Effects of aerobic training, resistance training, or both on psychological health in adolescents with obesity: The HEARTY randomized controlled trial.

Goldfield, Gary S.; Kenny, Glen P.; Alberga, Angela S.; Prud’homme, Denis; Hadjiyannakis, Stasia; Gougeon, Réjeanne; Phillips, Penny; Tulloch, Heather; Malcolm, Janine; Doucette, Steve; Wells, George A.; Ma, Jinhui; Cameron, Jameason D.; Sigal, Ronald J.

doi:10.1037/ccp0000038

Cited by 68 publications

(132 citation statements)

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“…Most studies reported the inclusion of a behavior modification component within the intervention. Five studies did not report the use of specific behavior change stategies . Behavior modification strategies included goal setting, problem solving, mindful eating, managing bullying and teasing, and parent role modelling.…”

Section: Resultsmentioning

confidence: 99%

“…The change in body image between pre‐intervention and postintervention was reported in 27 studies, between pre‐intervention and follow‐up in three studies, and 13 studies reported data at all three time points. Of the 40 studies reporting body image pre‐intervention and postintervention ranging in duration from 2 weeks to 24 months, body image was reported to be significantly improved compared with baseline in 22 studies, not significantly changed in 10 studies, five studies did not state whether or not the change was significant and three studies reported a significant improvement in one body image measure and no change in another.…”

Section: Resultsmentioning

confidence: 99%

“…Most interventions were delivered in either a community (27 studies), 22,29,30,32,33,40,45,48,49,51,53,55,57,58,60,62,66,68,69,73,[76][77][78]82,85,87,90 including one commercially delivered program 25 or tertiary hospital outpatient setting (12 studies). 23,42,46,52,54,59,61,65,70,71,81,84,88 Less frequently, studies were conducted in a residential camp (six studies), 24,43,44,63,72,74,86,89 inpatient setting alone (four studies) [26]…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…21,22,26-29,31, 32,36,37,41-43,45,47,48,52-54,56,61-63,66,68,70,71,74-76,78,79,82,83,85,87,90 The physical activity component of interventions varied among included studies, with education focusing on increasing physical activity and reducing sedentary behaviors. An at least weekly supervised exercise or recreational activity program was included in 38 studies 21,22,24,26,27,28,32,33,36,40,[42][43][44][45]47,49,52,53,55,56,58,59,[61][62][63]65,[67][68][69]72,74,75,[77][78][79][81][82][83]86,87,89,90. Most studies reported the inclusion of a behavior modification component within the intervention.…”

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confidence: 99%

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Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

et al. 2020

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Summary Background Pediatric obesity impacts on multiple domains of psychological health, including self‐esteem and body image. Objective To determine the effect of multicomponent pediatric obesity treatment interventions on self‐esteem and body image. Methods A systematic search of published literature up to June 2019 was undertaken using electronic databases MEDLINE, EMBASE, Cochrane Library, and PsychINFO. Eligible studies implemented an obesity treatment intervention, including a dietary and physical activity component with/without a behavioral component, in children and adolescents with overweight/obesity, and assessed self‐esteem and/or body image. Data were extracted by one reviewer and cross‐checked. Meta‐analysis was used to combine outcome data and moderator analysis conducted to identify intervention characteristics influencing outcomes. Results 64 studies were identified. Meta‐analysis of 49 studies (n = 10471) indicated that pediatric obesity treatment results in increased self‐esteem postintervention (standardized mean difference, [SE] 0.34 [0.03], P < .001, I2 87%), maintained at follow‐up (0.35 [0.05] P < .001, I2 79%, 17 studies). Similarly, meta‐analysis of 40 studies (n = 2729) indicated improvements in body image postintervention (0.40 [0.03], P < .001, I2 73%), maintained at follow‐up (0.41 [0.08], P < .001, I2 89%, 16 studies). Conclusions Pediatric obesity treatment improves self‐esteem and body image in the short and medium term. These findings may underpin improvements in other psychological outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

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confidence: 99%

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Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

et al. 2020

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“…It is also necessary to develop and utilise 378 intervention approaches to incentivise weight loss amongst those that are overweight without 379 damaging self-perception and mental health. For instance a recent physical activity 380 intervention amongst obese adolescents has shown that resistance training can achieve 381 improvements in both body image and mental health (38). …”

mentioning

confidence: 99%

Trends in Adolescent Overweight Perception and Its Association With Psychosomatic Health 2002–2014: Evidence From 33 Countries

Whitehead

Berg

Cosma

et al. 2017

Journal of Adolescent Health

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Association of Pediatric Obesity Treatment, Including a Dietary Component, With Change in Depression and Anxiety

et al. 2019

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IMPORTANCEChildren and adolescents with obesity are at higher risk of developing depression and anxiety, and adolescent dieting is a risk factor for the development of depression. Therefore, determining the psychological effect of obesity treatment interventions is important to consider. OBJECTIVE To investigate the association between obesity treatment interventions, with a dietary component, and the change in symptoms of depression and anxiety in children and adolescents with overweight/obesity. DATA SOURCES Searches of MEDLINE, Embase, Cochrane Library, and PsychINFO were conducted from inception to August 2018. Hand searching of references was conducted to identify missing studies. STUDY SELECTION Obesity treatment interventions, with a dietary component, conducted in children and adolescents (age <18 years) with overweight/obesity, and validated assessment of depression and/or anxiety were included.DATA EXTRACTION AND SYNTHESIS Data were independently extracted by 1 reviewer and checked for accuracy. Meta-analysis, using a random-effects model, was used to combine outcome data and moderator analysis conducted to identify intervention characteristics that may influence change in depression and anxiety. The meta-analyses were finalized in May 2019. MAIN OUTCOMES AND MEASURESChange in symptoms of depression and anxiety postintervention and at the latest follow-up. RESULTSOf 3078 articles screened, 44 studies met inclusion criteria with a combined sample of 3702 participants (age range, 5.6 to 16.6 years) and intervention duration of 2 weeks to 15 months. Studies reported either no change or a statistically significant reduction in symptoms of depression or anxiety. Meta-analyses of 36 studies found a reduction in depressive symptoms postintervention (standardized mean difference [SE], −0.31 [0.04]; P < .001), maintained at follow-up in 11 studies at 6 to 16 months from baseline (standardized mean difference [SE], −0.25 [0.07]; P < .001). Anxiety was reduced postintervention (10 studies; standardized mean difference [SE], −0.38 [0.10]; P < .001) and at follow-up (4 studies; standardized mean difference [SE], −0.32 [0.15]; P = .03). Longer intervention duration was associated with a greater reduction in anxiety (R 2 = 0.82; P < .001). Higher body mass index z score at baseline was associated with a greater reduction in depression (R 2 = 0.19; P = .03).CONCLUSIONS AND RELEVANCE Structured, professionally run pediatric obesity treatment is not associated with an increased risk of depression or anxiety and may result in a mild reduction in symptoms. Treatment of weight concerns should be considered within the treatment plan for young people with depression and obesity.

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Effects of aerobic training, resistance training, or both on psychological health in adolescents with obesity: The HEARTY randomized controlled trial.

Cited by 68 publications

References 50 publications

Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

Pediatric obesity treatment, self‐esteem, and body image: A systematic review with meta‐analysis

Trends in Adolescent Overweight Perception and Its Association With Psychosomatic Health 2002–2014: Evidence From 33 Countries

Association of Pediatric Obesity Treatment, Including a Dietary Component, With Change in Depression and Anxiety

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