建筑环境与饮食摄入、身体活动和肥胖之间的关联:综述的综述。

Associations between the built environment and dietary intake, physical activity, and obesity: A scoping review of reviews.

机构信息

Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.

Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.

出版信息

Obes Rev. 2021 Apr;22(4):e13171. doi: 10.1111/obr.13171. Epub 2020 Dec 27.

Abstract

There exists a large body of literature examining the association between built environment factors and dietary intake, physical activity, and weight status; however, synthesis of this literature has been limited. To address this gap, we conducted a scoping review of reviews and identified 74 reviews and meta-analyses that investigated the association between built environment factors and dietary intake, physical activity, and/or weight status. Results across reviews were mixed, with heterogeneous effects demonstrated in terms of strength and statistical significance; however, preliminary support was identified for several built environment factors. For example, quality of dietary intake appeared to be associated with the availability of grocery stores, higher levels of physical activity appeared to be most consistently associated with greater walkability, and lower weight status was associated with greater diversity in land-use mix. Overall, reviews reported substantial concern regarding methodological limitations and poor quality of existing studies. Future research should focus on improving study quality (e.g., using longitudinal methods, including natural experiments, and newer mobile sensing technologies) and consensus should be drawn regarding how to define and measure both built environment factors and weight-related outcomes.

摘要

有大量文献研究了建筑环境因素与饮食摄入、身体活动和体重状况之间的关系;然而,对这些文献的综合分析受到了限制。为了解决这一差距,我们对综述进行了范围界定审查,确定了 74 篇综述和荟萃分析,这些综述和荟萃分析调查了建筑环境因素与饮食摄入、身体活动和/或体重状况之间的关系。综述结果参差不齐,在强度和统计学意义上表现出异质性影响;然而,初步支持了几种建筑环境因素。例如,饮食质量似乎与杂货店的供应情况有关,较高水平的身体活动似乎与更高的可步行性最一致相关,而较低的体重状况与土地利用组合的多样性有关。总的来说,综述报告对现有研究方法上的局限性和质量差表示了极大的关注。未来的研究应侧重于提高研究质量(例如,使用纵向方法,包括自然实验和更新的移动感应技术),并就如何定义和衡量建筑环境因素和与体重相关的结果达成共识。

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