Incledon Emily, Wake Melissa, Hay Margaret
Monash University, School of Psychology and Psychiatry, Clayton, Australia.
Int J Pediatr Obes. 2011 Jun;6(2-2):e1-11. doi: 10.3109/17477166.2010.549491. Epub 2011 Jan 19.
We aimed to systematically review current literature on temporal relationships between psychological factors and subsequent adiposity gain and obesity onset within childhood/adolescence. Databases were searched for longitudinal, population-based studies assessing psychological predictors and adiposity-related outcomes ≥ 1 year later. Study characteristics were synthesised into descriptive Tables and quality evaluated. Fifteen papers met inclusion criteria. Predictors broadly related to psychological symptoms or self-esteem. Evidence was mixed as to whether depressive symptoms and other negative emotional states may increase risk for adiposity gain and obesity onset within adolescence. There was some evidence for low self-esteem predicting obesity onset. Among obese adolescents, depressive symptoms exacerbated obesity, while physical appearance self-esteem exerted gender-specific adiposity changes. The literature had substantial limitations and inconsistencies. This review provides some support for psychological components in obesity prevention/intervention programs as part of a multifactorial approach to tackling childhood obesity. Further good-quality longitudinal research would strengthen the sparse literature and clarify inconsistencies.
我们旨在系统回顾当前关于心理因素与儿童期/青少年期随后的肥胖增加及肥胖发病之间时间关系的文献。检索数据库以查找基于人群的纵向研究，这些研究评估心理预测因素及一年以上与肥胖相关的结果。将研究特征综合到描述性表格中并评估质量。十五篇论文符合纳入标准。预测因素大致与心理症状或自尊有关。关于抑郁症状和其他负面情绪状态是否可能增加青少年肥胖增加和肥胖发病的风险，证据不一。有一些证据表明低自尊可预测肥胖发病。在肥胖青少年中，抑郁症状会加剧肥胖，而外貌自尊会导致特定性别的肥胖变化。该文献存在重大局限性和不一致性。本综述为肥胖预防/干预项目中的心理因素提供了一些支持，作为应对儿童肥胖的多因素方法的一部分。进一步的高质量纵向研究将加强这一稀少的文献并澄清不一致之处。
