Obesity

Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping

Pediatr ObesPublished Systematic review with intervention mapping

Authors' conclusion

Weight management interventions are complex and vary in delivery approach and strategies used to change behaviors. Characterising interventions is a critical first step to understanding how weight management interventions' influence eating disorder risk.

Study context

Population
RCTs in adolescents with overweight/obesity measuring eating disorder risk pre- and post-intervention23 trials · 54 intervention arms
Outcome
Delivery features and intervention strategies of adolescent weight management interventions
Methodological detailsnarrative synthesis, coding validated by trial investigators, Systematic searches in four databases and two trial registries; 11 860 records screened
  • Narrative synthesis
  • Coding validated by trial investigators
  • Systematic searches in four databases and two trial registries; 11 860 records screened

Pooled result

As reported in the abstract

Focused on weight loss and maintenance
54%
Informed by a cognitive behavioural framework
43%
Targeted an individual with a support person
70%
Median intervention duration
26 weeks
Weekly visit frequency
35%
Staged (e.g., weekly, then monthly) visit frequency
41%
Intervention strategies per intervention, mean (SD)
30 (16.1)
Healthy eating education
89%
Physical activity education
89%
Problem-solving barriers to dietary change
80%
Mental health strategies
17%
'Dietary prescription'
65%
Promoted 'healthful/helpful eating behaviours'
78%

Original publication

Components of Adolescent Behavioural Interventions With Eating Disorder Outcomes: Systematic Review With Intervention Mapping. Pediatr Obes. Published 10 December 2025. doi:10.1111/ijpo.70074

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