The Impact of Nutrition-Based Interventions on Nutritional Status and Metabolic Health in Small Island Developing States: A Systematic Review and Narrative Synthesis.
The Impact of Nutrition-Based Interventions on Nutritional Status and Metabolic Health in Small Island Developing States: A Systematic Review and Narrative Synthesis.
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作者：
小岛屿发展中国家(SID)营养不良、能量密集的饮食导致营养相关疾病负担沉重。针对这些问题，我们评估了以营养为基础的干预措施对小岛屿发展中国家人群营养状况(营养不足)和代谢健康(营养过剩)的有效性。我们纳入了基于小岛屿发展中国家的营养研究，结果是营养状况的变化(例如贫血的标志物)或代谢状态的变化(例如血糖的标志物)。应用PRISMA框架，检索MEDLINE、EMBASE、CINAHL、OARE图书馆、Web of Science、Scope、Assia、EconLit、AGORA、AGICOLA、AGRIS、WHO-EMRO和LILAS(2000-2020年)。Cochrane Risk of Bias(ROB)和Cochrane Robins-I工具分别对随机和非随机研究的ROB进行评估。PROSPERO注册(CRD42021236396)。我们纳入了50项符合条件的干预措施，涉及37,591名参与者：14项关于营养状况的试验，36项关于代谢健康的试验。在个人一级评估的有效干预措施对代谢结果采取了多方面的方法；而营养结果则利用了补充剂。大多数干预类型适合于与营养过度与营养不足相关的问题。26项研究(营养状况(6项)；代谢健康(20项))有效(p<；0.05)。随着目前与营养有关的公共卫生挑战的增加，有必要在人口一级进一步发展和评估这些干预措施和相关干预措施。
Small island developing states (SIDS) have a high burden of nutrition-related disease associated with nutrient-poor, energy-dense diets. In response to these issues, we assessed the effectiveness of nutrition-based interventions on nutritional status (under-nutrition) and metabolic health (over-nutrition) among persons in SIDS. We included SIDS-based nutrition studies with change in nutrition status (e.g., markers of anaemia) or metabolic status (e.g., markers of glycaemia) as outcomes. The PRISMA framework was applied and MEDLINE, Embase, CINAHL, OARE library, Web of Science, Scopus, ASSIA, EconLit, AGORA, AGRICOLA, AGRIS, WHO-EMRO, and LILACS were searched (2000–2020). Cochrane risk of bias (ROB) and Cochrane ROBINS-I tools assessed ROB for randomised and non-randomised studies, respectively. PROSPERO registration (CRD42021236396) was undertaken. We included 50 eligible interventions, involving 37,591 participants: 14 trials reported on nutritional status, 36 on metabolic health. Effective interventions, evaluated at the individual level, took a multifaceted approach for metabolic outcomes; while nutrition outcomes utilised supplements. Most intervention types were suitable for issues related to ‘over’ nutrition versus ‘under’ nutrition. Twenty-six studies (nutrition status (six); metabolic health (twenty)) were effective (p < 0.05). With the current rise of nutrition-related public health challenges, there is a need for further development and evaluation of these and related interventions at the population level.
影响因子：
2.2
作者：
Porrata-Maury C;Hernández-Triana M;Rodríguez-Sotero E;Vilá-Dacosta-Calheiros R;Hernández-Hernández H;Mirabal-Sosa M;Campa-Huergo C;Pianesi M
通讯作者：
Pianesi M
影响因子：
3.7
作者：
Iannotti L;Dulience SJ;Joseph S;Cooley C;Tufte T;Cox K;Eaton J;Delnatus JR;Wolff PB
通讯作者：
Wolff PB