title: Systematic review of mental health and well-being outcomes following community-based obesity prevention interventions among adolescents.
abstract: OBJECTIVE
  This paper aimed to systematically evaluate the mental health and well-being outcomes observed in previous community-based obesity prevention interventions in adolescent populations.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
authors.affiliation: School of Health and Social Development, Deakin University, Geelong, Victoria, Australia WHO Collaborating Centre for Obesity Prevention, Deakin University, Burwood, Victoria, Australia.
authors.forename: Erin
authors.initials: E
authors.lastname: Hoare
authors.affiliation: School of Psychology, Deakin University, Burwood, Victoria, Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Fuller-Tyszkiewicz
authors.affiliation: School of Psychology, Deakin University, Burwood, Victoria, Australia.
authors.forename: Helen
authors.initials: H
authors.lastname: Skouteris
authors.affiliation: School of Health and Social Development, Deakin University, Geelong, Victoria, Australia WHO Collaborating Centre for Obesity Prevention, Deakin University, Burwood, Victoria, Australia.
authors.forename: Lynne
authors.initials: L
authors.lastname: Millar
authors.affiliation: WHO Collaborating Centre for Obesity Prevention, Deakin University, Burwood, Victoria, Australia.
authors.forename: Melanie
authors.initials: M
authors.lastname: Nichols
authors.affiliation: WHO Collaborating Centre for Obesity Prevention, Deakin University, Burwood, Victoria, Australia.
authors.forename: Steven
authors.initials: S
authors.lastname: Allender
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003153:Community Health Services / Q000379:methods*; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D008603:Mental Health; D009765:Obesity / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D055815:Young Adult
keywords: MENTAL HEALTH; PREVENTIVE MEDICINE; PUBLIC HEALTH