Systematic Review and Meta-Analysis: The Impact of Multicomponent Weight Management Interventions on Self-Esteem in Overweight and Obese Adolescents

IntroductionThe effects of interventions targeting weight loss on physical health are well described, yet the evidence for mental health is less clear. It is essential to better understand the impact of weight management interventions on mental health to optimise care and minimise risk of harm. We will assess the effect of behavioural weight management interventions on mental health in adults with overweight and obesity.Methods and analysisThe systematic review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance. We will include behavioural weight management interventions with a diet and/or physical activity component focusing on weight loss for adults with a body mass index ≥25 kg/m2. Randomised controlled trials (RCTs) and cluster RCTs will be the only eligible study designs. Outcomes of interest will be related to mental health. The following databases were searched from inception to 07 May 2019: MEDLINE, Embase, Cochrane database (CENTRAL), PsycINFO, ASSIA, AMED and CINAHL. The search strategy was based on four concepts: (1) adults, defined as ≥18 years, with overweight/obesity, defined as BMI ≥25kg/m², (2) weight management interventions, (3) mental health outcomes and (4) study design. The search was restricted to English-language published papers, with no other restrictions applied. Two stage screening for eligibility will be completed by two independent reviewers, with two independent reviewers completing data extraction and risk of bias assessment. Data permitting, a random-effects meta-analysis of outcomes, subgroup analyses and meta-regression will be conducted. If not appropriate, narrative synthesis and ‘levels of evidence’ assessment will be completed.Ethics and disseminationEthical approval is not required as primary data will not be collected. The completed systematic review will be disseminated in a peer-reviewed journal, at conferences and contribute towards the lead author’s PhD thesis.PROSPERO registration numberCRD42019131659.

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The impact of adult behavioural weight management interventions on mental health: A systematic review and meta‐analysis

Obesity Reviews ◽

10.1111/obr.13150 ◽

2020 ◽

Author(s):

Rebecca A. Jones ◽

Emma R. Lawlor ◽

Jack M. Birch ◽

Manal I. Patel ◽

André O. Werneck ◽

...

Keyword(s):

Mental Health ◽

Systematic Review ◽

Weight Management ◽

Meta Analysis ◽

Management Interventions ◽

The Impact

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A systematic review of inequalities in the uptake of, adherence to and effectiveness of behavioural weight management interventions

10.7244/cmj.2021.03.001.1 ◽

2021 ◽

Author(s):

Jack Birch ◽

Rebecca Jones ◽

Julia Mueller ◽

Matthew McDonald ◽

Rebecca Richards ◽

...

Keyword(s):

Systematic Review ◽

Weight Management ◽

Health Inequalities ◽

Randomised Controlled Trials ◽

Data Extraction ◽

Meta Analysis ◽

Original Research ◽

Controlled Trials ◽

Management Interventions ◽

Randomised Controlled

Background: It has been suggested that interventions focusing on individual behaviour change, such as behavioural weight management interventions, may exacerbate health inequalities. These intervention-generated inequalities may occur at different stages, including intervention uptake, adherence and effectiveness. We conducted a systematic review to synthesise evidence on how different measures of inequality moderate the uptake of, adherence to and effectiveness of behavioural weight management interventions in adults. Methods: We updated a previous systematic literature review from the US Preventive Services Taskforce to identify trials of behavioural weight management interventions in adults that could be conducted in or recruited from primary care. Medline, Cochrane database (CENTRAL) and PsycINFO were searched. Only randomised controlled trials and cluster-randomised controlled trials were included. Two investigators independently screened articles for eligibility and conducted risk of bias assessment. We curated publication families for eligible trials. The PROGRESS-Plus acronym (place of residence, race/ethnicity, occupation, gender, religion, education, socioeconomic status, social capital, plus other discriminating factors) was used to consider a comprehensive range of health inequalities. Data on trial uptake, intervention adherence, weight change, and PROGRESS-Plus related-data were extracted. Results: Data extraction in currently underway. A total of 108 studies are included in the review. Data will be synthesised narratively and through the use of Harvest Plots. A Harvest plot for each PROGRESS-Plus criterion will be presented, showing whether each trial found a negative, positive or no health inequality gradient. We will also identify potential sources of unpublished original research data on these factors which can be synthesised through a future individual participant data meta- analysis. Conclusions and implications: The review findings will contribute towards the consideration of intervention-generated inequalities by researchers, policy makers and healthcare and public health practitioners. Authors of trials included in the completed systematic review may be invited to collaborate on a future IPD meta-analysis. PROSPERO registration number: CRD42020173242

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Do Genital Cosmetic Procedures Improve Women’s Self-Esteem? A Systematic Review and Meta-Analysis

Aesthetic Surgery Journal ◽

10.1093/asj/sjaa038 ◽

2020 ◽

Vol 40 (10) ◽

pp. 1143-1151

Author(s):

Gemma Sharp ◽

Pascale Maynard ◽

Abdul-Rahman Hudaib ◽

Christine A Hamori ◽

Jayson Oates ◽

...

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Empirical Support ◽

Well Being ◽

Self Esteem ◽

Psychological Well Being ◽

Cosmetic Procedure ◽

Labia Minora ◽

The Impact ◽

Positive Effect

Abstract Background The popularity of genital cosmetic procedures in women is increasing. These procedures are often assumed and promoted as having a positive effect on women’s psychological well-being, particularly their self-esteem. Empirical support for these claims is lacking. Objectives The aim of this study was to conduct a systematic review and meta-analysis of the impact of genital cosmetic procedures on self-esteem in women. Methods The authors performed a systematic literature review of MEDLINE, PreMEDLINE, Ebase, EMBASE, OVID, CINAHL, Cochrane, PsycINFO, and PubMed to identify articles that measured self-esteem in women after a genital cosmetic procedure. A meta-analysis was conducted to assess the pooled effect of these procedures on self-esteem. Results The authors identified 5 eligible studies for the meta-analysis, comprising 2 prospective and 3 retrospective studies. Labia minora reduction was the most commonly studied procedure. All 5 studies used different measures of self-esteem, with only 1 study employing a validated psychometric measure at both preoperative and postoperative time points. The meta-analysis results showed a pooled logit rate estimate of 1.230, indicating a positive effect of surgery on self-esteem. However, there was substantial heterogeneity across studies. Conclusions Female genital cosmetic procedures, particularly labiaplasty, appear to have a positive effect on women’s self-esteem. However, inconsistencies in study measures and methods limit our conclusions. Future research should involve the development of standardized outcome measures to more accurately assess the impact of these procedures on self-esteem, and on psychological well-being more generally. Level of Evidence: 3

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Behavioral weight management interventions in metabolic and bariatric surgery: A systematic review and meta‐analysis investigating optimal delivery timing

Obesity Reviews ◽

10.1111/obr.13168 ◽

2021 ◽

Author(s):

Cassandre A. Julien ◽

Kim L. Lavoie ◽

Paula A.B. Ribeiro ◽

Anda I. Dragomir ◽

Li Anne Mercier ◽

...

Keyword(s):

Systematic Review ◽

Bariatric Surgery ◽

Weight Management ◽

Meta Analysis ◽

Management Interventions ◽

Metabolic And Bariatric Surgery

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Effect of Behavioral Weight Management Interventions Using Lifestyle mHealth Self-Monitoring on Weight Loss: A Systematic Review and Meta-Analysis

Nutrients ◽

10.3390/nu12071977 ◽

2020 ◽

Vol 12 (7) ◽

pp. 1977

Author(s):

Iván Cavero-Redondo ◽

Vicente Martinez-Vizcaino ◽

Rubén Fernandez-Rodriguez ◽

Alicia Saz-Lara ◽

Carlos Pascual-Morena ◽

...

Keyword(s):

Systematic Review ◽

Weight Loss ◽

Weight Management ◽

Meta Analysis ◽

Cochrane Central Register ◽

Self Monitoring ◽

Management Interventions ◽

Technological Advances ◽

Central Register ◽

Diet And Physical Activity

Alongside an increase in obesity, society is experiencing the development of substantial technological advances. Interventions that are easily scalable, such as lifestyle (including diet and physical activity) mobile health (mHealth) self-monitoring, may be highly valuable in the prevention and treatment of excess weight. Thus, the aims of this systematic review and meta-analysis were to estimate the following: (i) the effect of behavioral weight management interventions using lifestyle mHealth self-monitoring on weight loss and (ii) the adherence to behavioral weight management interventions using lifestyle mHealth self-monitoring. MEDLINE via PubMed, EMBASE, the Cochrane Central Register of Controlled Trials and the Web of Science databases were systematically searched. The DerSimonian and Laird method was used to estimate the effect of and adherence to behavioral weight management interventions using lifestyle mHealth self-monitoring on weight loss. Twenty studies were included in the systematic review and meta-analysis, yielding a moderate decrease in weight and higher adherence to intervention of behavioral weight management interventions using lifestyle mHealth self-monitoring, which was greater than other interventions. Subgroup analyses showed that smartphones were the most effective mHealth approach to achieve weight management and the effect of behavioral weight management interventions using lifestyle mHealth self-monitoring was more pronounced when compared to usual care and in the short-term (less than six months). Furthermore, behavioral weight management interventions using lifestyle mHealth self-monitoring showed a higher adherence than: (i) recording on paper at any time and (ii) any other intervention at six and twelve months.

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Systematic review of economic evaluations investigating education, exercise, and dietary weight management to manage hip and knee osteoarthritis: protocol

Systematic Reviews ◽

10.1186/s13643-020-01492-6 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Darren R. Mazzei ◽

Ayoola Ademola ◽

J. Haxby Abbott ◽

Tolulpe Sajobi ◽

Kevin Hildebrand ◽

...

Keyword(s):

Systematic Review ◽

Clinical Trials ◽

Weight Management ◽

Meta Analysis ◽

Clinical Effectiveness ◽

Economic Evaluations ◽

Cochrane Central Register ◽

Knee Oa ◽

Management Interventions ◽

Co Morbidity

Abstract Background International guidelines recommend education, exercise, and dietary weight management as core treatments to manage osteoarthritis (OA) regardless of disease severity or co-morbidity. Evidence supports the clinical effectiveness of OA management programs, but the cost-effectiveness of core treatments remains unclear. We will systematically review, synthesize, and assess the literature in economic evaluations of core treatments (education, exercise, and dietary weight management) for the management of hip and/or knee OA. Methods We will search the following elecftronic databases (from inception onwards): MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), National Health Services Economic Evaluation Database, and EconLit. Economic evaluations alongside randomized or nonrandomized clinical trials investigating OA education, exercise, and dietary weight management interventions will be included. Title, abstract, and full text of relevant publications will be screened independently by two reviewers. A content matter expert will resolve any conflicts between two reviewers. Key information from relevant papers will be extracted and tabulated to provide an overview of the published literature. Methodological quality will be evaluated using the Consensus on Health Economic Criteria list. A narrative synthesis without meta-analysis will be conducted. Subgroup analysis will attempt to find trends between research methods, intervention characteristics, and results. Discussion The findings of this review will evaluate the breadth and quality of economic evaluations conducted alongside clinical trials for core treatments in OA management. Systematic review registration PROSPERO CRD42020155964

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