Evidence shows interventions can improve positive body image in adult women. This systematic review examined the evidence of efficacy of interventions that aimed to increase positive body image in children and young people aged under 18 years. The authors followed PRISMA guidelines for the review. Searches of CINAHL Plus, Medline, PsychINFO, Wiley Online Library, SCOPUS and grey literature were conducted up to February 2021 and identified 4171 papers. Thirteen studies evaluating 12 interventions, designed for children/adolescents aged 9–18 years, were eligible and evaluated using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool. The studies evaluated body appreciation, body-esteem, and embodiment. Studies using cognitive dissonance, peer support, and psychoeducation had evidence of improving body appreciation and body-esteem in adolescent girls. However, evidence of efficacy for younger children and boys was lacking and the studies ranged in methodological quality. Further research should rigorously evaluate positive body image interventions using second-generation measures that assess specific components of positive body image and consider how to promote positive body image in young children and boys.

有证据表明干预措施可以改善成年女性的积极身体形象。该系统评价检查了旨在提高 18 岁以下儿童和青少年积极身体形象的干预措施的有效性证据。作者遵循 PRISMA 指南进行审查。截至 2021 年 2 月，对 CINAHL Plus、Medline、PsychINFO、Wiley Online Library、SCOPUS 和灰色文献进行了搜索，并确定了 4171 篇论文。13 项针对 9-18 岁儿童/青少年设计的 12 项干预措施的研究符合条件，并使用有效公共卫生实践项目 (EPHPP) 质量评估工具进行了评估。这些研究评估了身体欣赏、身体自尊和体现。使用认知失调、同伴支持、和心理教育有证据表明可以改善青春期女孩的身体欣赏和身体自尊。然而，缺乏对年幼儿童和男孩有效的证据，而且研究的方法学质量参差不齐。进一步的研究应使用第二代措施严格评估积极的身体形象干预措施，评估积极身体形象的特定组成部分，并考虑如何促进幼儿和男孩的积极身体形象。