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社区药剂师的体重管理咨询:一项范围综述

Weight management counselling among community pharmacists: a scoping review.

作者信息

Rosenthal Meagen, Ward Lori M, Teng Jason, Haines Seena

机构信息

Department of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, MS, USA.

School of Pharmacy, University of Mississippi, University, MS, USA.

出版信息

Int J Pharm Pract. 2018 Dec;26(6):475-484. doi: 10.1111/ijpp.12453. Epub 2018 May 6.

DOI:10.1111/ijpp.12453
PMID:29732639
Abstract

OBJECTIVES

To complete a scoping review of studies of community pharmacy-delivered weight and obesity management services from January 2010 to March 2017.

METHODS

A scoping review was conducted to obtain an overview of research related to the study objective. The PubMed, EBSCO and CINAHL databases were searched from January 2010 to March 2017 for articles examining obesity/weight management in community pharmacies. Included studies had to contain an obesity/weight management programme delivered primarily by community pharmacies. All non-interventional studies were excluded.

KEY FINDINGS

Nine articles were eligible for data extraction. Across the nine included studies, 2141 patients were enrolled. The overwhelming majority of patients enrolled in the studies were female, approximately 50 years of age, had a mean weight of 92.8 kg and mean BMI of 33.8 kg/m at baseline. Patients in these various programmes lost a mean of 3.8 kg, however, two studies demonstrated that long-term (>6 months) weight loss maintenance was not achieved. The average dropout rate for each study ranged from 8.3% to 79%.

CONCLUSIONS

Obesity has a significant impact on the health and wellness of adults globally. Recent research has shown that community pharmacies have the potential to positively impact patient weight loss. However, additional research is needed into the specific interventions that bring the most value to patients and can be sustained and spread across community pharmacy practice.

摘要

目的

对2010年1月至2017年3月期间社区药房提供的体重与肥胖管理服务的研究进行范围综述。

方法

进行范围综述以获得与研究目标相关的研究概述。在2010年1月至2017年3月期间检索了PubMed、EBSCO和CINAHL数据库,以查找有关社区药房肥胖/体重管理的文章。纳入的研究必须包含主要由社区药房提供的肥胖/体重管理计划。所有非干预性研究均被排除。

主要发现

九篇文章符合数据提取条件。在九项纳入研究中,共纳入了2141名患者。参与研究的绝大多数患者为女性,年龄约50岁,基线时平均体重为92.8千克,平均体重指数为33.8千克/平方米。这些不同计划中的患者平均体重减轻了3.8千克,然而,两项研究表明未实现长期(>6个月)体重减轻的维持。每项研究的平均退出率在8.3%至79%之间。

结论

肥胖对全球成年人的健康有着重大影响。最近的研究表明,社区药房有可能对患者体重减轻产生积极影响。然而,需要对能为患者带来最大价值、可在社区药房实践中持续并推广的具体干预措施进行更多研究。

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