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在初级卫生保健环境中针对青少年、成年人和老年人预防、控制及治疗肥胖的有效策略:一项系统评价与荟萃分析方案

Effective strategies for prevention, control, and treatment of obesity in primary health care setting for adolescents, adults, and elderly people: A protocol for systematic review and meta-analysis.

作者信息

Marques Emanuele Souza, Leite Tatiana Henriques, Azeredo Catarina Machado, Cunha Diana Barbosa, Verly Júnior Eliseu

机构信息

Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro School of Medicine, Federal University of Uberlandia, Minas Gerais, Brazil.

出版信息

Medicine (Baltimore). 2018 Jun;97(22):e10925. doi: 10.1097/MD.0000000000010925.

Abstract

BACKGROUND

It is unquestionable that obesity is a global epidemic and one of the main public health problems in the world. The management of obesity in Primary Health Care has an important role if being considered the magnitude and serious consequence of this problem. Despite this, there is no effective standard protocol for the treatment of this disease. Studies that synthesize and assess the effectiveness of strategies for prevention, control, and treatment of obesity in Primary Health Care setting are still scarce. The objective of this study is review and synthesize study evidence for obesity management strategies among adolescents, adults and elderly developed at the Primary Health Care worldwide.

METHODS

Seven electronic databases (Medline, Lilacs, Embase, Psycinfo, Cochrane, WHOLIS and Open Gray) will be searched with no date limit for identification of clinical trials examining the effectiveness of prevention, control and treatment of obesity in Primary Health Care. As primary outcome will be changes in body weight. As secondary outcomes will be body mass index, body adiposity, waist circumference, and waist-hip ratio. Two independent authors will perform the selection of studies, data extraction, and the assessment of risk of bias.

RESULTS

The results will be published in a peer-reviewed journal.

CONCLUSION

This systematic review will be first to synthesize scientific evidence for obesity management strategies at Primary Health Care among adolescents, adults, and elderly. The review will benefit healthcare professionals and policymakers.

ETHICS AND DISSEMINATIONS

Ethical approval is not required in this study because the data used include peer-reviewed publications, which do not comprise any information that could identify subjects.

TRIAL REGISTRATION NUMBER

PROSPERO (CRD42018092416).

摘要

背景

毫无疑问,肥胖是一种全球流行病,也是世界主要的公共卫生问题之一。如果考虑到这一问题的严重程度和后果,初级卫生保健中肥胖的管理具有重要作用。尽管如此,目前尚无有效的肥胖治疗标准方案。综合评估初级卫生保健环境中肥胖预防、控制和治疗策略有效性的研究仍然很少。本研究的目的是回顾和综合全球初级卫生保健机构针对青少年、成年人和老年人制定的肥胖管理策略的研究证据。

方法

将检索七个电子数据库(Medline、Lilacs、Embase、Psycinfo、Cochrane、WHOLIS和Open Gray),检索无时间限制,以识别检验初级卫生保健中肥胖预防、控制和治疗有效性的临床试验。主要结局指标将是体重变化。次要结局指标将是体重指数、体脂率、腰围和腰臀比。两名独立作者将进行研究选择、数据提取和偏倚风险评估。

结果

研究结果将发表在同行评审期刊上。

结论

本系统评价将首次综合初级卫生保健机构中针对青少年、成年人和老年人肥胖管理策略的科学证据。该评价将使医疗保健专业人员和政策制定者受益。

伦理与传播

本研究无需伦理批准,因为所使用的数据包括同行评审出版物,其中不包含任何可识别受试者的信息。

试验注册号

PROSPERO(CRD42018092416)。

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Child and adolescent obesity: part of a bigger picture.儿童和青少年肥胖:更大问题的一部分。
Lancet. 2015 Jun 20;385(9986):2510-20. doi: 10.1016/S0140-6736(14)61746-3. Epub 2015 Feb 19.
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