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确定有效的肥胖预防干预组件:一个总体审查,绘制系统审查证据的地图
Noor Imad1,2,3, Heidi Turon4,5, Alice Grady2,4,5
1Global Centre for Preventive Health and Nutrition, Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, VIC, Australia.
概括
九种预防肥胖的干预措施在儿童和成年人中显示出有效性. 有效的策略包括数字健康,咨询,营养教育和学校环境政策,以获得更好的BMI结果.
科学领域:
- 公共卫生 公共卫生
- 证据综合 证据综合
- 预防肥胖 预防肥胖
背景情况:
- 肥胖是一个重要的全球健康问题,影响儿童和成年人.
- 有效的肥胖预防策略对于公共卫生至关重要.
- 之前的审查已经综合了证据,但需要对最近的高质量数据进行整合.
研究的目的:
- 在身体质量指数 (BMI) /BMI-for-age z-score (zBMI) 上综合肥胖预防干预措施的有效性.
- 根据高质量,最近的系统审查,确定有效的干预组件.
- 为实施提供方向,并确定研究缺口.
主要方法:
- 根据JBI和Cochrane手册的指导方针进行了系统审查的概述.
- 在五个数据库和灰色文献 (2022年5月) 中进行了搜索.
- 包括30个高质量的,最近的系统性审查 (2010年出版),分析了60个离散干预措施.
主要成果:
- 在改善BMI结果方面,有9项干预措施有效.
- 有效的干预措施包括在医疗机构为成年人提供数字健康/咨询服务.
- 有效的干预措施还包括儿童的行为营养教育,体育修改和学校的食品/饮料政策.
结论:
- 本综述整合了近期高质量综述的证据,以确定有效的肥胖预防成分.
- 结果为实施有效干预提供了指导,并突出了未来研究的领域.
- 确定的差距可能源于缺乏系统性审查而不是初级研究.
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