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A Systematic Review of Obesity Disparities Research
Charlotte A Pratt1, Catherine M Loria1, Sonia S Arteaga1
1NIH, Bethesda, Maryland.
American Journal of Preventive Medicine
|March 26, 2017
Summary
Obesity disparities research needs longer, community-wide interventions. Current trials are short-term and individually focused, showing limited impact on body mass index (BMI).
Area of Science:
- Public Health
- Clinical Research
- Health Disparities
Background:
- Obesity disparities research requires updated literature reviews to identify research gaps.
- Focus on populations with high obesity prevalence and cardiometabolic risk is crucial.
Purpose of the Study:
- To systematically review interventions addressing obesity disparities.
- To identify gaps and guide future research in obesity disparities.
Main Methods:
- Systematic review of clinical trials (2011-2016) from PubMed/MEDLINE.
- Excluded non-BMI/weight outcome studies, foreign trials, secondary analyses, and reviews.
- Supplemented with National, Heart, Lung and Blood Institute (NHLBI) grant data.
Main Results:
- 49 trials focused on individual, short-term behavioral modifications in single settings.
- Meta-analysis of 13 adult trials showed a pooled BMI reduction of -1.31 (p=0.0012).
- Only 19% of ongoing NHLBI obesity grants were clinical trials.
Conclusions:
- Future obesity disparities research should be long-term and population-focused.
- Multilevel, policy, environmental, and community-wide interventions are recommended.
- Emphasis on cardiovascular-related disparities research is needed.
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