Systematic Review and Meta-Analysis: The Impact of Multicomponent Weight Management Interventions on Self-Esteem in Overweight and Obese Adolescents.
Building self-esteem in overweight adolescents is key to long-term weight management; yet, self-esteem is rarely a key outcome of adolescent weight management interventions. This systematic review investigates the impact of multicomponent weight management interventions on self-esteem in overweight and obese adolescents.



Six databases were searched in December 2014. Eligible studies met the following criteria: (1) randomized controlled trial, (2) overweight or obese participants, (3) adolescents (10-19 years), (4) multicomponent weight management intervention, (5) reported self-esteem and weight changes.



Thirteen studies with 1,157 overweight or obese adolescents, aged 10-19 years, were included. Meta-analyses showed no significant change in self-esteem (0.27 [-0.04, 0.59]), but body mass index z -score reduced following intervention (-0.17 [-0.22, -0.11]).



The lack of change in self-esteem suggests weight loss alone is insufficient to improve self-esteem. Multicomponent weight management interventions require a specific focus on self-esteem to improve this outcome in overweight and obese adolescents.
Department of Nutrition & Dietetics, Monash University.
Margaret
M
Murray
Department of Nutrition & Dietetics, Monash University.
Aimee L
AL
Dordevic
Department of Nutrition & Dietetics, Monash University.
Maxine P
MP
Bonham
D000293:Adolescent; D002648:Child; D006801:Humans; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D050177:Overweight / Q000523:psychology / Q000628:therapy; D012649:Self Concept; D016896:Treatment Outcome; D061217:Weight Reduction Programs
adolescent; at-risk youth; health promotion and prevention; meta-analysis; obesity; systematic review; weight management