以社区为基础的干预措施，针对低收入和中等收入国家青少年的多种形式营养不良：系统评价方案。

Community-based interventions targeting multiple forms of malnutrition among adolescents in low-income and middle-income countries: protocol for a scoping review.

机构信息

Heidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany

Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia.

出版信息

BMJ Open. 2024 Mar 28;14(3):e078969. doi: 10.1136/bmjopen-2023-078969.

DOI:10.1136/bmjopen-2023-078969

PMID:38548368

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10982731/

Abstract

BACKGROUND

Adolescent malnutrition is a significant public health challenge in low-income and middle-income countries (LMICs), with long-term consequences for health and development. Community-based interventions have the potential to address multiple forms of malnutrition and improve the health outcomes of adolescents. However, there is a limited understanding of the content, implementation and effectiveness of these interventions. This scoping review aims to synthesise evidence on community-based interventions targeting multiple forms of malnutrition among adolescents in LMICs and describe their effects on nutrition and health.

METHODS AND ANALYSIS

A comprehensive search strategy will be implemented in multiple databases including MEDLINE (through PubMed), Embase, CENTRAL (through Cochrane Library) and grey literature, covering the period from 1 January 2000 to 14 July 2023. We will follow the Participants, Concept and Context model to design the search strategy. The inclusion criteria encompass randomised controlled trials and quasi-experimental studies focusing on adolescents aged 10-19 years. Various types of interventions, such as micronutrient supplementation, nutrition education, feeding interventions, physical activity and community environment interventions, will be considered. Two reviewers will perform data extraction independently, and, where relevant, risk of bias assessment will be conducted using standard Cochrane risk-of-bias tools. We will follow the PRISMA Extension for Scoping Reviews checklist while reporting results.

ETHICS AND DISSEMINATION

The scope of this scoping review is restricted to publicly accessible databases that do not require prior ethical approval for access. The findings of this review will be shared through publications in peer-reviewed journals, and presentations at international and regional conferences and stakeholder meetings in LMICs.

SCOPING REVIEW REGISTRATION

The final protocol was registered prospectively with the Open Science Framework on 19 July 2023 (https://osf.io/t2d78).

摘要

背景

青少年营养不良是低收入和中等收入国家（LMICs）面临的重大公共卫生挑战，对健康和发展有长期影响。基于社区的干预措施有可能解决多种形式的营养不良问题，并改善青少年的健康结果。然而，人们对这些干预措施的内容、实施情况和效果了解有限。本范围综述旨在综合关于针对 LMICs 中青少年多种形式营养不良的基于社区的干预措施的证据，并描述它们对营养和健康的影响。

方法和分析

将在多个数据库中实施全面的搜索策略，包括 MEDLINE（通过 PubMed）、Embase、CENTRAL（通过 Cochrane Library）和灰色文献，涵盖时间范围为 2000 年 1 月 1 日至 2023 年 7 月 14 日。我们将按照参与者、概念和背景模型来设计搜索策略。纳入标准包括针对 10-19 岁青少年的随机对照试验和准实验研究。将考虑各种类型的干预措施，如微量营养素补充、营养教育、喂养干预、身体活动和社区环境干预。两位审稿人将独立进行数据提取，如果相关，将使用标准 Cochrane 偏倚风险工具进行风险评估。我们将按照 PRISMA 扩展范围综述清单报告结果。