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

Autor(es)

Jones, Rebecca A. ^[1] ; Lawlor, Emma R. ^{[1, 2]} ; Birch, Jack M. ^[1] ; Patel, Manal I. ^[3] ; Werneck, Andre O. ^{[4, 1]} ; Hoare, Erin ^{[1, 5]} ; Griffin, Simon J. ^{[1, 6]} ; van Sluijs, Esther M. F. ^{[1, 2]} ; Sharp, Stephen J. ^[1] ; Ahern, Amy L. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Cambridge, MRC Epidemiol Unit, Cambridge CB2 0QQ - England

^[2] Univ Cambridge, UKCRC Ctr Diet & Act Res CEDAR, Cambridge - England

^[3] Univ Cambridge, Sch Clin Med, Cambridge - England

^[4] Univ Sao Paulo, Sch Publ Hlth, Dept Nutr, Sao Paulo - Brazil

^[5] Deakin Univ, Sch Med, Ctr Innovat Mental & Phys Hlth & Clin Treatment, Food & Mood Ctr, Fac Hlth, Melbourne, Vic - Australia

^[6] Univ Cambridge, Dept Publ Hlth & Primary Care, Primary Care Unit, Cambridge - England

• Tipo de documento: Artigo de Revisão
• Fonte: Obesity Reviews; v. 22, n. 4 OCT 2020.
• Citações Web of Science: 0

Resumo

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. (AU)

• Processo FAPESP: 19/24124-7 - Associação prospectiva do consumo de alimentos ultraprocessados e inatividade física na predição de sintomas depressivos em adultos
• Beneficiário: André de Oliveira Werneck
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 18/19183-1 - Comportamentos e indicadores de saúde ao longo da adolescência e idade adulta
• Beneficiário: André de Oliveira Werneck
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Mestrado