Zeb Aurang, Sivarajan Froelicher Erika, Pienaar Abel Jacobus, Dhamani Khairunnisa
Shifa Colleg of Nursing, Shifa Tameer-e-Millat University, Pakistan.
Department of Physiological Nursing, Schools of Nursing, Department of Epidemiology and Biostatistics, Schools of Medicine, University of California San Francisco, San Francisco, CA 94143-0610, USA Visitng Professor Shifa College of Nursing, STMU, Pakistan.
Iran J Nurs Midwifery Res. 2024 Jan 9;29(1):16-22. doi: 10.4103/ijnmr.ijnmr_120_22. eCollection 2024 Jan-Feb.
Obesity is a significant health problem worldwide and an alarming problem in the developed world including the United States of America and European populations. Subsequently, obesity can lead to different health problems, such as non-communicable diseases. However, it can be prevented through a healthy diet, exercise, and lifestyle modification. The study's purpose was to analyze the published literature on community-based obesity interventions and to present a comprehensive summary of how to reduce the body weight, Body Mass Index (BMI), and Waist Circumference (WC) among overweight and obese individuals in the community through health education and behavior interventions.
The meta-analysis was conducted in February-July 2021, searching CINAHL, Cochrane Library, Google Scholar, PubMed, and Science Direct databases. Studies published during the prior 12 years on community-based obesity intervention for weight, BMI, and WC were included in this review. Cochrane Revman software was used for meta-analysis.
Seventeen studies met the selection criteria for the review. A meta-analysis of the studies on health education and behavioral intervention studies resulted in a statistically significant reduction at 95% confidence intervals in the mean differences of BMI -1.19 (-1.77, -0.62) and WC -1.11 (-1.54, -0.68).
Community-based obesity interventions through health education and behavior interventions effectively reduce the body weight, BMI, and WC. Implementing community-based health education and behavioral interventions effectively prevents and treats obesity in communities.
肥胖是全球一个重大的健康问题,在包括美国和欧洲人群在内的发达国家是一个令人担忧的问题。随后,肥胖会导致不同的健康问题,如非传染性疾病。然而,它可以通过健康饮食、运动和生活方式的改变来预防。该研究的目的是分析已发表的关于社区肥胖干预措施的文献,并全面总结如何通过健康教育和行为干预来降低社区中超重和肥胖个体的体重、体重指数(BMI)和腰围(WC)。
荟萃分析于2021年2月至7月进行,检索了CINAHL、Cochrane图书馆、谷歌学术、PubMed和科学Direct数据库。本综述纳入了过去12年发表的关于基于社区的肥胖干预对体重、BMI和WC影响的研究。使用Cochrane Revman软件进行荟萃分析。
17项研究符合该综述的选择标准。对健康教育和行为干预研究的荟萃分析结果显示,在95%置信区间内,BMI平均差异-1.19(-1.77,-0.62)和WC平均差异-1.11(-1.54,-0.68)有统计学意义的降低。
通过健康教育和行为干预的社区肥胖干预措施能有效降低体重、BMI和WC。实施基于社区的健康教育和行为干预措施能有效预防和治疗社区中的肥胖症。