Deakin University, Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Geelong, Victoria, Australia
Deakin University, Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Geelong, Victoria, Australia.
BMJ Open. 2024 Jul 11;14(7):e083646. doi: 10.1136/bmjopen-2023-083646.
To examine how gender-sensitive community weight-loss programmes have been used to address overweight and obesity in men and to identify what can be learnt from this rapidly evolving field.
Scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review checklist for reporting.
A database search was conducted using EBSCOhost (Academic Search Complete, CINAHL Complete, Global Health, Health Source: Consumer Edition, Health Source: Nursing/Academic Edition and Medline Complete), Google, Google Scholar, Open Access Theses and Dissertations platform and Scopus.
All weight-loss programmes using a gender-sensitive approach to address men's overweight and obesity in community settings.
Narrative synthesis was conducted based on the research questions and objectives. Primary outcomes include operationalisation, context and concept of the gender-sensitive approach. Information was reviewed and extracted to Microsoft Excel by two reviewers.
A total of 40 studies (28 quantitative, eight mixed methods and four qualitative) were identified from 4617 records. Gender-sensitive approaches were undertaken in a range of settings and contexts including professional sports clubs (n=21), non-professional sporting clubs (n=16), workplace-based (n=2) and commercial organisation-based (n=1). The most common analysis approaches were evaluating the effect of the programmes (n=31) where positive impact was predominantly shown (eg, up to 3.9 kg weight reduction at 3-month follow-up). Programmes (ie, Football Fans in Training) were short-term cost-effective (eg, the cost was £862-£2228 per 5% weight reduction at 12-month follow-up). Qualitative evidence highlights factors that influenced men's participation (eg, camaraderie) and identifies areas for improvement.
The findings demonstrate that gender-sensitive programmes for men's weight loss have been effectively applied using a range of different approaches and in a range of different contexts. Further evidence is needed to confirm the effectiveness of the programmes across diverse groups of men.
研究性别敏感型社区减肥计划如何用于解决男性超重和肥胖问题，并确定从这个快速发展的领域可以学到什么。
按照系统评价和荟萃分析扩展的首选报告项目清单对范围综述进行的范围综述。
使用 EBSCOhost（学术搜索完整、CINAHL 完整、全球健康、健康源：消费者版、健康源：护理/学术版和 Medline 完整）、Google、Google Scholar、开放获取论文和学位平台以及 Scopus 进行数据库搜索。
所有使用性别敏感方法解决社区环境中男性超重和肥胖问题的减肥计划。
根据研究问题和目标进行叙述性综合。主要结果包括性别敏感方法的操作、背景和概念。由两名评审员对信息进行审查和提取到 Microsoft Excel。
从 4617 条记录中确定了 40 项研究（28 项定量研究、8 项混合方法研究和 4 项定性研究）。性别敏感方法在一系列不同的环境和背景中进行，包括职业体育俱乐部（n=21）、非职业体育俱乐部（n=16）、工作场所（n=2）和商业组织（n=1）。最常见的分析方法是评估计划的效果（n=31），其中显示出积极的影响（例如，在 3 个月随访时体重减少了 3.9 公斤）。计划（即足球迷训练）是短期成本有效的（例如，在 12 个月随访时，每降低 5%的体重，成本为 862-2228 英镑）。定性证据突出了影响男性参与的因素（例如，友谊），并确定了改进的领域。
研究结果表明，性别敏感型男性减肥计划已通过多种不同的方法和在多种不同的环境中有效应用。需要进一步的证据来确认这些计划在不同男性群体中的有效性。
