A Systematic Review of Obesity Disparities Research.
Context: A review of interventions addressing obesity disparities could reveal gaps in the literature and provide guidance on future research, particularly for populations with a high prevalence of obesity and obesity-related cardiometabolic risk.Evidence Acquisition: A systematic review of clinical...
| Publicado en: | American Journal of Preventive Medicine Vol. 53; no. 1; pp. 113 - 123 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research systematic review Journal Article |
| Publicado: |
Elsevier B.V.
Jul2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123529641&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 123529641 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07493797 GZ9 jtl: American Journal of Preventive Medicine issn: 07493797 maglogo: N pubinfo: dt: Jul2017 vid: 53 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 123529641 123529641 NLM28341221 123529641 10.1016/j.amepre.2017.01.041 NLM28341221 123529641 ppf: 113 ppct: 10 formats: tig: atl: A Systematic Review of Obesity Disparities Research. aug: au: Pratt, Charlotte A. Loria, Catherine M. Arteaga, Sonia S. Nicastro, Holly L. Lopez-Class, Maria de Jesus, Janet M. Srinivas, Pothur Maric-Bilkan, Christine Schwartz Longacre, Lisa Boyington, Josephine E.A. Wouhib, Abera Gavini, Nara affil: NIH, Bethesda, Maryland sug: subj: Obesity Therapy Cardiovascular Diseases Prevention and Control Weight Reduction Programs Methods Health Status Disparities Behavior Therapy Methods Cardiovascular Diseases Epidemiology Weight Reduction Programs Statistics and Numerical Data Clinical Trials Study Design Obesity Complications Obesity Epidemiology Child Adult Human Prevalence Schools Statistics and Numerical Data Cardiovascular Diseases Etiology Meta Analysis Systematic Review Child: 6-12 years Adult: 19-44 years ab: Context: A review of interventions addressing obesity disparities could reveal gaps in the literature and provide guidance on future research, particularly for populations with a high prevalence of obesity and obesity-related cardiometabolic risk.Evidence Acquisition: A systematic review of clinical trials in obesity disparities research that were published in 2011-2016 in PubMed/MEDLINE resulted in 328 peer-reviewed articles. Articles were excluded if they had no BMI, weight, or body composition measure as primary outcome or were foreign (n=201); were epidemiologic or secondary data analyses of clinical trials (n=12); design or protocol papers (n=54); systematic reviews (n=3); or retracted or duplicates (n=9). Forty-nine published trials were summarized and supplemented with a review of ongoing obesity disparities grants being funded by the National, Heart, Lung and Blood Institute.Evidence Synthesis: Of the 49 peer-reviewed trials, 27 targeted adults and 22 children only or parent-child dyads (5 of 22). Interventions were individually focused; mostly in single settings (e.g., school or community); of short duration (mostly ≤12 months); and primarily used behavioral modification (e.g., self-monitoring) strategies. Many of the trials had small sample sizes and moderate to high attrition rates. A meta-analysis of 13 adult trials obtained a pooled intervention effect of BMI -1.31 (95% CI=-2.11, -0.52, p=0.0012). Institutional review identified 140 ongoing obesity-related health disparities grants, but only 19% (n=27) were clinical trials.Conclusions: The reviews call for cardiovascular-related obesity disparities research that is long term and includes population research, and multilevel, policy, and environmental, or "whole of community," interventions. pubtype: Academic Journal doctype: meta analysis research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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