Psychiatric Aspects of Child and Adolescent Obesity: A Review of the Past 10 Years

Zametkin, Alan J.; Zoon, Christine K.; Klein, Hannah; Munson, Suzanne

doi:10.1097/00004583-200402000-00008

Cited by 257 publications

(170 citation statements)

References 121 publications

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“…Future studies will contribute to the urgently needed empirical knowledge base in this field if they: (1) use precise techniques in the assessment of body composition, (2) choose well-defined, robust, single modality exercise treatments, (3) measure changes in energy balance (i.e., caloric intake and caloric expenditure), (4) monitor intervention compliance (both attendance and dose), (5) follow the CONSORT guidelines for reporting RCTs, 103 (6) include long-term interventions and follow-up (at least 12 months), (7) use stratified randomization procedures to minimize between-group differences in age, pubertal status, gender and overweight outcomes at baseline, (8) include factorial studies of exercise alone and in combination with multimodal treatments (individual and family behavioral/dietary/ physical activity interventions), (9) measure clinical correlates associated with obesity during exercise treatments (e.g., components of the 'metabolic syndrome,' C-reactive protein, self-efficacy for physical activity, sleep apnea), and (10) conduct cost-effectiveness analyses to compare economic benefits of exercise treatments with other therapeutic modalities.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] In adults, the morbidity and mortality burden of obesity is well documented. Of major concern is the growing body of evidence reporting overweight-related morbidity in childhood and adolescence, both in the psychosocial [6][7][8] and physiological domain. [9][10][11][12][13][14] Recently, the prevalence of 'metabolic syndrome' was reported to be 39 and 50% in moderate and severely obese children and adolescents, respectively, indicating higher morbidity burden with greater obesity severity.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of exercise for treating overweight in children and adolescents: a systematic review

2006

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Background: Overweight prevalence among children/adolescents is increasing, while adult obesity may potentially cause a decline in life expectancy. More exercise is uniformly recommended, although treatment efficacy remains unclear. Objective: To determine the efficacy of exercise alone for treating overweight in children/adolescents. Design: A systematic review and meta-analysis of randomized trials published in English were completed following multiple database searches performed on December 10, 2004. Studies of isolated or adjunctive exercise/physical activity treatment in overweight/obese children or adolescents which reported any overweight outcome were included. Literature searches identified 645 papers which were manually searched, of which 45 were considered for inclusion, of which 13 papers which reported 14 studies were included (N ¼ 481 overweight boys and girls, aged B12 years). Two reviewers independently identified relevant papers for potential inclusion and assessed methodological quality. Principal measures of effects included the mean difference (MD) (between treatment and control groups), the weighted MD (WMD), and the standardized MD (SMD). Results: Few studies were of robust design. The pooled SMD was À0.4 (À0.7, À0.1, P ¼ 0.006) for percent body fat, and À0.2 (À0.6, 0.1, P ¼ 0.07) for central obesity outcomes, whereas the pooled WMD was À2.7 kg (À6.1 kg, 0.8 kg, P ¼ 0.07) for body weight, all of which favored exercise. Pooled effects on body weight were significant and larger for studies of higher doses, whereas nonsignificant and smaller effects were seen for studies of lower doses of exercise (155-180 min/weeks vs 120-150 min/ weeks). Conclusions: Based on the small number of short-term randomized trials currently available, an aerobic exercise prescription of 155-180 min/weeks at moderate-to-high intensity is effective for reducing body fat in overweight children/adolescents, but effects on body weight and central obesity are inconclusive. Recommendations for future study designs are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy of exercise for treating overweight in children and adolescents: a systematic review

2006

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“…There is a wealth of research demonstrating that childhood overweight is detrimental to a child's physical and psychological health, [7][8][9] and continues to have a significant impact in adulthood. 8,10,11 The challenge in primary care is to address this emotive subject within the time constraints of a consultation and to balance education with practical strategies and solutions, especially if tackling paediatric obesity is not the parent's main objective.…”

Section: Why This Matters To Usmentioning

confidence: 99%

Addressing an overweight child and an unaware parent in the general practice consultation

Parry

Saxena

Christie

2010

London Journal of Primary Care

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“…They tend to present concerns regarding their body weight because they long for a slender body, and for fear of being excluded from the group to which they belong 4 .…”

Section: Introductionmentioning

confidence: 99%

Body weight perception and associated factors in students

Pereira

Oliveira

Zöllner

et al. 2013

J. Hum. Growth Dev.

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Objective: analyze the association between body weight perception and related variables in Elementary School students. Methods: cross-sectional study performed in 2007 with students aged 8 to 17, residents of Vitoria (ES). Anthropometric, demographic, socioeconomic and sexual maturation data were collected. Body weight perception was established by one single question of what the students thought of their own body weight in relation to their height. Logistic regression analysis stratified by gender was used to verify the associations among body weight perception and age, body mass index, waist circumference, pubertal stage and socioeconomic status. The reference category for analysis was "adequate weight perception". Results: three hundred and ninety-seven students participated in the study, 52.4% were females, and the age average (standard deviation) was 12 (1.84) years. Nutritional status for boys and girls showed, respectively, 21.7% and 20.1% overweight, 76.9% and 77.8% normal weight for height, 1.4% and 2.1% underweight. There was statistic association between body weight perception and nutritional status (overweight) for both genders (boys: OR = 6.76, girls: OR = 19.58), and age (10 to 14 years) for boys (OR = 0.40). The other variables did not show any association. Conclusion: body weight perception was associated with nutritional status in both genders, and with age only for boys. This reinforces the need of health professionals to monitor these adolescents in order for them to have a better understanding of their own bodies.

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Psychiatric Aspects of Child and Adolescent Obesity: A Review of the Past 10 Years

Cited by 257 publications

References 121 publications

Efficacy of exercise for treating overweight in children and adolescents: a systematic review

Efficacy of exercise for treating overweight in children and adolescents: a systematic review

Addressing an overweight child and an unaware parent in the general practice consultation

Body weight perception and associated factors in students

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