Upton Ashleigh, Spirou Dean, Craig Matthew, Saul Natalie, Winmill Olivia, Hay Phillipa, Raman Jayanthi
School of Psychological Sciences, University of Newcastle, Newcastle, Australia.
Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia.
Obes Rev. 2025 Jun;26(6):e13904. doi: 10.1111/obr.13904. Epub 2025 Feb 11.
Obesity is a preventable global health epidemic that has serious health consequences. Health literacy has been identified as an underlying and modifiable factor in the development and maintenance of obesity. Adequate levels of health literacy have been shown to significantly impact on weight loss, weight loss maintenance, and associated health outcomes.
The aim of the current study was to systematically review extant literature to evaluate the way in which health literacy is measured for individuals with obesity and to identify the key areas of health literacy that are commonly assessed.
This systematic scoping review was conducted over five databases and yielded 12 papers (N = 15,393) that represented our search strategy and inclusion and exclusion criteria.
The review highlighted there are currently multiple measures that exist that assess independent or dual domains of health literacy; however, there were no studies that specifically utilized a measure that holistically assessed the three maintaining and modifiable domains of health literacy of obesity (psychological knowledge, nutritional knowledge, and knowledge about physical activity).
Given the dearth of targeted health literacy measures for obesity, our findings highlighted a critical need to develop a distinct measure of health literacy for obesity to guide policy, research, education, and intervention.
肥胖是一种可预防的全球健康流行病，会产生严重的健康后果。健康素养已被确定为肥胖发生和维持的一个潜在且可改变的因素。已有研究表明，足够的健康素养水平对体重减轻、体重维持以及相关健康结果有显著影响。
本研究旨在系统回顾现有文献，以评估测量肥胖个体健康素养的方式，并确定通常评估的健康素养关键领域。
在五个数据库上进行了这项系统的范围综述，得到了12篇论文（N = 15393），这些论文代表了我们的检索策略以及纳入和排除标准。
综述强调目前存在多种评估健康素养独立或双重领域的测量方法；然而，没有研究专门使用一种能全面评估肥胖健康素养三个维持和可改变领域（心理知识、营养知识和体育活动知识）的测量方法。
鉴于针对肥胖的针对性健康素养测量方法匮乏，我们的研究结果突出表明迫切需要开发一种独特的肥胖健康素养测量方法，以指导政策、研究、教育和干预。
