Herschbach Anne, Wels Annalena, Dieckmann Pauline, Erschens Rebecca, Junne Florian, Ehehalt Stefan, Zipfel Stephan, Giel Katrin Elisabeth, Ziser Katrin
Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.
Department of Psychosomatic Medicine and Psychotherapy, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Eat Weight Disord. 2025 Jul 9;30(1):53. doi: 10.1007/s40519-025-01763-y.
Obesity and overweight in children and adolescents are a growing concern. Treatments should be multidisciplinary, address the whole family and contain aspects of motivation. Motivation is a well-known impact factor in medical treatment but its role in the treatment of pediatric obesity is not clear. This systematic review aims to analyze the role of motivation by summarizing theoretical frameworks and synthesizing effects of weight reduction programs that assessed motivation as either outcome or predictor.
This systematic review was conducted according to PRISMA guidelines. Four databases (PubMed, Web of Science, PsycINFO, Cochrane) were searched, findings were screened by two authors and assessed according to pre-determined criteria. Risk of bias was assessed with the Quality Assessment Tool for Quantitative Studies by the Effective Public Health Practice Project.
1899 studies were found, whereof 32 were included. The most commonly used theoretical frameworks were the Transtheoretical Model and Self-Determination Theory. In 18 of the included studies, motivation was assessed as outcome. In most of them, motivation increased towards the end of the weight reduction program. 15 studies used motivation to predict different outcome variables, however, with no conclusive evidence on the predictive power of motivation on different outcomes.
Motivation can be enhanced over the course of a weight reduction program, mainly in pediatric patients. The predictive power of motivation on different outcomes is still not clear due to the heterogeneity of included studies. More research is needed to implement the current findings in future pediatric weight reduction programs.
Level 1, systematic review.
儿童和青少年的肥胖及超重问题日益受到关注。治疗应采取多学科方法，关注整个家庭，并包含激励因素。激励是医学治疗中一个众所周知的影响因素，但其在儿童肥胖治疗中的作用尚不清楚。本系统评价旨在通过总结理论框架并综合将激励作为结果或预测因素进行评估的减肥计划的效果，来分析激励的作用。
本系统评价按照PRISMA指南进行。检索了四个数据库（PubMed、科学网、PsycINFO、考科蓝），由两位作者筛选研究结果，并根据预先确定的标准进行评估。采用有效公共卫生实践项目的定量研究质量评估工具评估偏倚风险。
共检索到1899项研究，其中32项被纳入。最常用的理论框架是跨理论模型和自我决定理论。在纳入的18项研究中，激励被评估为结果。在大多数研究中，激励在减肥计划结束时有所增加。15项研究将激励用于预测不同的结果变量，然而，关于激励对不同结果的预测能力尚无确凿证据。
在减肥计划过程中，主要是在儿科患者中，激励可以得到增强。由于纳入研究的异质性，激励对不同结果的预测能力仍不明确。需要更多研究将当前发现应用于未来的儿科减肥计划。
1级，系统评价。
