Peer Intervention in Obesity and Physical Activity: Effectiveness and Implementation

TY - JOUR

T1 - Peer Intervention in Obesity and Physical Activity

T2 - Effectiveness and Implementation

AU - Topping, Keith J.

N1 - Copyright: © The Author(s) 2025.

PY - 2025/4/3

Y1 - 2025/4/3

N2 - Purpose of Review: This paper reports the effectiveness of peer intervention in physical activity and obesity, with a focus on implementation. Peer intervention is a parallel method to traditional professional clinical processes, often targeting hard to reach populations. It includes peer education, peer counseling and peer support. Recent Findings: There were ten reviews on Physical Activity and seven on Obesity. Six reviews on obesity had mainly positive results; one on obesity in mental health was more negative. About two-thirds of reviews of Physical Activity interventions had positive outcomes. The overall effect was moderate. There were 39 single studies on Obesity and 46 on Physical Activity. 36% of Obesity studies and 13% of Physical Activity studies were from developing countries. Three single studies from developing countries and three from developed countries were elaborated. The extensively described implementation program was from a developed country. Summary: Discussion of limitations and strengths led to recommendations for implementation and evaluation. Overall, peer intervention in both obesity and physical activity showed quite strong evidence of effectiveness. Had all studies followed the implementation/evaluation recommendations, the strength of evidence might have been better. Future research should focus on cost-effectiveness and long-term follow-up.

AB - Purpose of Review: This paper reports the effectiveness of peer intervention in physical activity and obesity, with a focus on implementation. Peer intervention is a parallel method to traditional professional clinical processes, often targeting hard to reach populations. It includes peer education, peer counseling and peer support. Recent Findings: There were ten reviews on Physical Activity and seven on Obesity. Six reviews on obesity had mainly positive results; one on obesity in mental health was more negative. About two-thirds of reviews of Physical Activity interventions had positive outcomes. The overall effect was moderate. There were 39 single studies on Obesity and 46 on Physical Activity. 36% of Obesity studies and 13% of Physical Activity studies were from developing countries. Three single studies from developing countries and three from developed countries were elaborated. The extensively described implementation program was from a developed country. Summary: Discussion of limitations and strengths led to recommendations for implementation and evaluation. Overall, peer intervention in both obesity and physical activity showed quite strong evidence of effectiveness. Had all studies followed the implementation/evaluation recommendations, the strength of evidence might have been better. Future research should focus on cost-effectiveness and long-term follow-up.

KW - Peer intervention

KW - Peer education

KW - Peer counseling

KW - Peer support

KW - Developing countries

KW - Implementation

UR - https://www.scopus.com/pages/publications/105001738762

U2 - 10.1007/s13679-025-00625-z

DO - 10.1007/s13679-025-00625-z

M3 - Review article

C2 - 40175646

SN - 2162-4968

VL - 14

JO - Current Obesity Reports

JF - Current Obesity Reports

M1 - 29

ER -