Treatment of adolescent overweight and obesity
- 1 November 2007
- journal article
- review article
- Published by Springer Science and Business Media LLC in European Journal of Pediatrics
- Vol. 167 (1), 9-16
- https://doi.org/10.1007/s00431-007-0575-z
Abstract
Adolescence is a vulnerable period for the development of obesity, and adolescent weight tracks strongly into adulthood. Previous reviews of treatment strategies have failed to discriminate between adolescents and children, thereby, disregarding the uniqueness of this population. Hence, this review aims to summarise the evidence for treatment approaches for adolescent obesity. Pubmed, OVID, EBSCOhost and Google Scholar were searched for randomised controlled trials, meta-analyses and systematic reviews testing treatments for overweight/obese adolescents (aged 12–19 years), published from 1982–2006 in English. Eligible studies had to assess either weight, percentage overweight, body mass index (BMI) or body fat. Thirty-four randomised controlled trials were eligible. The results of this review indicate that the safety and efficacy of surgical and pharmacotherapy treatments for adolescent obesity is uncertain. Diet and physical activity approaches may improve obese status in the short term. However, obesity interventions appear more effective when strategies are combined, rather than when used in isolation. Psychological interventions, such as behavioural and cognitive behavioural therapy, show promise in achieving the necessary lifestyle changes for obesity reduction; however, long-term follow-up studies are needed. There were multiple limitations in appraising the literature. Inconsistent definitions of overweight/obesity make comparisons between studies difficult. Many studies have not used direct adiposity measures, have failed to assess pubertal status or have not used an exclusive adolescent sample. We conclude that, despite these limitations, current evidence indicates that behavioural and cognitive behavioural strategies combined with diet and physical activity approaches may assist in reducing adolescent obesity,although long-term follow-up studies are needed.Keywords
This publication has 80 references indexed in Scilit:
- Weight cycling during growth and beyond as a risk factor for later cardiovascular diseases: the ‘repeated overshoot’ theoryInternational Journal of Obesity, 2006
- Efficacy of exercise for treating overweight in children and adolescents: a systematic reviewInternational Journal of Obesity, 2006
- ‘Adventure therapy’ combined with cognitive-behavioral treatment for overweight adolescentsInternational Journal of Obesity, 2005
- An Integrative Review of Interventions for Adolescent Weight LossThe Journal of School Nursing, 2005
- Obesity in children and young people: a crisis in public healthObesity Reviews, 2004
- Childhood obesity: public-health crisis, common sense cureThe Lancet, 2002
- Self‐Esteem and Obesity in Children and Adolescents: A Literature ReviewObesity Research, 1995
- Effects of decreasing sedentary behavior and increasing activity on weight change in obese children.Health Psychology, 1995
- Two approaches to adolescent weight reductionJournal of Nutrition Education, 1982
- Gastric bypass for morbid obesity in children and adolescentsJournal of Pediatric Surgery, 1975