Disordered eating, body image concerns, and weight control behaviors in primary school aged children: A systematic review and meta‐analysis of universal–selective prevention interventions.
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| Title: | Disordered eating, body image concerns, and weight control behaviors in primary school aged children: A systematic review and meta‐analysis of universal–selective prevention interventions. |
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| Authors: | Pursey, Kirrilly M., Burrows, Tracy L., Barker, Daniel, Hart, Melissa, Paxton, Susan J. |
| Source: | International Journal of Eating Disorders. Oct2021, Vol. 54 Issue 10, p1730-1765. 36p. 23 Charts, 3 Graphs. |
| Subjects: | Prevention of eating disorders, Regulation of body weight, Food habits, Databases, Lifestyles, Meta-analysis, Systematic reviews, Health outcome assessment, Sex distribution, Elementary schools, Body image, Eating disorders |
| Abstract (English): | Objective: Body image concerns and extreme weight control behaviors frequently develop in childhood indicating an important age group for the implementation of universal–selective prevention approaches. This systematic review aimed to evaluate the effect of universal–selective prevention interventions addressing disordered eating, body image concerns, and/or extreme weight control behaviors in children aged 6–12 years. Method: Nine databases were searched up to April 2021. Studies were included if they delivered a universal–selective prevention intervention to children aged 6–12 years and reported outcomes relating to body image, disordered eating, or weight control behaviors. The review was conducted in line with the PRISMA Guidelines. Results: A total of 42 articles describing 39 studies included in the review, with most (n = 24; 57%) classified as neutral quality. Thirty studies implemented an eating disorder specific universal–selective program and nine implemented lifestyle interventions plus content to address disordered eating risk factors. Meta‐analysis (n = 16 studies) revealed an improvement in body image‐related outcomes across all studies (standardized mean difference [SMD] 0.26 [95%CI 0.01, 0.51]); with a high level of heterogeneity (Î2 = 89.9%; p <.01). Meta‐analysis according to gender revealed a general improvement in body image‐related outcomes for girls (SMD 0.40 [95%CI 0.07, 0.73]), but not boys (SMD 0.23 [95%CI −0.24, 0.70]). Discussion: By investigating child, parental and teaching interventions and including outcomes such as weight control and disordered eating behaviors, a trend toward a reduction in eating disorder risk factors was observed, particularly body image‐related outomes in girls. Future directions include embedded disordered eating prevention materials within existing lifestyle interventions and inclusion of more diverse samples. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Resumen: Objetivo: Las preocupaciones sobre la imagen corporal y los comportamientos de control de peso extremo se desarrollan con frecuencia en la infancia, lo que indica un grupo de edad importante para la implementación de enfoques de prevención universal‐selectiva. Esta revisión sistemática tuvo como objetivo evaluar el efecto de las intervenciones de prevención universal‐selectivas que abordan la alimentación disfuncional, los problemas de imagen corporal y/o los comportamientos extremos de control de peso en niños de 6 a 12 años de edad. Método: Se realizaron búsquedas en nueve bases de datos hasta abril 2021. Se incluyeron estudios que habían incluido una intervención de prevención universal‐selectiva en niños de 6 a 12 años de edad e informaron resultados relacionados con la imagen corporal, la alimentación disfuncional o los comportamientos de control de peso. El examen se llevó a cabo de conformidad con los lineamientos PRISMA. Resultados: Un total de 42 artículos que describieron 39 estudios incluidos en la revisión, con la mayoría (n = 24; 57%) de calidad neutra. Treinta estudios implementaron un programa selectivo universal específico de trastornos de la conducta alimentaria y nueve implementaron intervenciones de estilo de vida más contenido para abordar la alimentación disfuncional. El metanálisis (n = 16 estudios) reveló una mejoría en los resultados relacionados con la imagen corporal en todos los estudios (DME 0,26 [IC95%: 0,00 a 0,53]); con un alto nivel de heterogeneidad (Î2 = 91,1%; p < 0,01). El metanálisis según el sexo reveló una mejora general en los resultados relacionados con la imagen corporal para las niñas (DME 0,40 [IC95%: 0,07 a 0,73]), pero no para los niños (DME 0,23 [IC95%: −0,24 a 0,70]). Discusión: Al investigar las intervenciones tanto de los padres como de la enseñanza e incluir resultados como el control de peso y las conductas alimentarias de riesgo, se observó una tendencia hacia una reducción de los factores de riesgo de los trastornos de la conducta alimentaria. En concreto, mejoras en las variables relacionadas con la imagen corporal, especialmente en las niñas. Las direcciones futuras incluyen materiales de prevención de la alimentación disfuncional incorporados dentro de las intervenciones de estilo de vida existentes y la inclusión de muestras más diversas. Palabras clave: Niños, trastornos de la conducta alimentaria y de la alimentación, alimentación disfuncional, prevención, imagen corporal, revisión sistemática, metanálisis. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 152819227 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Disordered eating, body image concerns, and weight control behaviors in primary school aged children: A systematic review and meta‐analysis of universal–selective prevention interventions. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Pursey%2C+Kirrilly+M%2E%22">Pursey, Kirrilly M.</searchLink><br /><searchLink fieldCode="AR" term="%22Burrows%2C+Tracy+L%2E%22">Burrows, Tracy L.</searchLink><br /><searchLink fieldCode="AR" term="%22Barker%2C+Daniel%22">Barker, Daniel</searchLink><br /><searchLink fieldCode="AR" term="%22Hart%2C+Melissa%22">Hart, Melissa</searchLink><br /><searchLink fieldCode="AR" term="%22Paxton%2C+Susan+J%2E%22">Paxton, Susan J.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Oct2021, Vol. 54 Issue 10, p1730-1765. 36p. 23 Charts, 3 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Prevention+of+eating+disorders%22">Prevention of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Regulation+of+body+weight%22">Regulation of body weight</searchLink><br /><searchLink fieldCode="DE" term="%22Food+habits%22">Food habits</searchLink><br /><searchLink fieldCode="DE" term="%22Databases%22">Databases</searchLink><br /><searchLink fieldCode="DE" term="%22Lifestyles%22">Lifestyles</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Elementary+schools%22">Elementary schools</searchLink><br /><searchLink fieldCode="DE" term="%22Body+image%22">Body image</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Objective: Body image concerns and extreme weight control behaviors frequently develop in childhood indicating an important age group for the implementation of universal–selective prevention approaches. This systematic review aimed to evaluate the effect of universal–selective prevention interventions addressing disordered eating, body image concerns, and/or extreme weight control behaviors in children aged 6–12 years. Method: Nine databases were searched up to April 2021. Studies were included if they delivered a universal–selective prevention intervention to children aged 6–12 years and reported outcomes relating to body image, disordered eating, or weight control behaviors. The review was conducted in line with the PRISMA Guidelines. Results: A total of 42 articles describing 39 studies included in the review, with most (n = 24; 57%) classified as neutral quality. Thirty studies implemented an eating disorder specific universal–selective program and nine implemented lifestyle interventions plus content to address disordered eating risk factors. Meta‐analysis (n = 16 studies) revealed an improvement in body image‐related outcomes across all studies (standardized mean difference [SMD] 0.26 [95%CI 0.01, 0.51]); with a high level of heterogeneity (Î2 = 89.9%; p <.01). Meta‐analysis according to gender revealed a general improvement in body image‐related outcomes for girls (SMD 0.40 [95%CI 0.07, 0.73]), but not boys (SMD 0.23 [95%CI −0.24, 0.70]). Discussion: By investigating child, parental and teaching interventions and including outcomes such as weight control and disordered eating behaviors, a trend toward a reduction in eating disorder risk factors was observed, particularly body image‐related outomes in girls. Future directions include embedded disordered eating prevention materials within existing lifestyle interventions and inclusion of more diverse samples. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Resumen: Objetivo: Las preocupaciones sobre la imagen corporal y los comportamientos de control de peso extremo se desarrollan con frecuencia en la infancia, lo que indica un grupo de edad importante para la implementación de enfoques de prevención universal‐selectiva. Esta revisión sistemática tuvo como objetivo evaluar el efecto de las intervenciones de prevención universal‐selectivas que abordan la alimentación disfuncional, los problemas de imagen corporal y/o los comportamientos extremos de control de peso en niños de 6 a 12 años de edad. Método: Se realizaron búsquedas en nueve bases de datos hasta abril 2021. Se incluyeron estudios que habían incluido una intervención de prevención universal‐selectiva en niños de 6 a 12 años de edad e informaron resultados relacionados con la imagen corporal, la alimentación disfuncional o los comportamientos de control de peso. El examen se llevó a cabo de conformidad con los lineamientos PRISMA. Resultados: Un total de 42 artículos que describieron 39 estudios incluidos en la revisión, con la mayoría (n = 24; 57%) de calidad neutra. Treinta estudios implementaron un programa selectivo universal específico de trastornos de la conducta alimentaria y nueve implementaron intervenciones de estilo de vida más contenido para abordar la alimentación disfuncional. El metanálisis (n = 16 estudios) reveló una mejoría en los resultados relacionados con la imagen corporal en todos los estudios (DME 0,26 [IC95%: 0,00 a 0,53]); con un alto nivel de heterogeneidad (Î2 = 91,1%; p < 0,01). El metanálisis según el sexo reveló una mejora general en los resultados relacionados con la imagen corporal para las niñas (DME 0,40 [IC95%: 0,07 a 0,73]), pero no para los niños (DME 0,23 [IC95%: −0,24 a 0,70]). Discusión: Al investigar las intervenciones tanto de los padres como de la enseñanza e incluir resultados como el control de peso y las conductas alimentarias de riesgo, se observó una tendencia hacia una reducción de los factores de riesgo de los trastornos de la conducta alimentaria. En concreto, mejoras en las variables relacionadas con la imagen corporal, especialmente en las niñas. Las direcciones futuras incluyen materiales de prevención de la alimentación disfuncional incorporados dentro de las intervenciones de estilo de vida existentes y la inclusión de muestras más diversas. Palabras clave: Niños, trastornos de la conducta alimentaria y de la alimentación, alimentación disfuncional, prevención, imagen corporal, revisión sistemática, metanálisis. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/eat.23571 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 36 StartPage: 1730 Subjects: – SubjectFull: Prevention of eating disorders Type: general – SubjectFull: Regulation of body weight Type: general – SubjectFull: Food habits Type: general – SubjectFull: Databases Type: general – SubjectFull: Lifestyles Type: general – SubjectFull: Meta-analysis Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: Health outcome assessment Type: general – SubjectFull: Sex distribution Type: general – SubjectFull: Elementary schools Type: general – SubjectFull: Body image Type: general – SubjectFull: Eating disorders Type: general Titles: – TitleFull: Disordered eating, body image concerns, and weight control behaviors in primary school aged children: A systematic review and meta‐analysis of universal–selective prevention interventions. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Pursey, Kirrilly M. – PersonEntity: Name: NameFull: Burrows, Tracy L. – PersonEntity: Name: NameFull: Barker, Daniel – PersonEntity: Name: NameFull: Hart, Melissa – PersonEntity: Name: NameFull: Paxton, Susan J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 02763478 Numbering: – Type: volume Value: 54 – Type: issue Value: 10 Titles: – TitleFull: International Journal of Eating Disorders Type: main |
| ResultId | 1 |
