
- 12
- Issue
- 10
- Pages
- 3134-3134
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC7602154
- OpenAlex
- W3048905506
- Cited by
- 49
- References
- 92
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 7 · 2023: 12 · 2022: 8 · 2021: 8 · 2020: 1
- FWCI
- 0.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nutrients (publishedVersion, cc-by)
- Preprints.org (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo (2015/, 2015/20852-7)
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (402674/2016–2)
- 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
- adolescent obesity, obesity prevention programs, eating disorders, disordered eating, energy balance, shared risk factors, behaviour change interventions, physical activity, dieting, body dissatisfaction, psychological support
- MeSH terms
- Body Weight Maintenance, Adolescent, Psychology, Adolescent, Feeding and Eating Disorders, Energy Metabolism, Feeding Behavior, Female, Humans, Male, Preventive Health Services, Risk Factors, Program Evaluation, Exercise, Adolescent Nutritional Physiological Phenomena, Pediatric Obesity
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