Adom Theodosia, Puoane Thandi, De Villiers Anniza, Kengne André Pascal
Nutrition Research Centre, Radiological and Medical Sciences Research Institute, Ghana Atomic Energy Commission, Legon, Ghana.
School of Public Health, Faculty of Community and Health, University of the Western Cape, Bellville, South Africa.
BMJ Open. 2017 Mar 27;7(3):e013540. doi: 10.1136/bmjopen-2016-013540.
The increasing prevalence of obesity and overweight in childhood in developing countries is a public health concern to many governments. Schools play a significant role in the obesity epidemic as well as provide favourable environments for change in behaviours in childhood which can be carried on into adulthood. There is dearth of information on intervention studies in poor-resource settings. This review will summarise the available evidence on school-based interventions that focused on promoting healthy eating and physical activity among learners aged 6-15 years in Africa and to identify factors that lead to successful interventions or potential barriers to success of these programmes within the African context.
This protocol is developed following the guidelines of PRIMSA-P 2015. Relevant search terms and keywords generated from the subject headings and the African search filter will be used to conduct a comprehensive search of MEDLINE (PubMed), MEDLINE (EbscoHost), CINAHL (EbscoHost), Register Academic Search Complete (EbscoHost) and ISI Web of Science (Science Citation Index) for published literature on school-based interventions to prevent and control obesity in learners in Africa. Grey literature will be also be obtained. The searches will cover 1 January 2000 to 30 June 2016. No language limitations will be applied. Full-text articles of eligible studies will be screened. Risk of bias and quality of reporting will be assessed. Data will be extracted, synthesised and presented by country and major regional groupings. Meta-analysis will be conducted for identical variables across studies, where data allow. This protocol is developed following the guidelines of PRISMA-P 2015.
No primary data will be collected hence ethics is not a requirement. The findings will be submitted for publication in peer-reviewed journals, in conferences and in policy documents for decision-making, where needed.
发展中国家儿童肥胖和超重患病率不断上升，这是许多政府关注的公共卫生问题。学校在肥胖流行中起着重要作用，同时也为儿童行为改变提供了有利环境，这些行为改变可持续至成年。在资源匮乏地区，关于干预研究的信息匮乏。本综述将总结现有证据，这些证据聚焦于非洲6至15岁学习者中以学校为基础的干预措施，这些措施旨在促进健康饮食和体育活动，并确定在非洲背景下导致这些项目成功干预或成功潜在障碍的因素。
本方案是按照PRIMSA - P 2015指南制定的。将使用从主题词和非洲搜索过滤器生成的相关搜索词和关键词，对MEDLINE（PubMed）、MEDLINE（EbscoHost）、CINAHL（EbscoHost）、Register Academic Search Complete（EbscoHost）和ISI Web of Science（科学引文索引）进行全面搜索，以查找关于非洲学习者预防和控制肥胖的以学校为基础的干预措施的已发表文献。还将获取灰色文献。搜索范围涵盖2000年1月1日至2016年6月30日。不设语言限制。将筛选符合条件研究的全文文章。将评估偏倚风险和报告质量。数据将按国家和主要区域分组进行提取、综合和呈现。在数据允许的情况下，将对各研究中的相同变量进行荟萃分析。本方案是按照PRISMA - P 2015指南制定的。
不收集原始数据，因此无需伦理审查。研究结果将提交发表在同行评审期刊、会议以及必要时用于决策的政策文件中。
