Obesity

Weight‐reducing treatments are associated with an improvement in depression, functional health status, and quality of life: A meta‐analysis of randomized controlled trials

Diabetes Obes MetabPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Weight-reducing treatments were associated with a beneficial effect on quality of life and functional health status and a reduced risk of depression, without any safety signal for serious or non-serious psychiatric adverse events.

Study context

Population
RCTs performed for weight loss
Comparison
Weight-reducing intervention vs control
Outcome
Incidence of overall and specific psychiatric adverse events

Pooled result

As reported in the abstract

Psychiatric adverse events: depression
Estimate (95% CI)
Interventionvs ControlI2 = 0
MH-OR, major depression 0.45(0.21–0.94)
Interventionvs Control
MH-OR, overall depression 0.72(0.54–0.97)
Between Intervention and Control
MH-OR, anxiety 1.04(0.78–1.39)
Between Intervention and Control
M-H OR, suicidal ideation 0.87(0.44–1.70)
Between Intervention and Control
M-H OR, suicide 0.87(0.44–1.70)

Further pooled results

Depression by magnitude of weight loss (subgroup analysis)

Weight loss >10% associated with lower incidence of depression than smaller weight loss
P = 0.04
No difference in depression between different interventions

Functional health status

Improvement in SF-36 Mental, SMD-IV
0.45 [0.37, 0.52] (95% CI per abstract)
Improvement in SF-36 Physical function, SMD-IV
0.29 [0.14, 0.44]
Improvement in IWQOL Lite Physical function, MD-IV
3.96 [1.60, 6.32]

Safety

OutcomeEstimate
Serious and overall psychiatric adverse eventsBetween Intervention and ControlM-H OR, serious psychiatric AEs 1.07 (CI 0.78–1.47)
Serious and overall psychiatric adverse eventsBetween Intervention and ControlMH-OR, overall psychiatric AEs 1.09 (CI 0.89–1.34)

Original publication

Weight‐reducing treatments are associated with an improvement in depression, functional health status, and quality of life: A meta‐analysis of randomized controlled trials. Diabetes Obes Metab. Published 23 October 2025. doi:10.1111/dom.70202

Composed by AI from the published abstract and checked against it. How Briefs are made →

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