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一项范围综述方案,旨在梳理关于预防儿童超重和肥胖干预措施的证据。

A scoping review protocol to map the evidence on interventions to prevent overweight and obesity in children.

作者信息

Bussiek Peer-Benedikt Vincent, De Poli Chiara, Bevan Gwyn

机构信息

Department of Management, London School of Economics and Political Science, London, UK.

出版信息

BMJ Open. 2018 Feb 14;8(2):e019311. doi: 10.1136/bmjopen-2017-019311.

Abstract

INTRODUCTION

Obesity has become one of the biggest public health problems of the 21st century. Prevalence of obesity in children and adolescents has increased dramatically worldwide over the last 20 years, and this trend is expected to continue. Obesity in childhood is concerning as it predicts obesity in adulthood, a common risk factor for a wide array of chronic diseases and poor health outcomes. Obesity is preventable and a vast but fragmented body of evidence on preventative interventions is now available. This article outlines the protocol for a scoping review of published literature reviews on interventions to prevent obesity in children. The scoping review addresses the broad research question 'What is the evidence on interventions to prevent childhood obesity?'. It aims to give an overview of the various interventions available, understand those which are effective and identify barriers and facilitators to their effectiveness.

METHODS AND ANALYSIS

The six-staged Arksey and O'Malley methodology framework is used to guide the scoping review process: following the definition of the research questions (stage 1); the eligibility criteria and search strategy are defined (stage 2); the study selection process based on the eligibility criteria identified will follow (stage 3); a framework developed for this review will then inform the extraction and charting of data from the included reviews (stage 4); results will be aggregated and summarised with criteria relevant for health professionals and policy-makers (stage 5); and the optional consultation (stage 6) exercise is not planned.

ETHICS AND DISSEMINATION

Since the scoping review methodology aims at synthetising information from available publications, this study does not require ethical approval. An article reporting the results of the scoping review will be submitted for publication to a scientific journal, presented at relevant conferences and disseminated as part of future workshops with professionals involved in obesity prevention.

摘要

引言

肥胖已成为21世纪最大的公共卫生问题之一。在过去20年里,全球儿童和青少年肥胖率急剧上升,且这一趋势预计将持续。儿童期肥胖令人担忧,因为它预示着成年期肥胖,而成年期肥胖是一系列慢性疾病和不良健康结局的常见危险因素。肥胖是可预防的,目前已有大量但零散的关于预防干预措施的证据。本文概述了一项对已发表的关于预防儿童肥胖干预措施的文献综述进行范围综述的方案。该范围综述解决了一个广泛的研究问题:“关于预防儿童肥胖干预措施的证据有哪些?”。其目的是概述现有的各种干预措施,了解哪些措施有效,并确定其有效性的障碍和促进因素。

方法与分析

采用六阶段的阿克西和奥马利方法框架来指导范围综述过程:首先定义研究问题(第1阶段);确定纳入标准和检索策略(第2阶段);然后根据确定的纳入标准进行研究选择过程(第3阶段);为本次综述制定的框架将为从纳入的综述中提取和整理数据提供指导(第4阶段);结果将根据与卫生专业人员和政策制定者相关的标准进行汇总和总结(第5阶段);并且不计划进行可选的咨询(第6阶段)活动。

伦理与传播

由于范围综述方法旨在综合现有出版物中的信息,本研究无需伦理批准。一篇报告范围综述结果的文章将提交给科学期刊发表,在相关会议上展示,并作为未来与参与肥胖预防的专业人员举办的研讨会的一部分进行传播。

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