Waugh Rachel, Mireault Amy, Rothfus Melissa A, Gray Megan, Mannette Jessica, Stoneman Scott, Lee-Baggley Dayna, Lengyel Christina, Norris Deborah, Snelgrove-Clarke Erna, Joy Phillip, Grant Shannan
Mount Saint Vincent University, Halifax, NS.
IWK Health, Halifax, NS.
Can J Diet Pract Res. 2025 Mar 1;86(1):471-478. doi: 10.3148/cjdpr-2024-026. Epub 2025 Jan 7.
In this scoping review, "weight-related evidence" is an umbrella for various terms, phrases, and ways in which weight, body size, fatness, and/or obesity present in research and dietetic practice. Canadian Registered Dietitians' perceptions of, experiences with, and/or knowledge of weight-related evidence in nutrition care was identified and mapped. Implementing JBI scoping review methodology, four databases were searched: () CINAHL (EBSCO); () Medline (Ovid); () Embase (Elsevier); and () Scopus (Elsevier). Google and Bing were searched for grey literature. Three JBI-trained independent reviewers completed screening to extraction. Community consultation was conducted using the Delphi Method. Of 2217 results, 67 were included in the review (29 peer-reviewed; 38 grey). Identified frequencies were 67 examples of perception, 54 of experience, and 51 of knowledge. This review identified diverse definitions/perspectives of weight-related evidence, highlighting the benefits of continuing to discuss and explore this topic within and beyond dietetics. Weight-related evidence was identified in nutrition care in various settings, representing nutrition assessment, diagnoses, interventions, monitoring, and evaluation. Focused on dietetic research and practice, this work provides a foundation for future evaluation of dietitian-led intervention fidelity, utility, and effectiveness, using systematic review or other research designs. These Canadian findings can serve as a foundation for a global/international review.
在本范围综述中,“体重相关证据”涵盖了研究和饮食实践中出现的体重、体型、肥胖程度和/或肥胖的各种术语、短语及呈现方式。本研究识别并梳理了加拿大注册营养师对营养护理中体重相关证据的看法、经验及/或知识。采用循证卫生保健国际协作组织(JBI)范围综述方法,检索了四个数据库:(1)护理学与健康领域数据库(CINAHL,EBSCO平台);(2)医学期刊数据库(Medline,Ovid平台);(3)荷兰医学文摘数据库(Embase,爱思唯尔平台);以及(4)Scopus数据库(爱思唯尔平台)。通过谷歌和必应搜索灰色文献。三名接受过JBI培训的独立评审员完成了从筛选到提取的工作。采用德尔菲法进行社区咨询。在2217条结果中,67条被纳入综述(29条经过同行评审;38条为灰色文献)。识别出的频次分别为67例看法、54例经验和51例知识。本综述确定了体重相关证据的不同定义/观点,凸显了在饮食学领域内外继续讨论和探索这一主题的益处。在各种环境下的营养护理中都发现了体重相关证据,涵盖营养评估、诊断、干预、监测和评价。本研究聚焦于饮食学研究与实践,为未来使用系统综述或其他研究设计评估营养师主导的干预措施的保真度、效用和有效性奠定了基础。这些加拿大的研究结果可为全球/国际综述提供基础。