肥胖干预证据综合:缺口在哪里,我们应该首先解决哪些问题?
Michelle Blaxall1, Rachel Richardson2, Anel Schoonees3
1School of Medicine, University of Auckland, Auckland, New Zealand.
概括
识别肥胖干预证据中的差距对于有效的预防和治疗策略至关重要. 专家们优先考虑了10个关键研究问题,重点关注基于社区的方法和特定人群.
科学领域:
- 公共卫生 公共卫生
- 证据综合 证据综合
- 肥胖问题研究研究
背景情况:
- 卫生专业人员和政策制定者需要高质量的综合证据来预防和治疗肥胖.
- 目前关于肥胖干预措施的证据基础存在重大差距.
研究的目的:
- 识别和优先考虑肥胖干预的综合证据中的研究缺口.
- 制定和优先考虑系统审查问题,解决这些发现的差距.
主要方法:
- 分析国际实践指南和科克莱恩系统审查,以确定证据缺口.
- 基于发现的差距,制定系统审查问题.
- 与36个国际肥胖专家利益相关者进行优先考虑商.
主要成果:
- 确定了142个部分或完整的证据缺口.
- 专家们优先考虑了43个系统审查问题.
- 排名前10名的问题得到了至少75%的利益相关者的支持,重点是预防性,基于社区的和初级保健干预措施.
结论:
- 优先研究领域包括预防性和基于社区的肥胖干预措施,特别是针对儿童,糖尿病患者和残疾人.
- 进一步的研究应该调查有效的程序元素和交付模式,包括心理社会和长期结果.
- 建议审查者和资助者解决前10个优先考虑的研究问题,以推进肥胖干预证据.
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