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

IF 2.5 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2025-12-10 DOI:10.1111/ijpo.70074

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, the EDIT Collaboration

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引用次数: 0

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.

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青少年行为干预与饮食失调结果的组成部分：干预制图的系统回顾

目的了解影响青少年饮食失调风险的体重管理干预措施的实施特点及干预策略。方法系统检索4个数据库和2个试验注册中心，确定超重/肥胖青少年干预前后测量饮食失调风险的随机对照试验。交付特征和干预策略使用项目特定代码本从发表的描述中编码，由试验调查员验证并叙述合成。结果在筛选的11,860份记录中，有23项试验，54个干预组被纳入分析。大多数干预措施侧重于减肥和维持体重（54%），并通过认知行为框架（43%）提供信息。干预措施通常针对有支持人员的个人（70%）。中位干预持续时间为26周，每周（35%）或分阶段（例如，每周，然后每月）访问频率（41%）。干预措施的平均（SD）为30（16.1）个干预策略。大多数包括健康饮食教育（89%）、体育活动教育（89%）和解决饮食改变障碍（80%）。很少包括心理健康战略（17%）。干预措施包括“饮食处方”（65%），78%的干预措施促进“健康/有益的饮食行为”。结论体重管理干预是复杂的，在实施方式和改变行为的策略上存在差异。描述干预措施是理解体重管理干预措施如何影响饮食失调风险的关键第一步。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.