The Effect of Peer Support on Individuals with Overweight and Obesity: A Meta-Analysis
Abstract
Background: Scarce data exists about the effect of peer support on individuals with overweight or obesity. This study aimed to conduct a meta-analysis regarding the effect of peer support on weight, BMI, waist circumference, blood pressure, quality of life, social support and depressive symptoms in individuals with overweight and obesity.
Methods: PubMed, Embase, and CENTRAL were searched for relevant studies from their inceptions to 1 Mar 2020, and 14 randomized controlled trials (RCTS) were included. Data were pooled with Review Manager 5.3.
Results: Significantly small improvement in weight (-0.78 kg) was found in individuals who received peer support than those who received usual care (MD= -0.78 kg, 95% CI-1.33 to -0.22, P=0.02). And peer support appeared to be associated with significant decrease in BMI levels (MD= -0.16 kg/m2, 95% CI -0.32 to -0.01, P=0.04). However, there was no statistically significant improvement in the levels of waist circumference, systolic blood pressure, diastolic blood pressure, quality of life, social support and depressive symptoms after peer support.
Conclusion: Peer support appears to be associated with decreased weight and BMI levels in individuals with overweight and obesity. However, additional research is warranted due to insufficient evidence for the effects of peer support on the other health indicators.
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3. Keum N, Greenwood DC, Lee DH, et al (2015). Adult weight gain and adiposity-related cancers: a dose-response meta-analysis of prospective observational studies. J Natl Cancer Inst, 107(2):djv088.
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8. Kulik NL, Fisher EB., Ward, D. S., et al (2014). Peer support enhanced social support in adolescent females during weight loss. Am J Health Behav, 38(5): 789-800.
9. Van Tam V, Larsson M, Pharris A, et al (2012). Peer support and improved quali-ty of life among persons living with HIV on antiretroviral treatment: a randomised controlled trial from north-eastern Vi-etnam. Health Qual Life Outcomes, 10: 53.
10. Lee R, Lee KS, Oh EG, Kim SH (2013). A randomized trial of dyadic peer support intervention for newly diagnosed breast cancer patients in Korea. Cancer Nurs, 36(3): E15-22.
11. Andreae SJ, Andreae LJ, Richman JS, et al (2020). Peer-Delivered Cognitive Behav-ioral Training to Improve Functioning in Patients With Diabetes: A Cluster-Randomized Trial. Ann Fam Med, 18(1): 15-23.
12. Arlinghaus K, Moreno J, Reesor L, et al (2017). Compañeros: high School Stu-dents Mentor Middle School Students to Address Obesity Among Hispanic Ado-lescents. Preventing chronic disease,14: E92.
13. Imanaka M, Ando M, Kitamura T, Kawa-mura T (2013). Effectiveness of web-based self-disclosure peer-to-peer sup-port for weight loss: randomized con-trolled trial. J Med Internet Res, 15(7): e136.
14. Ing C, Miyamoto R, Fang R, et al (2018).Comparing Weight Loss-Maintenance Outcomes of a Worksite-Based Lifestyle Program Delivered via DVD and Face-to-Face: a Randomized Trial. Health Educ Behav, 45(4) :569-580.
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17. Palma PS, Delgado RM (2006). Practical considerations on detection of publica-tion bias. Gac Sanit, 20 Suppl 3: 10-16.
18. Chang MW, Nitzke S, Brown R (2019). Mothers In Motion intervention effect on psychosocial health in young, low-income women with overweight or obe-sity.BMC Public Health, 19(1):56.
19. Mayer VL, Vangeepuram N, Fei K, et al (2019). Outcomes of a Weight Loss In-tervention to Prevent Diabetes Among Low-Income Residents of East Harlem, New York. Health Educ Behav, 46(6): 1073-1082.
20. Hageman P, Pullen C, Hertzog M, et al (2017). Web-Based Interventions Alone or Supplemented with Peer-Led Support or Professional Email Counseling for Weight Loss and Weight Maintenance in Women from Rural Communities: results of a Clinical Trial. J Obes, 2017:1602627.
21. Chang M, Brown R, Nitzke S (2017). Results and lessons learned from a prevention of weight gain program for low-income overweight and obese young mothers: mothers In Motion. BMC public health, 17: 182.
22. Kulik N, Ennett S, Ward D, et al (2015). Brief report: a randomized controlled trial examining peer support and behavioral weight loss treatment. J Adolesc,2015: 117-23.
23. Lloyd-Richardson E, Jelalian E, Sato A, et al (2012). Two-year follow-up of an adoles-cent behavioral weight control interven-tion. Pediatrics, 130(2): e281-8.
24. Pullen C, Hageman P, Boeckner L, et al (2008). Feasibility of Internet-delivered weight loss interventions among rural women ages 50-69. J Geriatr Phy Ther, 31(3): 105-12.
25. Perri M, McAdoo W, McAllister D, et al (1987). Effects of peer support and ther-apist contact on long-term weight loss. J Consult Clin Psychol, 55(4): 615-617.
26. Foster G, Wadden T, Brownell K (1985). Peer-led program for the treatment and prevention of obesity in the schools. J Consult Clin Psychol, 53(4): 538-40.
27. Thomas SL, Hyde J, Karunaratne A, et al (2008). Being 'fat' in today's world: a qual-itative study of the lived experiences of people with obesity in Australia. Health Expect, 11(4): 321-30.
28. Li JS, Barnett T A, Goodman E, et al (2013). Approaches to the prevention and man-agement of childhood obesity: the role of social networks and the use of social me-dia and related electronic technologies: a scientific statement from the American Heart Association. Circulation, 127(2): 260-267.
29. Chang MW, Brown R, Nitzke S (2017). A Community-Based Intervention Pro-gram's Effects on Dietary Intake Behav-iors. Obesity (Silver Spring), 25(12): 2055-2061.
30. Halperin DT, Laux J, LeFranc-Garcia C, et al (2019). Findings from a randomized trial of weight gain prevention among overweight puerto rican young adults. J Nutr Educ Behav, 51(2): 205-216.
31. Whelton PK, He J, Appel LJ, et al (2002). Primary prevention of hypertension: clin-ical and public health advisory from The National High Blood Pressure Education Program. JAMA, 288(15): 1882-8.
32. Mackey ER, Olson A, Merwin S, et al (2018). Perceived social support for exercise and weight loss in adolescents undergoing sleeve gastrectomy. Obes Surg, 28(2): 421-426.
33. Tambag H, Turan Z, Tolun S, et al (2018). Perceived social support and depression levels of women in the postpartum peri-od in Hatay, Turkey. Niger J Clin Pract, 21(11): 1525-1530.
34. Jelalian E, Mehlenbeck R, Lloyd-Richardson E, et al (2006). 'Adventure therapy' com-bined with cognitive-behavioral treatment for overweight adolescents. Int J Obes (Lond),30(1): 31-9.
2. Zheng Y, Manson JE, Yuan C, et al (2017). Associations of weight gain from early to middle adulthood with major health out-comes later in life. JAMA, 318(3): 255-269.
3. Keum N, Greenwood DC, Lee DH, et al (2015). Adult weight gain and adiposity-related cancers: a dose-response meta-analysis of prospective observational studies. J Natl Cancer Inst, 107(2):djv088.
4. Luppino FS, de Wit LM, Bouvy PF, et al (2010). Overweight, obesity, and depres-sion: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry, 67(3): 220-9.
5. Jane M, Foster J, Hagger M, et al (2018). Psychological effects of belonging to a Facebook weight management group in overweight and obese adults: Results of a randomised controlled trial. Health Soc Care Community, doi: 10.1111/hsc.12584.
6. Christakis NA, Fowler JH (2007). The spread of obesity in a large social net-work over 32 years. N Engl J Med, 357(4): 370-9.
7. Dennis C (2003). Peer support within a health care context: a concept analysis. Int J Nurs Stud, 40(3): 321-32.
8. Kulik NL, Fisher EB., Ward, D. S., et al (2014). Peer support enhanced social support in adolescent females during weight loss. Am J Health Behav, 38(5): 789-800.
9. Van Tam V, Larsson M, Pharris A, et al (2012). Peer support and improved quali-ty of life among persons living with HIV on antiretroviral treatment: a randomised controlled trial from north-eastern Vi-etnam. Health Qual Life Outcomes, 10: 53.
10. Lee R, Lee KS, Oh EG, Kim SH (2013). A randomized trial of dyadic peer support intervention for newly diagnosed breast cancer patients in Korea. Cancer Nurs, 36(3): E15-22.
11. Andreae SJ, Andreae LJ, Richman JS, et al (2020). Peer-Delivered Cognitive Behav-ioral Training to Improve Functioning in Patients With Diabetes: A Cluster-Randomized Trial. Ann Fam Med, 18(1): 15-23.
12. Arlinghaus K, Moreno J, Reesor L, et al (2017). Compañeros: high School Stu-dents Mentor Middle School Students to Address Obesity Among Hispanic Ado-lescents. Preventing chronic disease,14: E92.
13. Imanaka M, Ando M, Kitamura T, Kawa-mura T (2013). Effectiveness of web-based self-disclosure peer-to-peer sup-port for weight loss: randomized con-trolled trial. J Med Internet Res, 15(7): e136.
14. Ing C, Miyamoto R, Fang R, et al (2018).Comparing Weight Loss-Maintenance Outcomes of a Worksite-Based Lifestyle Program Delivered via DVD and Face-to-Face: a Randomized Trial. Health Educ Behav, 45(4) :569-580.
15. Higgins J, Green S (2011). Cochrane Hand-book for Systematic Reviews of Interven-tions Version 5.1.0. https://training.cochrane.org/handbook
16. Moher D, Liberati A, Tetzlaff J, et al (2010). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg, 8: 336-341.
17. Palma PS, Delgado RM (2006). Practical considerations on detection of publica-tion bias. Gac Sanit, 20 Suppl 3: 10-16.
18. Chang MW, Nitzke S, Brown R (2019). Mothers In Motion intervention effect on psychosocial health in young, low-income women with overweight or obe-sity.BMC Public Health, 19(1):56.
19. Mayer VL, Vangeepuram N, Fei K, et al (2019). Outcomes of a Weight Loss In-tervention to Prevent Diabetes Among Low-Income Residents of East Harlem, New York. Health Educ Behav, 46(6): 1073-1082.
20. Hageman P, Pullen C, Hertzog M, et al (2017). Web-Based Interventions Alone or Supplemented with Peer-Led Support or Professional Email Counseling for Weight Loss and Weight Maintenance in Women from Rural Communities: results of a Clinical Trial. J Obes, 2017:1602627.
21. Chang M, Brown R, Nitzke S (2017). Results and lessons learned from a prevention of weight gain program for low-income overweight and obese young mothers: mothers In Motion. BMC public health, 17: 182.
22. Kulik N, Ennett S, Ward D, et al (2015). Brief report: a randomized controlled trial examining peer support and behavioral weight loss treatment. J Adolesc,2015: 117-23.
23. Lloyd-Richardson E, Jelalian E, Sato A, et al (2012). Two-year follow-up of an adoles-cent behavioral weight control interven-tion. Pediatrics, 130(2): e281-8.
24. Pullen C, Hageman P, Boeckner L, et al (2008). Feasibility of Internet-delivered weight loss interventions among rural women ages 50-69. J Geriatr Phy Ther, 31(3): 105-12.
25. Perri M, McAdoo W, McAllister D, et al (1987). Effects of peer support and ther-apist contact on long-term weight loss. J Consult Clin Psychol, 55(4): 615-617.
26. Foster G, Wadden T, Brownell K (1985). Peer-led program for the treatment and prevention of obesity in the schools. J Consult Clin Psychol, 53(4): 538-40.
27. Thomas SL, Hyde J, Karunaratne A, et al (2008). Being 'fat' in today's world: a qual-itative study of the lived experiences of people with obesity in Australia. Health Expect, 11(4): 321-30.
28. Li JS, Barnett T A, Goodman E, et al (2013). Approaches to the prevention and man-agement of childhood obesity: the role of social networks and the use of social me-dia and related electronic technologies: a scientific statement from the American Heart Association. Circulation, 127(2): 260-267.
29. Chang MW, Brown R, Nitzke S (2017). A Community-Based Intervention Pro-gram's Effects on Dietary Intake Behav-iors. Obesity (Silver Spring), 25(12): 2055-2061.
30. Halperin DT, Laux J, LeFranc-Garcia C, et al (2019). Findings from a randomized trial of weight gain prevention among overweight puerto rican young adults. J Nutr Educ Behav, 51(2): 205-216.
31. Whelton PK, He J, Appel LJ, et al (2002). Primary prevention of hypertension: clin-ical and public health advisory from The National High Blood Pressure Education Program. JAMA, 288(15): 1882-8.
32. Mackey ER, Olson A, Merwin S, et al (2018). Perceived social support for exercise and weight loss in adolescents undergoing sleeve gastrectomy. Obes Surg, 28(2): 421-426.
33. Tambag H, Turan Z, Tolun S, et al (2018). Perceived social support and depression levels of women in the postpartum peri-od in Hatay, Turkey. Niger J Clin Pract, 21(11): 1525-1530.
34. Jelalian E, Mehlenbeck R, Lloyd-Richardson E, et al (2006). 'Adventure therapy' com-bined with cognitive-behavioral treatment for overweight adolescents. Int J Obes (Lond),30(1): 31-9.
| Files | ||
| Issue | Vol 50 No 12 (2021) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v50i12.7926 | |
| Keywords | ||
| Peer support Obesity Overweight Meta-analysis | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Chen Y, Li Z, Yang Q, Yang S, Dou C, Zhang T, Guan B. The Effect of Peer Support on Individuals with Overweight and Obesity: A Meta-Analysis. Iran J Public Health. 2021;50(12):2439-2450.
