De Santis Karina Karolina, Stiens Lisa, Christianson Lara, Forberger Sarah
Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
Leibniz Science Campus Digital Public Health Bremen, Germany.
SAGE Open Med. 2025 Jun 20;13:20503121251348374. doi: 10.1177/20503121251348374. eCollection 2025.
INTRODUCTION: Recommender systems are technology-based systems that generate recommendations or guide users to relevant information. This study is a scoping review aiming to describe what is known about the recommender systems for obesity prevention according to systematic reviews on this topic. METHODS: This scoping review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA ScR) guideline. Out of 148 records labeled as reviews in the database and online searches until October 2023, 10 reviews fulfilled the inclusion criteria according to the Population, Concept, and Context framework: Population (human), Concept (recommender systems), and Context (obesity prevention). Bibliographic, population, concept, and context characteristics, and topics addressed in reviews were charted and synthesized using relative frequencies or described narratively. An overlap that occurs when the same primary studies are included in multiple reviews was assessed as the overall Corrected Covered Area (CCA: 0%-5% low overlap to ⩾15% very high overlap). RESULTS: The reviews were published between 2017 and 2023 and included 308 primary studies. The overlap in primary studies among the 10 reviews was low (CCA = 1.29%). The reviews described the recommender system properties ( = 8) or their implementation ( = 2) in any ( = 6) or specific populations (e.g., elderly; = 4) and focused on nutrition ( = 9) and physical activity ( = 4) within obesity prevention context. The topics addressed in reviews were recommendation generation (i.e., technical system properties; = 9), health content (e.g., nutritional advice; = 7), and implementation (i.e., system evaluation and user application; = 5). The evidence gaps included the need for new system development and evaluation ( = 8) and a focus on diverse health contexts ( = 4). CONCLUSION: Evidence from past reviews suggests that despite the existence of several technical solutions, there is yet no consensus on how to generate the most accurate nutrition recommendations in the obesity prevention context. Future studies addressing system and user outcome evaluation are needed to identify the optimal parameters for any long-term behavior change in recommender system users.
引言:推荐系统是基于技术的系统,可生成推荐内容或引导用户获取相关信息。本研究是一项范围综述,旨在根据关于这一主题的系统评价,描述已知的肥胖预防推荐系统。 方法:本范围综述遵循系统评价和Meta分析扩展版的范围综述报告规范(PRISMA ScR)指南。在数据库和在线搜索中标记为综述的148条记录中,截至2023年10月,有10篇综述根据人群、概念和背景框架符合纳入标准:人群(人类)、概念(推荐系统)和背景(肥胖预防)。使用相对频率绘制并综合了综述中的文献目录、人群、概念和背景特征以及所涉及的主题,或进行了叙述性描述。当同一项原始研究被纳入多篇综述时出现的重叠情况,被评估为总体校正覆盖面积(CCA:0%-5%为低重叠,≥15%为非常高的重叠)。 结果:这些综述发表于2017年至2023年之间,共纳入308项原始研究。10篇综述中原始研究的重叠度较低(CCA = 1.29%)。这些综述描述了推荐系统的属性(= 8)或其在任何(= 6)或特定人群(如老年人;= 4)中的实施情况(= 2),并聚焦于肥胖预防背景下的营养(= 9)和身体活动(= 4)。综述中涉及的主题包括推荐生成(即技术系统属性;= 9)、健康内容(如营养建议;= 7)和实施(即系统评估和用户应用;= 5)。证据空白包括需要开展新的系统开发和评估(= 8)以及关注多样化的健康背景(= 4)。 结论:以往综述的证据表明,尽管存在多种技术解决方案,但在肥胖预防背景下如何生成最准确的营养推荐尚无共识。需要开展针对系统和用户结果评估的未来研究,以确定推荐系统用户长期行为改变的最佳参数。
SAGE Open Med. 2025-6-20
Cochrane Database Syst Rev. 2020-10-19
Cochrane Database Syst Rev. 2018-9-19
J Med Internet Res. 2025-1-28
Cochrane Database Syst Rev. 2022-7-8
Cochrane Database Syst Rev. 2021-4-19
Health Technol Assess. 2006-9
Cochrane Database Syst Rev. 2018-1-16
Int J Med Inform. 2025-3
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2024-3
Int J Environ Res Public Health. 2023-2-27
J Med Internet Res. 2023-1-19
Int J Environ Res Public Health. 2022-11-16
Res Synth Methods. 2022-5
J Med Internet Res. 2022-1-28