Maynard Maria J
School of Clinical & Applied Sciences, Leeds Beckett University, City Campus, CL 413, Calverley Building, Leeds, LS1 3HE, UK.
Curr Obes Rep. 2017 Jun;6(2):148-154. doi: 10.1007/s13679-017-0257-8.
The aim of this current narrative review is to critique the scope and value of recent studies with a focus on obesity-related health promotion in faith organizations.
Electronic database searches, scanning of the reference lists of identified articles, and hand searching of journals for articles written in English and published in 2013-2016 revealed 16 studies. Half of the studies involved African-Americans, in churches and with predominantly female participants. Research among other ethnic groups was more likely to be exploratory. All of the 11 studies reporting the impact of programmes on weight-related measures showed favourable outcomes. However, due to study limitations (small sample size, short duration, attrition), significant unbiased effects cannot yet be concluded for most of the interventions reviewed. Study strengths included application of theory in community engagement and detailed description of cultural tailoring. Faith organizations show promise as settings for obesity prevention among high-risk groups, particularly African-Americans. Support for progressing formative work to adequately powered, randomized controlled trials is vital. Wider involvement of diverse faith settings and targeting obesity in men and childhood would be valuable developments.
本叙述性综述旨在对近期研究的范围和价值进行批判性分析，重点关注宗教组织中与肥胖相关的健康促进。
通过电子数据库检索、查阅已识别文章的参考文献列表以及手工检索2013 - 2016年发表的英文期刊文章，共发现16项研究。其中一半的研究涉及非裔美国人，在教堂开展，且主要参与者为女性。针对其他种族群体的研究更倾向于探索性研究。在报告项目对体重相关指标影响的11项研究中，所有研究均显示出良好的结果。然而，由于研究存在局限性（样本量小、持续时间短、失访），对于所审查的大多数干预措施，目前尚不能得出无显著偏倚的效果结论。研究的优势包括在社区参与中应用理论以及对文化调适的详细描述。宗教组织有望成为高危群体（尤其是非裔美国人）预防肥胖的场所。支持将形成性工作推进到有足够样本量的随机对照试验至关重要。让更多不同的宗教场所参与进来，并将肥胖预防目标扩展到男性和儿童，将是有价值的进展。
