Skip to main content
Top
Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

Motivations for weight loss in adolescents with overweight and obesity: a systematic review

Authors: David Franciole Oliveira Silva, Karine Cavalcanti Maurício Sena-Evangelista, Clélia Oliveira Lyra, Lucia Fátima Campos Pedrosa, Ricardo Fernando Arrais, Severina Carla Vieira Cunha Lima

Published in: BMC Pediatrics | Issue 1/2018

Login to get access

Abstract

Background

Adolescents with overweight and obesity report various motivations for weight loss other than the desire for better health. However, there is little evidence regarding the main motivations for weight loss in adolescents. The present systematic review aimed to identify the motivations for weight loss in adolescents with overweight and obesity.

Methods

A systematic search for original articles published up to December 2016 was carried out in the PubMed, Scopus, LILACS, and ADOLEC databases. The terms used in the search were: motivation, motive, reason, “weight loss,” “lose weight,” and adolescent.

Results

Six studies (all cross-sectional) met the selection criteria and were included in the review. The instruments used to assess the participants’ motivations for weight loss were interviews and questionnaires with open questions. Seventeen motivations for weight loss were identified, the main ones being better health, esthetic/cosmetic reasons, improvements in self-esteem, and avoidance of provocation/bullying.

Conclusions

The results of the present review show the need for validated instruments to assess the motivations for weight loss in adolescents with overweight and obesity. Moreover, the high frequency of motivations for weight loss related to appearance and social acceptance evidences the need for multidisciplinary weight loss interventions that consider not only the biological factors, but also the psychological and social aspects.
Literature
1.
go back to reference Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384:766–81.CrossRef Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384:766–81.CrossRef
2.
go back to reference Abarca-Gómez L, Abdeen ZA, Hamid ZA, Abu-Rmeileh NM, Acosta-Cazares B, Acuin C, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet. 2017;390:2627–42.CrossRef Abarca-Gómez L, Abdeen ZA, Hamid ZA, Abu-Rmeileh NM, Acosta-Cazares B, Acuin C, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet. 2017;390:2627–42.CrossRef
3.
go back to reference Rivera JA, de Cossío TG, Pedraza LS, Aburto TC, Sánchez TG, Martorell R. Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol. 2014;2:321–32.CrossRef Rivera JA, de Cossío TG, Pedraza LS, Aburto TC, Sánchez TG, Martorell R. Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol. 2014;2:321–32.CrossRef
4.
go back to reference Niehues JR, Gonzales AI, Lemos RR, Bezerra PP, Haas P. Prevalence of overweight and obesity in children and adolescents from the age range of 2 to 19 years old in Brazil. Int J Pediatr. 2014;2014:7.CrossRef Niehues JR, Gonzales AI, Lemos RR, Bezerra PP, Haas P. Prevalence of overweight and obesity in children and adolescents from the age range of 2 to 19 years old in Brazil. Int J Pediatr. 2014;2014:7.CrossRef
5.
go back to reference Cobayashi F, Oliveira FL, Escrivão MA, Daniela S, Taddei JA. Obesity and cardiovascular risk factors in adolescents attending public schools. Arq Bras Cardiol. 2010;95:200–5.CrossRef Cobayashi F, Oliveira FL, Escrivão MA, Daniela S, Taddei JA. Obesity and cardiovascular risk factors in adolescents attending public schools. Arq Bras Cardiol. 2010;95:200–5.CrossRef
6.
go back to reference Park MH, Falconer C, Viner RM, Kinra S. The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obes Rev. 2012;13:985–1000.CrossRef Park MH, Falconer C, Viner RM, Kinra S. The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obes Rev. 2012;13:985–1000.CrossRef
7.
go back to reference Deshmukh-Taskar P, Nicklas TA, Morales M, Yang SJ, Zakeri I, Berenson GS. Tracking of overweight status from childhood to young adulthood: the Bogalusa heart study. Eur J Clin Nutr. 2006;60:48–57.CrossRef Deshmukh-Taskar P, Nicklas TA, Morales M, Yang SJ, Zakeri I, Berenson GS. Tracking of overweight status from childhood to young adulthood: the Bogalusa heart study. Eur J Clin Nutr. 2006;60:48–57.CrossRef
8.
go back to reference Suchindran C, North KE, Popkin BM, Gordon-Larsen P. Association of adolescent obesity with risk of severe obesity in adulthood. JAMA. 2010;304:2042–7.PubMedPubMedCentral Suchindran C, North KE, Popkin BM, Gordon-Larsen P. Association of adolescent obesity with risk of severe obesity in adulthood. JAMA. 2010;304:2042–7.PubMedPubMedCentral
9.
go back to reference Cheskin LJ, Donze LF. Appearance vs health as motivators for weight loss. JAMA. 2001;286:2160.CrossRef Cheskin LJ, Donze LF. Appearance vs health as motivators for weight loss. JAMA. 2001;286:2160.CrossRef
10.
go back to reference Vartanian LR, Wharton CM, Green EB. Appearance vs. health motives for exercise and for weight loss. Psychol Sport Exerc. 2012;13:251–6.CrossRef Vartanian LR, Wharton CM, Green EB. Appearance vs. health motives for exercise and for weight loss. Psychol Sport Exerc. 2012;13:251–6.CrossRef
11.
go back to reference Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of observational studies in epidemiology (MOOSE) group. JAMA. 2000;283:2008–12.CrossRef Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of observational studies in epidemiology (MOOSE) group. JAMA. 2000;283:2008–12.CrossRef
12.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.CrossRef Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.CrossRef
13.
go back to reference McDade TW. Lifestyle incongruity, social integration, and immune function in Samoan adolescents. Soc Sci Med. 2001;53:1351–62.CrossRef McDade TW. Lifestyle incongruity, social integration, and immune function in Samoan adolescents. Soc Sci Med. 2001;53:1351–62.CrossRef
14.
go back to reference Tempark T, Chatproedprai S, Wananukul S. Attitudes, knowledge, and behaviors of secondary school adolescents regarding protection from sun exposure: a survey in Bangkok, Thailand. Photodermatol Photoimmunol Photomed. 2012;28:200–6.CrossRef Tempark T, Chatproedprai S, Wananukul S. Attitudes, knowledge, and behaviors of secondary school adolescents regarding protection from sun exposure: a survey in Bangkok, Thailand. Photodermatol Photoimmunol Photomed. 2012;28:200–6.CrossRef
15.
go back to reference Magliano ES, Guedes LG, Coutinho ESF, Bloch KV. Prevalence of arterial hypertension among Brazilian adolescents: systematic review and meta-analysis. BMC Public Health. 2013;13:833.CrossRef Magliano ES, Guedes LG, Coutinho ESF, Bloch KV. Prevalence of arterial hypertension among Brazilian adolescents: systematic review and meta-analysis. BMC Public Health. 2013;13:833.CrossRef
16.
go back to reference Noshchenko A, Hoffecker L, Lindley EM, Burger EL, Cain CM, Patel VV, et al. Predictors of spine deformity progression in adolescent idiopathic scoliosis: a systematic review with meta-analysis. World J Orthop. 2015;6:537.CrossRef Noshchenko A, Hoffecker L, Lindley EM, Burger EL, Cain CM, Patel VV, et al. Predictors of spine deformity progression in adolescent idiopathic scoliosis: a systematic review with meta-analysis. World J Orthop. 2015;6:537.CrossRef
19.
go back to reference Jensen CD, Duraccio KM, Hunsaker SL, Rancourt D, Kuhl ES, Jelalian E, et al. A qualitative study of successful adolescent and young adult weight losers: implications for weight control intervention. Child Obes. 2014;10:482–90.CrossRef Jensen CD, Duraccio KM, Hunsaker SL, Rancourt D, Kuhl ES, Jelalian E, et al. A qualitative study of successful adolescent and young adult weight losers: implications for weight control intervention. Child Obes. 2014;10:482–90.CrossRef
20.
go back to reference Taylor SA, Garland BH, Sanchez-Fournier BE, Allen KF, Doak JS, Wiemann CM. A qualitative study of the day-to-day lives of obese Mexican-American adolescent females. Pediatrics. 2013;131:1132–8.CrossRef Taylor SA, Garland BH, Sanchez-Fournier BE, Allen KF, Doak JS, Wiemann CM. A qualitative study of the day-to-day lives of obese Mexican-American adolescent females. Pediatrics. 2013;131:1132–8.CrossRef
21.
go back to reference In-iw S, Manaboriboon B, Chomchai C. A comparison of body-image perception, health outlook and eating behavior in mildly obese versus moderately-to-severely obese adolescents. J Med Assoc Thail. 2010;93:429. In-iw S, Manaboriboon B, Chomchai C. A comparison of body-image perception, health outlook and eating behavior in mildly obese versus moderately-to-severely obese adolescents. J Med Assoc Thail. 2010;93:429.
22.
go back to reference Morinder G, Biguet G, Mattsson E, Marcus C, Larsson UE. Adolescents’ perceptions of obesity treatment–an interview study. Disabil Rehabil. 2011;33:999–1009.CrossRef Morinder G, Biguet G, Mattsson E, Marcus C, Larsson UE. Adolescents’ perceptions of obesity treatment–an interview study. Disabil Rehabil. 2011;33:999–1009.CrossRef
23.
go back to reference Reece LJ, Bissel P, Copeland RJ. ‘I just don't want to get bullied anymore, then I can lead a normal life’; insights into life as an obese adolescent and their views on obesity treatment. Health Expect. 2015;19:897–907.CrossRef Reece LJ, Bissel P, Copeland RJ. ‘I just don't want to get bullied anymore, then I can lead a normal life’; insights into life as an obese adolescent and their views on obesity treatment. Health Expect. 2015;19:897–907.CrossRef
24.
go back to reference Lofrano-Prado MC, Hill JO, Silva HJG, de Freitas CRM, de Freitas CMSM, de Lima Ferreira MDN, et al. Reasons and barriers to lose weight: obese adolescents’ point of view. Br J Med Res. 2013;3:474.CrossRef Lofrano-Prado MC, Hill JO, Silva HJG, de Freitas CRM, de Freitas CMSM, de Lima Ferreira MDN, et al. Reasons and barriers to lose weight: obese adolescents’ point of view. Br J Med Res. 2013;3:474.CrossRef
25.
go back to reference Dohnt HK, Tiggemann M. Body image concerns in young girls: the role of peers and media prior to adolescence. J Youth Adolesc. 2006;35:135–45.CrossRef Dohnt HK, Tiggemann M. Body image concerns in young girls: the role of peers and media prior to adolescence. J Youth Adolesc. 2006;35:135–45.CrossRef
26.
go back to reference Thompson JK, Shroff H, Herbozo S, Cafri G, Rodriguez J, Rodriguez M. Relations among multiple peer influences, body dissatisfaction, eating disturbance, and self-esteem: a comparison of average weight, at risk of overweight, and overweight adolescent girls. J Pediatr Psychol. 2007;32:24–9.CrossRef Thompson JK, Shroff H, Herbozo S, Cafri G, Rodriguez J, Rodriguez M. Relations among multiple peer influences, body dissatisfaction, eating disturbance, and self-esteem: a comparison of average weight, at risk of overweight, and overweight adolescent girls. J Pediatr Psychol. 2007;32:24–9.CrossRef
27.
go back to reference McCabe MP, Ricciardelli LA, Holt K. Are there different sociocultural influences on body image and body change strategies for overweight adolescent boys and girls? Eat Behav. 2010;11:156–63.CrossRef McCabe MP, Ricciardelli LA, Holt K. Are there different sociocultural influences on body image and body change strategies for overweight adolescent boys and girls? Eat Behav. 2010;11:156–63.CrossRef
28.
go back to reference Ames GE, Perri MG, Fox LD, Fallon EA, De Braganza N, Murawski ME, et al. Changing weight-loss expectations: a randomized pilot study. Eat Behav. 2005;6:259–69.CrossRef Ames GE, Perri MG, Fox LD, Fallon EA, De Braganza N, Murawski ME, et al. Changing weight-loss expectations: a randomized pilot study. Eat Behav. 2005;6:259–69.CrossRef
29.
go back to reference Braden AL, Crow S, Boutelle K. Child self-reported motivations for weight loss: impact of personal vs. social/familial motives on family-based behavioral weight loss treatment outcomes. Eat Weight Disord. 2015;20:205–13.CrossRef Braden AL, Crow S, Boutelle K. Child self-reported motivations for weight loss: impact of personal vs. social/familial motives on family-based behavioral weight loss treatment outcomes. Eat Weight Disord. 2015;20:205–13.CrossRef
30.
go back to reference Meyer AH, Weissen-Schelling S, Munsch S, Margraf J. Initial development and reliability of a motivation for weight loss scale. Obes Facts. 2010;3:205–11.CrossRef Meyer AH, Weissen-Schelling S, Munsch S, Margraf J. Initial development and reliability of a motivation for weight loss scale. Obes Facts. 2010;3:205–11.CrossRef
31.
go back to reference Murphy K, Brennan L, Walkley J, Reece J, Little E. Primary goals for weight loss questionnaire (PGWLQ): development and psychometric evaluation in overweight and obese adults. Behav Change. 2011;28:29–44.CrossRef Murphy K, Brennan L, Walkley J, Reece J, Little E. Primary goals for weight loss questionnaire (PGWLQ): development and psychometric evaluation in overweight and obese adults. Behav Change. 2011;28:29–44.CrossRef
32.
go back to reference Stotland S, Larocque M, Sadikaj G. Positive and negative dimensions of weight control motivation. Eat Behav. 2012;13:20–6.CrossRef Stotland S, Larocque M, Sadikaj G. Positive and negative dimensions of weight control motivation. Eat Behav. 2012;13:20–6.CrossRef
33.
go back to reference Striegel-Moore RH, Wilfley DE, Caldwell MB, Needham ML, Brownell KD. Weight-related attitudes and behaviors of women who diet to lose weight: a comparison of black dieters and white dieters. Obesity. 1996;4:109–16.CrossRef Striegel-Moore RH, Wilfley DE, Caldwell MB, Needham ML, Brownell KD. Weight-related attitudes and behaviors of women who diet to lose weight: a comparison of black dieters and white dieters. Obesity. 1996;4:109–16.CrossRef
34.
go back to reference Spurr S, Berry L, Walker K. Exploring adolescent views of body image: the influence of media. Issues Compr Pediatr Nurs. 2013;36:17–36.CrossRef Spurr S, Berry L, Walker K. Exploring adolescent views of body image: the influence of media. Issues Compr Pediatr Nurs. 2013;36:17–36.CrossRef
35.
go back to reference Webb HJ, Zimmer-Gembeck MJ. The role of friends and peers in adolescent body dissatisfaction: a review and critique of 15 years of research. J Res Adolesc. 2014;24:564–90.CrossRef Webb HJ, Zimmer-Gembeck MJ. The role of friends and peers in adolescent body dissatisfaction: a review and critique of 15 years of research. J Res Adolesc. 2014;24:564–90.CrossRef
36.
go back to reference Helfert S, Warschburger P. The face of appearance-related social pressure: gender, age and body mass variations in peer and parental pressure during adolescence. Child Adolesc Psychiatry Ment Health. 2013;7:16.CrossRef Helfert S, Warschburger P. The face of appearance-related social pressure: gender, age and body mass variations in peer and parental pressure during adolescence. Child Adolesc Psychiatry Ment Health. 2013;7:16.CrossRef
37.
go back to reference Iannaccone M, D'Olimpio F, Cella S, Cotrufo P. Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: a mediation model. Eat Behav. 2016;21:80–3.CrossRef Iannaccone M, D'Olimpio F, Cella S, Cotrufo P. Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: a mediation model. Eat Behav. 2016;21:80–3.CrossRef
38.
go back to reference Carey RN, Donaghue N, Broderick P. Body image concern among Australian adolescent girls: the role of body comparisons with models and peers. Body Image. 2014;11:81–4.CrossRef Carey RN, Donaghue N, Broderick P. Body image concern among Australian adolescent girls: the role of body comparisons with models and peers. Body Image. 2014;11:81–4.CrossRef
39.
go back to reference Bacchini D, Licenziati MR, Garrasi A, Corciulo N, Driul D, Tanas R, et al. Bullying and victimization in overweight and obese outpatient children and adolescents: an Italian multicentric study. PLoS One. 2015;10:e0142715.CrossRef Bacchini D, Licenziati MR, Garrasi A, Corciulo N, Driul D, Tanas R, et al. Bullying and victimization in overweight and obese outpatient children and adolescents: an Italian multicentric study. PLoS One. 2015;10:e0142715.CrossRef
40.
go back to reference Van Geel M, Vedder P, Tanilon J. Are overweight and obese youths more often bullied by their peers? A meta-analysis on the relation between weight status and bullying. Int J Obes. 2014;38:1263–7.CrossRef Van Geel M, Vedder P, Tanilon J. Are overweight and obese youths more often bullied by their peers? A meta-analysis on the relation between weight status and bullying. Int J Obes. 2014;38:1263–7.CrossRef
41.
go back to reference Brown CL, Skelton JA, Perrin EM, Skinner AC. Behaviors and motivations for weight loss in children and adolescents. Obesity. 2016;24:446–52.CrossRef Brown CL, Skelton JA, Perrin EM, Skinner AC. Behaviors and motivations for weight loss in children and adolescents. Obesity. 2016;24:446–52.CrossRef
42.
go back to reference Marcuzzo M, Pich S, Dittrich MGA. Construction of body image among obese subjects and its relationship with the contemporary imperatives for body beautification. Interface. 2012;16:943–54.CrossRef Marcuzzo M, Pich S, Dittrich MGA. Construction of body image among obese subjects and its relationship with the contemporary imperatives for body beautification. Interface. 2012;16:943–54.CrossRef
43.
go back to reference Castro IRR. Obesity prevention and control: the urgent need for effective public policies. Cad Saúde Pública. 2017;33:e00100017.PubMed Castro IRR. Obesity prevention and control: the urgent need for effective public policies. Cad Saúde Pública. 2017;33:e00100017.PubMed
44.
go back to reference Dias PC, Henriques P, Anjos LA, Burlandy L. Obesity and public policies: the Brazilian government’s definitions and strategies. Cad Saúde Pública. 2017;33:e00006016.PubMed Dias PC, Henriques P, Anjos LA, Burlandy L. Obesity and public policies: the Brazilian government’s definitions and strategies. Cad Saúde Pública. 2017;33:e00006016.PubMed
Metadata
Title
Motivations for weight loss in adolescents with overweight and obesity: a systematic review
Authors
David Franciole Oliveira Silva
Karine Cavalcanti Maurício Sena-Evangelista
Clélia Oliveira Lyra
Lucia Fátima Campos Pedrosa
Ricardo Fernando Arrais
Severina Carla Vieira Cunha Lima
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-1333-2

Other articles of this Issue 1/2018

BMC Pediatrics 1/2018 Go to the issue