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Obes Rev. 2018 Dec;19(12):1659-1666. doi: 10.1111/obr.12749. Epub 2018 Sep 27.

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

Author information

1
School of Public Health, Department of Nutrition, University of Sao Paulo, Sao Paulo, Brazil.
2
Applied Physiology & Nutrition Research Group, Laboratory of Assessment and Conditioning in Rheumatology, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil.
3
School of Applied Sciences, Universidade Estadual de Campinas, Limeira, Brazil.
4
Faculty of Physical Education, Universidade Estadual de Campinas, Campinas, Brazil.
5
Institute of Health and Society, Federal University of Sao Paulo, Santos, Brazil.

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.

KEYWORDS:

Lifestyle change; nutritional intervention; physical activity; weight-neutral approach

PMID:
30261553
DOI:
10.1111/obr.12749

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