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The impact of adult behavioural weight management interventions on mental health: A systematic review and meta-analysis

Jones, RA, Lawlor, ER, Birch, JM, Patel, MI, Werneck, AO, Hoare, E, Griffin, SJ, van Sluijs, EMF, Sharp, SJ and Ahern, AL 2021, The impact of adult behavioural weight management interventions on mental health: A systematic review and meta-analysis, Obesity Reviews, pp. 1-18, doi: 10.1111/obr.13150.

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Title The impact of adult behavioural weight management interventions on mental health: A systematic review and meta-analysis
Author(s) Jones, RA
Lawlor, ER
Birch, JM
Patel, MI
Werneck, AO
Hoare, EORCID iD for Hoare, E orcid.org/0000-0001-6186-0221
Griffin, SJ
van Sluijs, EMF
Sharp, SJ
Ahern, AL
Journal name Obesity Reviews
Article ID obr.13150
Start page 1
End page 18
Total pages 18
Publisher Wiley
Place of publication Hoboken, NJ
Publication date 2021
ISSN 1467-7881
1467-789X
Keyword(s) interventions
mental health
obesity
weight management
Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
RANDOMIZED CONTROLLED-TRIAL
LIFE-STYLE INTERVENTION
QUALITY-OF-LIFE
LOSS PROGRAM
PSYCHOLOGICAL OUTCOMES
OBESE INDIVIDUALS
OVERWEIGHT
WOMEN
CARE
ASSOCIATION
Summary There is good evidence that behavioural weight management interventions improve physical health; however, the impact on mental health remains unclear. We evaluated the impact of behavioural weight management interventions on mental health‐related outcomes in adults with overweight or obesity at intervention‐end and 12 months from baseline. Eligible studies were randomized controlled trials (RCTs) or cluster RCTs of adult behavioural weight loss interventions reporting affect, anxiety, binge eating, body image, depression, emotional eating, quality of life, self‐esteem and stress. We searched seven databases from inception to 7 May 2019 and included 43 articles reporting 42 RCTs. Eighteen studies were deemed to be at high risk of bias. We conducted random‐effects meta‐analyses, stratified analyses and meta‐regression using Stata. Interventions generated greater improvements than comparators for depression, mental health‐related quality of life and self‐efficacy at intervention‐end and 12 months from baseline. There was no difference between groups for anxiety, overall quality of life, self‐esteem or stress at intervention‐end. There was insufficient evidence to assess the impact on anxiety, binge eating, body image, emotional eating, affect, life satisfaction, self‐esteem or stress at intervention‐end and/or 12 months from baseline. Although evidence suggests that interventions benefit some aspects of mental health, high‐quality, transparently reported RCTs measuring a range of mental health outcomes over longer durations are required to strengthen the evidence base.
Notes In press
Language eng
DOI 10.1111/obr.13150
Indigenous content off
Field of Research 11 Medical and Health Sciences
17 Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30144908

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.