Addressing psychosocial health in the treatment and care of adolescents with obesity

Jebeile, Hiba; Cardel, Michelle; Kyle, Theodore K.; Jastreboff, Ania M.

doi:10.1002/oby.23194

Cited by 36 publications

(29 citation statements)

References 96 publications

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“…Obesity prevention research is further complicated by ethical and psychosocial health concerns such as weight stigmatization, eating disorder risk, low self-esteem, body dissatisfaction, anxiety, and depression ( 15 – 18 ). Emerging research demonstrates how supervised obesity treatment can improve psychosocial health for adolescents; however, there is limited research regarding obesity prevention initiatives ( 19 ). Engaging adolescents in the design and development of obesity prevention interventions can address social equity challenges and ethical and psychosocial health concerns ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

Shifting From Tokenism to Meaningful Adolescent Participation in Research for Obesity Prevention: A Systematic Scoping Review

Mandoh

Redfern

Mihrshahi

et al. 2021

Front. Public Health

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Background: Traditionally, adolescent participation in research has been tokenistic. Adolescents are rarely afforded the opportunity to influence decision-making in research designed to prevent obesity. Engaging adolescents in meaningful decision-making may enhance research translation. This review aimed to analyze the current modes and nature of adolescent participation in obesity prevention research decision-making.Methods: A systematic scoping review was conducted using Arksey and O'Malley's six-stage framework. Six major databases were searched for peer-reviewed primary research studies with adolescent participation related to obesity, physical activity, and diet. Modes of adolescent participation were categorized based on the Lansdown-UNICEF conceptual framework for measuring outcomes of adolescent participation. The framework outlines three modes of meaningful participation: (i) consultative, which involves taking opinions and needs into consideration; (ii) collaborative, where adolescents are partners in the decision-making process; and (iii) adolescent-led participation where adolescents have the capacity to influence the process and outcomes. The degree of involvement in research cycles was classified based on the National Health and Medical Research Council consumer engagement framework. Five stages of the research cycle were determined: identify, design and develop, conduct, analyze and disseminate.Results: In total, 126 papers describing 71 unique studies were identified. Of these, 69% (49/71) took place in the USA, and 85% (52/61) were conducted in minority or underserved communities, while males were more likely to be under-represented. In 49% (35/71) of studies, participation was consultative and 9% (6/71) of studies involved an adolescent-led approach. Furthermore, 87% (62/71) of studies incorporated adolescent participation in one or more of the research cycle's formative phases, which involve eliciting views, opinions and idea generation. Only 11% of studies engaged adolescents in all five stages of the research cycle where adolescents could have more influence over the research process.Conclusion: Meaningful adolescent participation in the obesity prevention research cycle is limited. Empowering and mobilizing equal partnership with adolescents should be at the forefront of all adolescent-related obesity prevention research.

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Section: Introductionmentioning

confidence: 99%

Shifting From Tokenism to Meaningful Adolescent Participation in Research for Obesity Prevention: A Systematic Scoping Review

Mandoh

Redfern

Mihrshahi

et al. 2021

Front. Public Health

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“…20 It is also a risk factor for sleep disturbances in overweight children, and both obesity and depression are associated with the presence of high inflammatory impacts. 21,22 It is also shown that children who are obese may also have multiple psychosocial challenges, 12 may be subject to weight-based cyber victimization that potentially provokes depression, 23 plus poor academic as well as coping skills that can duly impact their overall mental and physical health significantly and adversely. 24 They may also be at risk for excess overweight status due to excess or poor eating practices as a result of being cared for by depressed caregivers, 17 and that could that well foster signs of negative psychological outcomes such as depression, low self-esteem, and life quality among these youth in their own right.…”

Section: Resultsmentioning

confidence: 99%

“…Alternately, as outlined by Zeller et al, 11 obesity in childhood and adolescence will surely tend to remain a global health challenge of immense proportion and increasing poor health outcomes if timely efforts to address this issue continue to focus largely on eating and physical activity practices to the exclusion of the role of the contribution of multiple mental health attributes on the emergence of obesity and overall future wellbeing of the overweight child. 12…”

Section: Overviewmentioning

confidence: 99%

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2022

AOWMC

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As obesity continues to remains an immense challenge to mitigate effectively, efforts to untangle its determinants continue, especially those that may exacerbate or impact childhood obesity, and its predictable and well established negative health impacts. Studied for many years in various spheres, the role played by depression has been discussed for some time in this regard, especially in light of COVID-19 pandemic imperatives and their long term mental health effects on youth. This mini review discusses some of these current ideas and related observations regarding, and whether more emphasis on fostering mental health among youth is indicated in efforts to effectively attenuate the onset and spread of childhood obesity into adulthood. Extracted from current literature, it is concluded that this is a topic of significance, but one requiring more acceptance and recognition, plus dedicated sustainable collaborative goals and supportive efforts.

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“…These measures were measured in triplicate and used to calculate BMI (weight kg/height m 2 ), expressed as a standardized score (BMI-SDS) according to age-and sex-specific UK reference data (49). Children are classified as having obesity if they plot above the 98th centile for BMI on relevant sex and age adjusted growth charts (12), and as having morbid obesity if they plot above the 99.6th BMI centile on age and sex-adjusted charts. The presence of a diagnosed co-morbid condition was assessed by review of medical records and common co-morbid conditions included: epilepsy, psoriasis, asthma, dyspraxia, intellectual disability (ID), attention deficit hyperactivity disorder (ADHD), and autistic spectrum disorder (ASD).…”

Section: Methodsmentioning

confidence: 99%

Evaluating 12 Years of Implementing a Multidisciplinary Specialist Child and Adolescent Obesity Treatment Service: Patient-Level Outcomes

Wyse¹,

Case

Walsh

et al. 2022

Front. Nutr.

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IntroductionChildhood obesity is a chronic disease that requires multidisciplinary and specialist intervention to address its complex pathophysiology, though access to treatment is limited globally. Evaluating the impact of evidence-based interventions implemented in real-world clinical settings is essential, in order to increase the translation of research into practice and enhance child health outcomes. In Ireland, the National Model of Care for Obesity highlighted the need to develop and improve healthcare services for children and adolescents with obesity.AimsThis study aims to evaluate the impact of a family-based, Tier 3 multi-disciplinary child and adolescent obesity outpatient service (www.w82go.ie) on standardized body mass index (BMI-SDS).MethodsFollowing referral by pediatricians, patients were assessed by a pediatric multidisciplinary team (physiotherapist, dietician, and psychologist) and personalized obesity treatment plans were developed. Anthropometric and demographic information were recorded at baseline and final visit. Descriptive statistics were used to explore distribution, central tendency and variation in the demographic data, change in BMI-SDS over time was assessed using a t-test, and multiple linear regression analysis was used to investigate the association of demographic factors on the change in BMI-SDS.ResultsThe overall mean BMI-SDS reduction across the whole cohort (n = 692) was −0.17 (95% CI = −0.20, −0.13; P < 0.001). Younger age at admission and longer duration of treatment were associated with greater BMI-SDS reduction but there was no significant association between change in BMI-SDS and any of the other parameters (deprivation score, treatment type, sex, obesity category at admission or presence of comorbid condition).ConclusionEngagement in a specialist Tier 3 pediatric obesity service was associated with reductions in BMI-SDS in children and adolescents with obesity.

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Addressing psychosocial health in the treatment and care of adolescents with obesity

Cited by 36 publications

References 96 publications

Shifting From Tokenism to Meaningful Adolescent Participation in Research for Obesity Prevention: A Systematic Scoping Review

Shifting From Tokenism to Meaningful Adolescent Participation in Research for Obesity Prevention: A Systematic Scoping Review

Untitled

Evaluating 12 Years of Implementing a Multidisciplinary Specialist Child and Adolescent Obesity Treatment Service: Patient-Level Outcomes

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