Predictors of Weight Loss and Weight Loss Maintenance in Children and Adolescents With Obesity After Behavioral Weight Loss Intervention

Frontiers in Public Health

article

Alisa Weiland¹  Lena Kasemann Nannette¹  Stephan Zipfel¹  Stefan Ehehalt²  Katrin Ziser¹  Florian Junne¹  Isabelle Mack¹ 

[1] Department of Psychosomatic Medicine and Psychotherapy, University Medical Hospital;Public Health Department of Stuttgart;Department of Psychosomatic Medicine and Psychotherapy, University Hospital Magdeburg, Otto von Guericke University Magdeburg

关键词: adiposity;    obesity;    overweight;    predictors;    children;    adolescents;    weight loss;    weight loss maintenance;   

DOI  :  10.3389/fpubh.2022.813822

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective Predictors of body weight loss (BWL) and body weight loss maintenance (BWLM) after behavioral weight loss intervention are well-investigated in adults. Less is known for children and adolescents and a systematic overview on the topic for this age group was aim of the review. Methods A systematic research according to PRISMA guidelines using several databases was performed. The outcome was the BMI z-Score of longitudinal studies. The extracted predictors were classified in clusters (Physiology, Behavior, Psychology, Environment) and compared with a theory-driven model based on international guidelines and known predictors for adults. Results Out of 2,623 articles 24 met the eligibility criteria, 23 investigating BWL and 8 BWLM. The expected key predictor in research for adults “Behavior” was hardly investigated in children. The most examined cluster was “Physiology” with the most significant predictors, in particular genetics (BWL) and blood parameters (BWLM). Factors in the cluster “Psychology” also predicted BWL and BWLM. The cluster “Environment,” which was highlighted in most intervention guidelines, was neglected in studies regarding BWLM and hardly investigated in studies with BWL. Conclusion The comparison with the theory-driven children model outlined research gaps and differences between predictors for adults and children providing further direction of research.

【 授权许可】

CC BY