{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T18:52:36Z","timestamp":1793904756348,"version":"4.8.0"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72474196"],"award-info":[{"award-number":["72474196"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["thelancet.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["eClinicalMedicine"],"published-print":{"date-parts":[[2025,3]]},"DOI":"10.1016\/j.eclinm.2025.103121","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T07:44:37Z","timestamp":1740383077000},"page":"103121","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":30,"special_numbering":"C","title":["Effects of lifestyle interventions on mental health in children and adolescents with overweight or obesity: a systematic review and meta-analysis"],"prefix":"10.1016","volume":"81","author":[{"given":"Jiali","family":"Zhou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3457-1562","authenticated-orcid":false,"given":"Jiayao","family":"Ying","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenhao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyi","family":"Shan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jindian","family":"Zha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liying","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2619-1203","authenticated-orcid":false,"given":"Wenhan","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0196-9759","authenticated-orcid":false,"given":"Peige","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.eclinm.2025.103121_bib1","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1146\/annurev-clinpsy-100219-060201","article-title":"Prevention and management of childhood obesity and its psychological and health comorbidities","volume":"16","author":"Smith","year":"2020","journal-title":"Annu Rev Clin Psychol"},{"key":"10.1016\/j.eclinm.2025.103121_bib2","series-title":"Obesity and overweight","year":"2024"},{"issue":"9945","key":"10.1016\/j.eclinm.2025.103121_bib3","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1016\/S0140-6736(14)60460-8","article-title":"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","volume":"384","author":"Ng","year":"2014","journal-title":"Lancet"},{"issue":"7","key":"10.1016\/j.eclinm.2025.103121_bib4","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1007\/s00431-017-2931-y","article-title":"The\u00a0psychosocial burden of childhood overweight and obesity: evidence for persisting difficulties in boys and girls","volume":"176","author":"Gibson","year":"2017","journal-title":"Eur J Pediatr"},{"issue":"9801","key":"10.1016\/j.eclinm.2025.103121_bib5","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1016\/S0140-6736(11)60827-1","article-title":"Child and adolescent mental health worldwide: evidence for action","volume":"378","author":"Kieling","year":"2011","journal-title":"Lancet"},{"key":"10.1016\/j.eclinm.2025.103121_bib6","series-title":"Mental health of adolescents","year":"2024"},{"issue":"3","key":"10.1016\/j.eclinm.2025.103121_bib7","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1001\/jama.294.3.293","article-title":"Mental illness takes heavy toll on youth","volume":"294","author":"Kuehn","year":"2005","journal-title":"JAMA"},{"issue":"1","key":"10.1016\/j.eclinm.2025.103121_bib8","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/S2215-0366(23)00365-6","article-title":"Longitudinal pathways between childhood BMI, body dissatisfaction, and adolescent depression: an observational study using the UK Millennium Cohort Study","volume":"11","author":"Blundell","year":"2024","journal-title":"Lancet Psychiatry"},{"issue":"10","key":"10.1016\/j.eclinm.2025.103121_bib9","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1001\/jamapsychiatry.2014.1332","article-title":"Association\u00a0of serum interleukin 6 and C-reactive protein in childhood with depression and psychosis in young adult life: a population-based longitudinal study","volume":"71","author":"Khandaker","year":"2014","journal-title":"JAMA Psychiatry"},{"issue":"6","key":"10.1016\/j.eclinm.2025.103121_bib10","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1093\/nutrit\/nuac083","article-title":"Obesity and its association with mental health among Mexican children and adolescents: systematic review","volume":"81","author":"Godina-Flores","year":"2023","journal-title":"Nutr Rev"},{"issue":"1","key":"10.1016\/j.eclinm.2025.103121_bib11","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/s12889-023-15032-z","article-title":"Mental health in children and adolescents with overweight or obesity","volume":"23","author":"F\u00f6rster","year":"2023","journal-title":"BMC Public Health"},{"issue":"3","key":"10.1016\/j.eclinm.2025.103121_bib12","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1542\/peds.110.3.497","article-title":"A\u00a0prospective study of the role of depression in the development and persistence of adolescent obesity","volume":"110","author":"Goodman","year":"2002","journal-title":"Pediatrics"},{"issue":"7","key":"10.1016\/j.eclinm.2025.103121_bib13","doi-asserted-by":"crossref","first-page":"1752","DOI":"10.1053\/j.gastro.2017.01.045","article-title":"Intensive lifestyle intervention for obesity: principles, practices, and results","volume":"152","author":"Webb","year":"2017","journal-title":"Gastroenterology"},{"issue":"13","key":"10.1016\/j.eclinm.2025.103121_bib14","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1093\/eurheartj\/ehae091","article-title":"A\u00a0new dawn of managing cardiovascular risk in obesity: the importance of combining lifestyle intervention and medication","volume":"45","author":"Halle","year":"2024","journal-title":"Eur Heart J"},{"issue":"11","key":"10.1016\/j.eclinm.2025.103121_bib15","doi-asserted-by":"crossref","DOI":"10.3390\/nu13114172","article-title":"Improved quality of life, fitness, mental health and cardiovascular risk factors with a publicly funded bariatric lifestyle intervention for adults with severe obesity: a prospective cohort study","volume":"13","author":"Brazil","year":"2021","journal-title":"Nutrients"},{"issue":"1","key":"10.1016\/j.eclinm.2025.103121_bib16","doi-asserted-by":"crossref","DOI":"10.5812\/ijem-129906","article-title":"Improved physical and mental health after a combined lifestyle intervention with cognitive behavioural therapy for obesity","volume":"21","author":"Mohseni","year":"2023","journal-title":"Int J Endocrinol Metab"},{"key":"10.1016\/j.eclinm.2025.103121_bib17","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.jad.2024.02.092","article-title":"Effect of physical activity on anxiety, depression and obesity index in children and adolescents with obesity: a meta-analysis","volume":"354","author":"Chen","year":"2024","journal-title":"J\u00a0Affect Disord"},{"issue":"2","key":"10.1016\/j.eclinm.2025.103121_bib18","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1001\/jamapediatrics.2022.5090","article-title":"Physical activity interventions to alleviate depressive symptoms in children and adolescents: a systematic review and meta-analysis","volume":"177","author":"Recchia","year":"2023","journal-title":"JAMA Pediatr"},{"issue":"3","key":"10.1016\/j.eclinm.2025.103121_bib19","doi-asserted-by":"crossref","first-page":"e611","DOI":"10.1542\/peds.2011-0863","article-title":"A\u00a0primary care-based, multicomponent lifestyle intervention for overweight adolescent females","volume":"129","author":"DeBar","year":"2012","journal-title":"Pediatrics"},{"key":"10.1016\/j.eclinm.2025.103121_bib20","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2021.693244","article-title":"The influence of physical education on self-efficacy in overweight schoolgirls: a 12-week training program","volume":"12","author":"Latino","year":"2021","journal-title":"Front Psychol"},{"key":"10.1016\/j.eclinm.2025.103121_bib21","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"Bmj"},{"key":"10.1016\/j.eclinm.2025.103121_bib22","series-title":"Cochrane Handbook for systematic reviews of interventions version 6.4 (updated August 2023)","author":"Higgins","year":"2023"},{"key":"10.1016\/j.eclinm.2025.103121_bib23","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","year":"2019","journal-title":"BMJ"},{"issue":"7454","key":"10.1016\/j.eclinm.2025.103121_bib24","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1136\/bmj.328.7454.1490","article-title":"Grading quality of evidence and strength of recommendations","volume":"328","author":"Atkins","year":"2004","journal-title":"Bmj"},{"issue":"11","key":"10.1016\/j.eclinm.2025.103121_bib25","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1002\/sim.1186","article-title":"Quantifying heterogeneity in a meta-analysis","volume":"21","author":"Higgins","year":"2002","journal-title":"Stat Med"},{"issue":"2","key":"10.1016\/j.eclinm.2025.103121_bib26","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1002\/jrsm.12","article-title":"A\u00a0basic introduction to fixed-effect and random-effects models for meta-analysis","volume":"1","author":"Borenstein","year":"2010","journal-title":"Res Synth Methods"},{"key":"10.1016\/j.eclinm.2025.103121_bib27","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/1741-7015-10-47","article-title":"Lifestyle interventions for overweight and obese pregnant women to improve pregnancy outcome: systematic review and meta-analysis","volume":"10","author":"Oteng-Ntim","year":"2012","journal-title":"BMC Med"},{"key":"10.1016\/j.eclinm.2025.103121_bib28","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.ijcard.2016.12.084","article-title":"The effects of a lifestyle intervention program on physical outcomes, depression, and quality of life in adults with metabolic syndrome: a randomized clinical trial","volume":"230","author":"Wang","year":"2017","journal-title":"Int J Cardiol"},{"issue":"1","key":"10.1016\/j.eclinm.2025.103121_bib29","doi-asserted-by":"crossref","DOI":"10.3390\/sports12010037","article-title":"Sporting mind: the interplay of physical activity and psychological health","volume":"12","author":"Mart\u00edn-Rodr\u00edguez","year":"2024","journal-title":"Sports"},{"key":"10.1016\/j.eclinm.2025.103121_bib30","series-title":"Targets of sustainable development goal 3","year":"2015"},{"issue":"1","key":"10.1016\/j.eclinm.2025.103121_bib31","doi-asserted-by":"crossref","first-page":"1918","DOI":"10.1186\/s12889-023-16824-z","article-title":"Effect of exercise intervention on depression in children and adolescents: a systematic review and network meta-analysis","volume":"23","author":"Li","year":"2023","journal-title":"BMC Public Health"},{"issue":"3","key":"10.1016\/j.eclinm.2025.103121_bib32","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/j.jadohealth.2018.11.014","article-title":"Changes in health-related outcomes in youth with obesity in response to a home-based parent-led physical activity program","volume":"65","author":"Rubin","year":"2019","journal-title":"J\u00a0Adolesc Health"},{"issue":"11","key":"10.1016\/j.eclinm.2025.103121_bib33","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1136\/bjsm.2004.017707","article-title":"Can exercise improve self esteem in children and young people? A systematic review of randomised controlled trials","volume":"39","author":"Ekeland","year":"2005","journal-title":"Br J Sports Med"},{"issue":"3","key":"10.1016\/j.eclinm.2025.103121_bib34","doi-asserted-by":"crossref","first-page":"535","DOI":"10.3934\/publichealth.2020043","article-title":"Determine the BMI levels, self-concept and healthy life behaviours of children during a school based obesity training programme","volume":"7","author":"Altay","year":"2020","journal-title":"AIMS Public Health"},{"issue":"6","key":"10.1016\/j.eclinm.2025.103121_bib35","article-title":"Exploring the links between physical activity, emotional regulation, and mental well-being in Jordanian university students","volume":"13","author":"Al-Wardat","year":"2024","journal-title":"J\u00a0Clin Med"},{"issue":"3","key":"10.1016\/j.eclinm.2025.103121_bib36","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1177\/1088868314523839","article-title":"Depression and social identity: an integrative review","volume":"18","author":"Cruwys","year":"2014","journal-title":"Pers Soc Psychol Rev"},{"issue":"2","key":"10.1016\/j.eclinm.2025.103121_bib37","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1136\/bmjebm-2020-111493","article-title":"Framework for the synthesis of non-randomised studies and randomised controlled trials: a guidance on conducting a systematic review and meta-analysis for healthcare decision making","volume":"27","author":"Sarri","year":"2022","journal-title":"BMJ Evid Based Med"},{"issue":"8","key":"10.1016\/j.eclinm.2025.103121_bib38","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-029966","article-title":"Intensity and duration of lifestyle interventions for long-term weight loss and association with mortality: a meta-analysis of randomised trials","volume":"9","author":"Singh","year":"2019","journal-title":"BMJ Open"},{"issue":"9908","key":"10.1016\/j.eclinm.2025.103121_bib39","doi-asserted-by":"crossref","first-page":"1898","DOI":"10.1016\/S0140-6736(13)62105-4","article-title":"Global health 2035: a world converging within a generation","volume":"382","author":"Jamison","year":"2013","journal-title":"Lancet"},{"issue":"14","key":"10.1016\/j.eclinm.2025.103121_bib40","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1093\/eurjpc\/zwad152","volume":"30","author":"Hanssen","year":"2023","journal-title":"Eur J Prevent Cardiol"}],"container-title":["eClinicalMedicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589537025000537?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589537025000537?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T20:10:31Z","timestamp":1753819831000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2589537025000537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":40,"alternative-id":["S2589537025000537"],"URL":"https:\/\/doi.org\/10.1016\/j.eclinm.2025.103121","relation":{},"ISSN":["2589-5370"],"issn-type":[{"value":"2589-5370","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effects of lifestyle interventions on mental health in children and adolescents with overweight or obesity: a systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"eClinicalMedicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eclinm.2025.103121","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"103121"}}