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成人环境因素、能量与脂肪摄入量之间关联的系统评价:是否有证据表明存在鼓励致肥胖饮食摄入的环境?

A systematic review of associations between environmental factors, energy and fat intakes among adults: is there evidence for environments that encourage obesogenic dietary intakes?

作者信息

Giskes Katrina, Kamphuis Carlijn B M, van Lenthe Frank J, Kremers Stef, Droomers Mariel, Brug Johannes

机构信息

School of Public Health and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.

出版信息

Public Health Nutr. 2007 Oct;10(10):1005-17. doi: 10.1017/S1368980007665525. Epub 2007 Feb 22.

Abstract

OBJECTIVE

To review the literature examining associations between environmental factors, energy and fat intakes among adults, and to identify issues for future research.

METHODS

Literature searches of studies published between 1980 and 2004 were conducted in major databases (i.e. PubMed, Human Nutrition, Web of Science, PsychInfo, Sociofile). Additional articles were located by citation tracking.

RESULTS

Twenty-one articles met the inclusion criteria. No study provided a clear conceptualisation of how environmental factors may influence these dietary intakes. Availability, social, cultural and material aspects of the environment were relatively understudied compared with other factors such as seasonal/day of the week variation and work-related factors. Few studies examined the specific environmental factors implicated in the obesity epidemic, and there was little study replication. All studies were observational and cross-sectional.

CONCLUSIONS

It is too premature to conclude whether or not environmental factors play a role in obesogenic and unhealthy dietary intakes. More studies need to examine associations with those environmental factors thought to contribute to obesogenic environments. There needs to be more development in theories that conceptualise the relationship between environmental factors and dietary intakes.

摘要

目的

回顾关于成年人环境因素、能量及脂肪摄入量之间关联的文献,并确定未来研究的问题。

方法

在主要数据库(即PubMed、《人类营养》、《科学引文索引》、PsychInfo、Sociofile)中检索1980年至2004年间发表的研究。通过引文追踪找到其他文章。

结果

21篇文章符合纳入标准。没有研究对环境因素如何影响这些饮食摄入量给出清晰的概念界定。与季节/一周中的日期变化和工作相关因素等其他因素相比,环境的可及性、社会、文化和物质方面的研究相对较少。很少有研究考察与肥胖流行相关的具体环境因素,且研究重复较少。所有研究均为观察性横断面研究。

结论

现在就得出环境因素是否在致肥胖和不健康饮食摄入中起作用的结论还为时过早。需要更多研究来考察与那些被认为会导致致肥胖环境的环境因素之间的关联。在将环境因素与饮食摄入量之间的关系概念化的理论方面,还需要更多的发展。

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