Jaar, Melanie

Lora, Karina R.

Poncet Landolt, Sarah

Shi, Yifan

van Dam, Rob M.

English

George Washington University: Health Sciences Research Commons (HSRC)

Effect of Nutrition Interventions with Mental Health Components on the Nutrition Status in Adolescents: A Systematic Review Sarah Poncet Landolta, Yifan Shib, Rob M. van Dama, Melanie Jaarc, Karina R. LoraaaThe George Washington University, bNational University of Singapore, cUniversity of North Carolina-Chapel HillBackground• Adolescence is a life period critical in establishing current and future healthy behaviors, including mental health care and healthy nutrition practices. 1-2• In the U.S., the prevalence of depressive episode and persistent feelings of sadness or hopelessness is 15.1% and 36.7% respectively. 3-4• In the U.S., adolescents do not meet recommended intakes for fruits and vegetables and dairy, and exceed recommended intakes for added sugars, saturated fat, and sodium. 5• Mental disorders or perceived stress have been associated with lower diet quality in U.S. and Australian adolescents. 6-8• Little is known on whether nutrition interventions that have a mental health component will improve the nutrition status of adolescents.ObjectivesTo conduct a systematic literature review on the effect of nutrition interventions with mental health components on the nutrition knowledge and diet quality of adolescents.MethodsResultsDiscussionFirst Author, YearStudy DescriptionIntervention Description Outcome Overall Risk of BiasDuration Intervention Components Control ComponentsRandomized Controlled TrialsMelnyk, 2009 9 Wk NHc (Edug), PHd (Edug& Acth), MHe (Edug& Counj)General Health (Edug) ↑* Nutrition Knowledge HighFlattum, 2011 N/Ab NHc (Edug& Acth), PHd (Edug& Acth), MHe(Supi& Counj)N/Ab − Fruit and Vegetables, Breakfast, Portion Size Control HighDeBar, 2012 12 Mo NHc (Edug), PHd (Acth), MHe (Edug& Counj), PCPs Training, PPfWeight Management Materials, PPf↓* Family Mealtime, Fast-Foods− Breakfast, Sugar-Sweetened Beverages, Total Calories, % Calories from FatModerateBarnes, 2016 3-6 Mo NHc (Edug), PHd (Edug), MHe (Counj) General Health (Edug) ↑* Binge Eating− Eating Control and DisinhibitionModerateHidayanty, 20163 Mo NHc (Edug), PHd (Edug& Acth), MHe (Counj), PPfGeneral Nutrition Guidelines (leaflets)↓* Snacking Habit ModerateLaramée, 2017 2-3 Mo NHc (Edug& Acth), MHe (Counj) NHc (Edug& Acth) ↑* Nutrition Knowledge ModerateMiri, 2019 6 Mo NHc (Edug), MHe (Counj), PPf Routine Care, General Health (Edug), PPf↑* Meat, Fruits and Juice, Vegetables, Dairy↓* Grains, Sweets, Salty Snack, Sweet Drinks, Sausage/Processed Meat, Oil− Total CaloriesModerateWeigensberg, 20213 Mo Group 1: NHc (Edug& Acth), PHd (Edug& Acth)Group 2: NHc (Edug), PHd (Edug), MHe (Counj)Group 3: NHc (Edug), PHd (Edug), MHe (Counj)None ↑* Healthy Eating Index LS Group− Total Energy and Glycemic Index LS Group− Total Energy, Healthy Eating Index, and Glycemic Index LBGI Group− Total Energy, Healthy Eating Index, and Glycemic Index SRGI GroupModerateNon-Randomized Controlled TrialsTsiros, 2008 20 Wk NHc (Edug), PHd (Edug), MHe (Counj), PPf NHc (Edug), PHd (Edug), PPf↓* Total Energy, % Total Energy from Softdrinks HighSarvestani, 20096 Mo NHc (Edug), PHd (Edug), MHe (Yoga), PPf 3 Sessions from intervention, PPf↑* Restrained Eating↓* Emotional Eating, External EatingNo informationArdic, 2017 12 Mo NHc (Edug), PHd (Edug), MHe (Counj) General Health (Edug) ↑* Fruit and Vegetables, Water↑* Nutrition KnowledgeModeratePierce, 2017 2-8 Wk NHc (Edug& Acth), PHd (Acth), MHe (Yoga & Mindfulness)NHc (Edug& Acth), PHd(Acth), MHe (Yoga & Mindfulness)− Fruits and Vegetables in Year 1↑* Tomatoes, Vegetables, Whole Wheat Bread in Year 2↓* Hot dogs, Corn dogs, or Sausage, Hamburger or Cheeseburger, and Ice Cream Year 2HighTrials Without a Control GroupKotler, 2006 6 Wk NHc (Edug& Acth), PHd (Acth), MHe (Supi& Counj, Art Therapy & Yoga), PPf− Daily Calories HighLofrano-Prado, 200924 Wk NHc (Edug), MHe (Counj) ↓* Binge Eating (no p-value reported) HighShrewsbury, 20112 Mo NHc (Edug), PHd (Acth), MHe (Counj), PPf ↑* Fruit and Vegetables, Water, Breakfast↓* High Fat Meat Products, Potato Crisps, Fruit Juice, Softdrinks− Fast food/Takeaway, Lunch, DinnerHighRanucci, 2017 3 Mo NHc (Edug), PHd (Acth), MHe (Counj), PPf ↑* Mediterranean Diet Adherence HighMiguet, 2019 10 Mo NHc (Edug), PHd (Acth), MHe (Supi& Counj) − Restraint Eating, External Eating, Emotional Eating HighKhammassi, 201910 Mo NHc (Edug), PHd (N/Ab), MHe (Edug& Counj) ↑* Healthy Balanced Diet HighaN: Total Sample SizebN/A: Not AvailablecNH: Nutritional Health; dPH: Physical Health; eMH: Mental Health; fPP: Parental ParticipationgEdu: Education; hAct: Activity; iSup: Support; jCoun: Counselling* ↑ ↓ statistically significant (p≤0.05) outcomes increase or decrease respectively; − No statistically significant outcomesRecords identified on April 25th, 2022 from:PubMed (n = 3,091)Scopus (n = 6,265)CINAHL (n = 2,958)PsycINFO (n = 1,151)CENTRAL (n = 1,346)(n= 14,811)Records removed before screening:Duplicate records removed (n = 2,469)Records screened(n = 12,342)Records excluded(n = 12,306)Reports sought for retrieval(n = 36)Reports not retrieved(n = 0)Reports assessed for eligibility(n = 36)Reports excluded:Language (n = 5)Study outcome (n = 5)Intervention (n = 3)Population (n = 2)Study design (n = 3)Studies included in review(n = 18)Identification of studies via databases and registersIdentificationScreening (2 independent reviewers)IncludedImplications• 78% of included interventions were conducted on overweight and obese adolescents and with nutrition being an integral treatment component for obesity and overweight, nutrition intervention aimed at overweight and obesity treatment  in adolescents may benefit from including a mental health component. • Limitations due to the heterogeneity of the study designs and outcome measurements suggest that future studies should include high-quality randomized trials specifically testing the effect of adding mental health components to nutrition interventions in adolescents. Quality assessment:Randomized trials (RoB 2 tool) 9Cluster-randomized trials (RoB 2 CRT tool)Non-randomized controlled trials & Trials without control group (ROBINS-I tool) 10Domains: adolescent, nutrition and mental health, intervention, diet quality, nutrition education• Nutrition knowledge increased in all nutrition intervention studies with mental health components.• 75% of interventions reported an increase in diet quality and dietary patterns• A significant decrease in energy and sugar-sweetened beverage intake was observe in one intervention• Interventions of more than four months but not those less then three months, reported better diet quality.• Nutrition interventions that have or include a mental health component seem to increase the nutrition knowledge, diet quality, and dietary patterns of adolescents. Interventions of more than four months and that include parental participation seem to have more significant increases in diet quality and dietary patterns.

Effect of Nutrition Interventions with Mental Health Components on the Nutrition Status in Adolescents: A Systematic Review

https://hsrc.himmelfarb.gwu.edu/cgi/viewcontent.cgi?article=1291&context=gw_research_showcase

Effect of Nutrition Interventions with Mental Health Components on the Nutrition Status in Adolescents: A Systematic Review

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