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Effects of health at every size® interventions on health-related outcomes of people with overweight and obesity: a systematic review

Authors: Ulian, M. D. and Aburad, L. and da Silva Oliveira, M. S. and Poppe, A. C. M. and Sabatini, F. and Perez, I. and Gualano, B. and Benatti, F. B. and Pinto, A. J. and Roble, O. J. and Vessoni, A. and de Morais Sato, P. and Unsain, R. F. and Baeza Scagliusi, F.

Year: 2018 Journal: Obes Rev Vol/Issue: Vol. 19, No. 12 Pages: 1659-1666

Study Characteristics

Lifestyle Pillars
NutritionPhysical Activity
Study Design
Meta-analysis/Sys Review

Abstract

Context

The growing use of interventions based on the Health at Every Size® (HAES®) in obesity management.

Objective

This study aimed to summarize the health-related effects of HAES®-based interventions on people with overweight and obesity.

Data Sources

MEDLINE (via PubMed), EMBASE, Cochrane Library, LILACS, Google Scholar, OpenGrey and Grey Literature Report.

Study Selection

A systematic review of studies published until January 2017 reporting on HAES®-based randomized and non-randomized controlled trials in people with overweight and/or obesity.

Data Extraction

Fourteen papers met the inclusion criteria. The assessed studies included the following tests: blood profile, blood pressure, anthropometry, eating behaviour, energy intake, diet quality, psychological and qualitative evaluations.

Results

The HAES® interventions benefited both the psychological and physical activity outcomes, besides promoting behavioural and qualitative changes in eating habits. On the other hand, the results regarding cardiovascular responses, body-image perception and total energy intake were inconsistent.

Conclusions

Despite improving the cardiovascular status, eating behaviours, quality of life and psychological well-being in participants, other large long-term clinical trials should be performed to establish the effectiveness of HAES®-based interventions in improving health for people with overweight and obesity. PROSPERO registration 2017: CRD42017054857.