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Publications

Journal Article Systematic Review Ppublish

PubMed: 41367220 DOI: 10.1111/ijpo.70074

Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping.

Pediatr Obes 21(1):e70074

Authors: Natalie B Lister, Rabia Khalid, Isabelle R Jardine, Samantha Pryde, Hannah Melville, Anna L Seidler, Kylie E Hunter, Amy L Ahern, Louise A Baur, Caroline Braet, Sarah P Garnett, Andrew J Hill, Sarah Maguire, Dasha Nicholls, Susan J Paxton, Milan K Piya, Amanda Sainsbury, Katharine Steinbeck, Denise E Wilfley, Kelly Cooper, Genevieve Dammery, Alicia M Grunseit, Faith Anne N Heeren, Rebecca A Jones, Theodore K Kyle, Fiona Quigley, Molly Robbins, Jacqlyn Yourell, Melanie K Bean, Maxine P Bonham, Kerri N Boutelle, Michelle I Cardel, Katherine E Darling, Aimee L Dordevic, Dawn M Eichen, Leonard H Epstein, Andrea B Goldschmidt, Elissa Jelalian, Mara Cristina Lofrano-Prado, Tiffany Naets, Wagner L Prado, Hanna F Skjåkødegård, Yngvild Sørebø Danielsen, Richard I Stein, Marian Tanofsky-Kraff, Annelies Van Eyck, Alaina P Vidmar, Jack A Yanovski, Brittany J Johnson, Hiba Jebeile

Affiliations

  • Children's Hospital Westmead Clinical School, The University of Sydney, Westmead, New South Wales, Australia.
  • Charles Perkins Centre, The University of Sydney, Camperdown, New South Wales, Australia.
  • College of Nursing and Health Sciences, Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia.
  • National Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.
  • Department of Child and Adolescent Psychiatry, University Medical Centre Rostock, Rostock, Germany.
  • German Center for Child and Adolescent Health (DZKJ), Partner Site Greifswald/Rostock, Rostock, Germany.
  • MRC Epidemiology Unit, University of Cambridge, Cambridge, Cambridgeshire, UK.
  • The Children's Hospital at Westmead, Weight Management Services, Westmead, New South Wales, Australia.
  • Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium.
  • The Children's Hospital at Westmead, Kids Research, Westmead, New South Wales, Australia.
  • School of Medicine, University of Leeds, Leeds, UK.
  • InsideOut Institute for Eating Disorders, The University of Sydney, Camperdown, New South Wales, Australia.
  • Imperial College London, Division of Psychiatry, National Institute for Health Research, Applied Research Collaboration, London, UK.
  • School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
  • School of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia.
  • Campbelltown and Camden Hospitals, Campbelltown, New South Wales, Australia.
  • School of Human Sciences, The University of Western Australia, Crawley, Western Australia, Australia.
  • School of Medicine, Washington University in St. Louis, St Louis, Missouri, USA.
  • The Weight Issues Network, Sydney, New South Wales, Australia.
  • Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, Gainesville, Florida, USA.
  • WeightWatchers International, Inc. New York, New York, USA.
  • ConscienHealth, Pittsburgh, Pennsylvania, USA.
  • Institute of Nursing and Health Research, Ulster University, Newtownabbey, Co. Antrim, UK.
  • College of Psychology, Nova Southeastern University, Davie, Florida, USA.
  • Fit Minded Inc. Phoenix, Arizona, USA.
  • Department of Pediatrics, School of Medicine, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia, USA.
  • Department of Nutrition, Dietetics & Food, Faculty of Medicine, Nursing & Health Sciences, Monash University, Notting Hill, Victoria, Australia.
  • Department of Pediatrics, University of California San Diego, San Diego, California, USA.
  • Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
  • Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, Rhode Island, USA.
  • Department of Pediatrics, Jacobs School of Medicine, and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
  • Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
  • Department of Psychology & Kinesiology, California State University, San Bernardino, California, USA.
  • Department of Health Care, Odisee University of Applied Sciences, Nutrition and Dietetics, Ghent, Belgium.
  • Department of Kinesiology, California State University, San Bernardino, California, USA.
  • Children and Youth Clinic, Haukeland University Hospital, Bergen, Vestland, Norway.
  • Counseling on Eating Disorders, ROS, Bergen, Vestland, Norway.
  • Department of Clinical Psychology, University of Bergen, Bergen, Vestland, Norway.
  • Regional Department of Eating Disorders, Haukeland University Hospital, Bergen, Vestland, Norway.
  • Department of Medical and Clinical Psychology, School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
  • Section on Growth and Obesity, Division of Intramural Research, National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.
  • Laboratory of Experimental Medicine and Pediatrics, University of Antwerp, Antwerp, Antwerp, Belgium.
  • Department of Pediatrics, Antwerp University Hospital, Antwerp, Belgium.
  • Children's Hospital Los Angeles and Keck School of Medicine, Department of Pediatrics, University of Southern California, California, Los Angeles, USA.
  • Center for Endocrinology, Diabetes and Metabolism, California, Los Angeles, USA.

Abstract

OBJECTIVE

To understand delivery features and intervention strategies of adolescent weight management interventions which may influence eating disorder risk.

METHODS

Systematic searches in four databases and two trial registries to identify randomised controlled trials in adolescents with overweight/obesity measuring eating disorder risk pre- and post-intervention. Delivery features and intervention strategies were coded from published descriptions using a project-specific codebook, validated by trial investigators and narratively synthesised.

RESULTS

Of 11 860 records screened, 23 trials, with 54 intervention arms, were included in the analysis. Most interventions focused on weight loss and maintenance (54%) and were informed by a cognitive behavioural framework (43%). Interventions commonly targeted an individual with a support person (70%). Median intervention duration was 26 weeks, with weekly (35%) or staged (e.g., weekly, then monthly) visit (41%) frequency. Interventions had a mean (SD) of 30 (16.1) intervention strategies. Most included healthy eating education (89%), physical activity education (89%) and problem-solving barriers to dietary change (80%). Few included mental health strategies (17%). Interventions included 'dietary prescription' (65%), and 78% promoted 'healthful/helpful eating behaviours'.

CONCLUSION

Weight management interventions are complex and vary in delivery approach and strategies used to change behaviors. Characterising interventions is a critical first step to understanding how weight management interventions' influence eating disorder risk.

MeSH

Eating, Adolescent, Obesity, Overweight, Education, Weight Control