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    Systematic review of mental health and well-being outcomes following community-based obesity prevention interventions among adolescents.

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    Author
    Hoare, E; Fuller-Tyszkiewicz, M; Skouteris, H; Millar, L; Nichols, M; Allender, S
    Date
    2015-01-05
    Source Title
    BMJ Open
    Publisher
    BMJ
    University of Melbourne Author/s
    Millar, Lynne
    Affiliation
    Medicine and Radiology
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Hoare, E., Fuller-Tyszkiewicz, M., Skouteris, H., Millar, L., Nichols, M. & Allender, S. (2015). Systematic review of mental health and well-being outcomes following community-based obesity prevention interventions among adolescents.. BMJ Open, 5 (1), pp.e006586-. https://doi.org/10.1136/bmjopen-2014-006586.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/254955
    DOI
    10.1136/bmjopen-2014-006586
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4289720
    Abstract
    OBJECTIVES: This paper aimed to systematically evaluate the mental health and well-being outcomes observed in previous community-based obesity prevention interventions in adolescent populations. SETTING: Systematic review of literature from database inception to October 2014. Articles were sourced from CINAHL, Global Health, Health Source: Nursing and Academic Edition, MEDLINE, PsycARTICLES and PsycINFO, all of which were accessed through EBSCOhost. The Cochrane Database was also searched to identify all eligible articles. PRISMA guidelines were followed and search terms and search strategy ensured all possible studies were identified for review. PARTICIPANTS: Intervention studies were eligible for inclusion if they were: focused on overweight or obesity prevention, community-based, targeted adolescents (aged 10-19 years), reported a mental health or well-being measure, and included a comparison or control group. Studies that focused on specific adolescent groups or were treatment interventions were excluded from review. Quality of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) guidelines. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcomes were measures of mental health and well-being, including diagnostic and symptomatic measures. Secondary outcomes included adiposity or weight-related measures. RESULTS: Seven studies met the inclusion criteria; one reported anxiety/depressive outcomes, two reported on self-perception well-being measures such as self-esteem and self-efficacy, and four studies reported outcomes of quality of life. Positive mental health outcomes demonstrated that following obesity prevention, interventions included a decrease in anxiety and improved health-related quality of life. Quality of evidence was graded as very low. CONCLUSIONS: Although positive outcomes for mental health and well-being do exist, controlled evaluations of community-based obesity prevention interventions have not often included mental health measures (n=7). It is recommended that future interventions incorporate mental health and well-being measures to identify any potential mechanisms influencing adolescent weight-related outcomes, and equally to ensure interventions are not causing harm to adolescent mental health.

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