Comprehensive application of a systems approach to obesity prevention: a scoping review of empirical evidence.

Comprehensive application of a systems approach to obesity prevention: a scoping review of empirical evidence.
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肥胖症预防系统方法的综合应用:经验证据的范围审查。

DOI:
10.3389/fpubh.2023.1015492
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发表时间:
2023
影响因子:
5.2
通讯作者:
Foster, Charlie
Foster, Charlie
中科院分区:
医学3区
文献类型:
--
作者:
Li, Bai;Alharbi, Mohammed;Allender, Steve;Swinburn, Boyd;Peters, Remco;Foster, Charlie

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越来越多的人呼吁采取系统的方法来预防肥胖。然而,对于系统方法在实践中需要什么,存在混淆,而且这种新方法的经验证据尚不清楚。本综述旨在识别和综合在干预措施制定、交付/实施和评估方面全面应用系统方法预防肥胖的研究/规划。通过检索国际数据库和灰色文献,只有3项研究(10篇出版物)符合纳入标准,部分原因可能是报告不理想。由于证据基础有限,目前还不能就这种方法的有效性得出结论。我们确定了纳入的研究共有的共同特征,例如测量正在进行的变化,以及终点结果,并支持能力建设。确定了在实践中应用综合系统方法的一些促进因素和障碍。需要更多精心设计和报告的研究,特别是来自低收入和中等收入国家的研究。
A systems approach to obesity prevention is increasingly urged. However, confusion exists on what a systems approach entails in practice, and the empirical evidence on this new approach is unclear. This scoping review aimed to identify and synthesise studies/programmes that have comprehensively applied a systems approach to obesity prevention in intervention development, delivery/implementation, and evaluation. By searching international databases and grey literature, only three studies (10 publications) met inclusion criteria, which might be explained partially by suboptimal reporting. No conclusion on the effectiveness of this approach can be drawn yet due to the limited evidence base. We identified common features shared by the included studies, such as measuring ongoing changes, in addition to endpoint outcomes, and supporting capacity building. Some facilitators and barriers to applying a comprehensive systems approach in practice were identified. More well-designed and reported studies are needed, especially from low- and middle-income countries.
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