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探索影响超重和肥胖的多方面因素:一项范围综述

Exploring the multifaceted factors influencing overweight and obesity: a scoping review.

作者信息

Jalilzadeh Mohsen, Goharinezhad Salime

机构信息

Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Front Public Health. 2025 Apr 9;13:1540756. doi: 10.3389/fpubh.2025.1540756. eCollection 2025.

Abstract

INTRODUCTION

Obesity and overweight problems in public health have substantial impacts which affect the health status of individuals and community well-being and healthcare service provision worldwide. This scoping review aims to identify and classify factors from social, technological, environmental, economic and political domains which influence obesity and overweight conditions. The systematic analysis of determinants in this study generates usable information to guide public health intervention design and obesity epidemic management strategies.

METHODS

The study utilized the ProQuest, ISI Web of Science, PubMed, and Scopus databases, and it also included grey literature in its analysis. The research objectives focused on identifying factors that contribute to overweight or obesity issues. The researchers used framework analysis to examine the qualitative data collected from these studies.

RESULTS

The synthesis incorporated 121 research studies which satisfied the established criteria. This comprised 98 studies from 46 different countries, 17 studies conducted at the international level, and 6 studies involving multiple countries. Eighty-two factors influencing overweight and obesity were identified as determinants and categorized into five main categories: sociocultural, economic, technological, environmental, and political. Most of the identified determinants belong to the socio-cultural category, which demonstrates their substantial impact on lifestyle and health behaviors.

CONCLUSION

The implementation of public health prevention and intervention programs depends on complete knowledge of all factors that affect overweight and obesity rates. This issue needs a comprehensive approach which analyzes sociocultural aspects together with economic, technological, environmental, and political factors, as well as other policy goals within defined societal challenges. Effective solutions to resolve this situation depend on multi-sectoral collaboration to tackle obesity and promote health-enhancing factors for the entire community.

摘要

引言

公共卫生领域的肥胖和超重问题具有重大影响,影响着全球个人的健康状况、社区福祉以及医疗服务的提供。本范围综述旨在识别和分类来自社会、技术、环境、经济和政治领域中影响肥胖和超重状况的因素。本研究对决定因素进行系统分析,以生成可用信息,为公共卫生干预设计和肥胖流行管理策略提供指导。

方法

该研究利用了ProQuest、ISI Web of Science、PubMed和Scopus数据库,其分析还纳入了灰色文献。研究目标聚焦于识别导致超重或肥胖问题的因素。研究人员使用框架分析法来检验从这些研究中收集的定性数据。

结果

该综述纳入了121项符合既定标准的研究。其中包括来自46个不同国家的98项研究、在国际层面开展的17项研究以及涉及多个国家的6项研究。共识别出82个影响超重和肥胖的因素作为决定因素,并分为五个主要类别:社会文化、经济、技术、环境和政治。大多数已识别的决定因素属于社会文化类别,这表明它们对生活方式和健康行为有重大影响。

结论

公共卫生预防和干预项目的实施依赖于对所有影响超重和肥胖率的因素的全面了解。这个问题需要一种综合方法,该方法要将社会文化方面与经济、技术、环境和政治因素以及既定社会挑战中的其他政策目标一起进行分析。解决这一状况的有效方案取决于多部门合作,以应对肥胖问题并促进整个社区的健康促进因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57b/12014677/043fde3df494/fpubh-13-1540756-g001.jpg

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