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

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Summary
This summary is machine-generated.

This study examined adolescent weight management programs, finding most included healthy eating and physical activity education but few mental health strategies. Understanding these interventions is key to assessing eating disorder risk.

Keywords:
behaviour change techniquesdisordered eatingobesityobesity treatmentoverweight

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Area of Science:

  • Public Health
  • Behavioral Science
  • Pediatrics

Background:

  • Adolescent obesity is a growing public health concern.
  • Weight management interventions (WMIs) are crucial for addressing adolescent overweight/obesity.
  • The potential influence of WMIs on eating disorder (ED) risk requires investigation.

Purpose of the Study:

  • To systematically analyze the delivery features and intervention strategies of WMIs for adolescents.
  • To understand how these features and strategies may impact eating disorder risk.

Main Methods:

  • Systematic searches of four databases and two trial registries identified randomized controlled trials.
  • Included trials focused on adolescents with overweight/obesity and measured ED risk.
  • Delivery features and intervention strategies were coded and narratively synthesized.

Main Results:

  • 23 trials (54 arms) were analyzed; most focused on weight loss/maintenance (54%) using cognitive behavioral frameworks (43%).
  • Common strategies included healthy eating (89%) and physical activity education (89%), with few mental health components (17%).
  • Interventions often involved a support person (70%), lasted a median of 26 weeks, and incorporated 'dietary prescription' (65%).

Conclusions:

  • Adolescent WMIs are complex, with diverse delivery methods and behavioral strategies.
  • Characterizing these interventions is essential for understanding their impact on eating disorder risk.
  • Further research is needed to elucidate the relationship between WMI components and ED risk.