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Obesity and its association with mental health among Mexican children and adolescents: systematic review.

Godina-Flores, Naara L.; Gutierrez-Gómez, Yareni Yunuen; García-Botello, Marcela; López-Cruz, Lizet; Moreno-García, Carlos Francisco; Aceves-Martins, Magaly


Naara L. Godina-Flores

Yareni Yunuen Gutierrez-Gómez

Marcela García-Botello

Lizet López-Cruz

Magaly Aceves-Martins


Obesity and mental health issues increasingly affect children and adolescents, but whether obesity is a risk factor for mental health issues is unclear. To systematically review the association between obesity and mental health issues (ie, anxiety and/or depression) among Mexican children and adolescents. A literature search of 13 databases and 1 search engine was conducted. Population, exposure, comparison, outcomes, and study design data were extracted, analyzed, and narratively synthesized. The JBI critical appraisal tool was used to evaluate evidence quality. A total of 16 studies with 12,103 participants between 8 and 18 years old were included. Four studies focused on anxiety outcomes, 10 on depression, and 2 on both (ie, anxiety and depression). Evidence is unclear about the association of obesity with anxiety. However, most evidence shows that Mexican children and adolescents with overweight or obesity are more likely to have depression or report a higher number of depressive symptoms than normal-weight participants. Such likelihood is greater for females. Health promotion interventions to treat or prevent obesity could also consider mental health outcomes. Systematic Review Registration: PROSPERO registration no. CRD42019154132.


GODINA-FLORES, N.L., GUTIERREZ-GÓMEZ, Y.Y., GARCÍA-BOTELLO, M., LÓPEZ-CRUZ, L., MORENO-GARCÍA, C.F. and ACEVES-MARTINS, M. 2023. Obesity and its association with mental health among Mexican children and adolescents: systematic review. Nutrition reviews [online], 81(6). pages 658-669. Available from:

Journal Article Type Review
Acceptance Date Sep 26, 2022
Online Publication Date Sep 26, 2022
Publication Date Jun 30, 2023
Deposit Date Oct 13, 2022
Publicly Available Date Oct 13, 2022
Journal Nutrition reviews
Print ISSN 0029-6643
Electronic ISSN 1753-4887
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 81
Issue 6
Pages 658-669
Keywords Adolescents; Anxiety; Children; Depression; Mexico; Obesity
Public URL
Additional Information This article has been published with separate supporting information. This supporting information has been incorporated into a single file on this repository and can be found at the end of the file associated with this output.


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