小儿肥胖症治疗、自尊与身体意象：一项荟萃分析的系统评价

Pediatric obesity treatment, self-esteem, and body image: A systematic review with meta-analysis.

作者信息

Gow Megan L, Tee Melissa S Y, Garnett Sarah P, Baur Louise A, Aldwell Katharine, Thomas Sarah, Lister Natalie B, Paxton Susan J, Jebeile Hiba

机构信息

The University of Sydney, Children's Hospital Westmead Clinical School, Sydney, Australia.

Institute of Endocrinology and Diabetes, The Children's Hospital at Westmead, Sydney, Australia.

出版信息

Pediatr Obes. 2020 Mar;15(3):e12600. doi: 10.1111/ijpo.12600. Epub 2020 Feb 4.

DOI:10.1111/ijpo.12600

PMID:32020780

Abstract

BACKGROUND

Pediatric obesity impacts on multiple domains of psychological health, including self-esteem and body image.

OBJECTIVE

To determine the effect of multicomponent pediatric obesity treatment interventions on self-esteem and body image.

METHODS

A systematic search of published literature up to June 2019 was undertaken using electronic databases MEDLINE, EMBASE, Cochrane Library, and PsychINFO. Eligible studies implemented an obesity treatment intervention, including a dietary and physical activity component with/without a behavioral component, in children and adolescents with overweight/obesity, and assessed self-esteem and/or body image. Data were extracted by one reviewer and cross-checked. Meta-analysis was used to combine outcome data and moderator analysis conducted to identify intervention characteristics influencing outcomes.

RESULTS

64 studies were identified. Meta-analysis of 49 studies (n = 10471) indicated that pediatric obesity treatment results in increased self-esteem postintervention (standardized mean difference, [SE] 0.34 [0.03], P < .001, I 87%), maintained at follow-up (0.35 [0.05] P < .001, I 79%, 17 studies). Similarly, meta-analysis of 40 studies (n = 2729) indicated improvements in body image postintervention (0.40 [0.03], P < .001, I 73%), maintained at follow-up (0.41 [0.08], P < .001, I 89%, 16 studies).

CONCLUSIONS

Pediatric obesity treatment improves self-esteem and body image in the short and medium term. These findings may underpin improvements in other psychological outcomes.

摘要

背景

儿童肥胖会影响心理健康的多个领域，包括自尊和身体意象。

目的

确定多成分儿童肥胖治疗干预措施对自尊和身体意象的影响。

方法

利用电子数据库MEDLINE、EMBASE、Cochrane图书馆和PsychINFO，对截至2019年6月发表的文献进行系统检索。符合条件的研究对超重/肥胖儿童和青少年实施了肥胖治疗干预措施，包括饮食和身体活动成分，有/无行为成分，并评估了自尊和/或身体意象。数据由一名评审员提取并进行交叉核对。采用荟萃分析合并结果数据，并进行调节分析以确定影响结果的干预特征。

结果

共识别出64项研究。对49项研究（n = 10471）的荟萃分析表明，儿童肥胖治疗干预后自尊水平提高（标准化均数差，[SE] 0.34 [0.03]，P <.001，I² 87%），随访时保持不变（0.35 [0.05]，P <.001，I² 79%，17项研究）。同样，对40项研究（n = 2729）的荟萃分析表明，干预后身体意象得到改善（0.40 [0.03]，P <.001，I² 73%），随访时保持不变（0.41 [0.08]，P <.001，I² 89%，16项研究）。