ArticleObesity facts2026
Psychosocial Outcomes of the Fast Track to Health Clinical Trial in Adolescents with Obesity.
Article in Obesity facts, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Dietary restraint, binge eating and adherence to an adolescent intensive behavioural weight management intervention: a Fast Track to Health sub-study.Eating and weight disorders : EWD · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
introductionAdolescent obesity requires effective and accessible treatment. Intensive dietary interventions may be used as adjunctive therapy to behavioral interventions and lead to weight loss. The effects of behavioral interventions on psychosocial outcomes are mixed, and the impact of intensive interventions with shifts away from normal eating habits and social norms is not clear.
methodsAdolescents (13-17 years) with obesity and ≥1 complication participated in a 52-week RCT, conducted 2018-2023 (ACTRN12617001630303). The intervention compared a 4-week very low energy diet followed by intermittent or continuous energy restriction (48 weeks). Anthropometry and psychosocial health were assessed at baseline, weeks 4, 16, and 52 including Dutch Eating Behaviour Questionnaire (DEBQ), Rosenberg Self-Esteem Scale (RSE), Weight Bias Internalization Scale (WBIS), Body Appreciation Scale (BAS), and Depression Anxiety and Stress Scale (DASS). Intention-to-treat analysis using linear mixed models investigated changes over time between intervention groups.
resultsIn total, 141 adolescents (70 female) were enrolled and 97 (48 female) completed the intervention. There were significant reductions in external eating (DEBQ, p < 0.001), weight bias internalization (WBIS, p < 0.001), anxiety (DASS, p < 0.001), and stress (DASS, p = 0.082) and significant increases in self-esteem (RSE, p < 0.001) and body appreciation (BAS, p < 0.001) in both groups. There were increases in dietary restraint (DEBQ, p = 0.595) and decreases in emotional eating (DEBQ, p = 0.645) and depression (DASS, p = 0.381) which returned to baseline by the end of intervention. Reductions in BMI z-score were significantly associated with improvements in emotional eating (r = 0.215, p = 0.046, n = 87) and body appreciation (r = -0.235, p = 0.027, n = 88).
conclusionIntensive interventions incorporating dietary and behavioral components were associated with improvements in psychosocial health among adolescents with obesity-associated complication.
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