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A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults.
Hillier-Brown, F C; Bambra, C L; Cairns, J-M; Kasim, A; Moore, H J; Summerbell, C D.
Afiliação
  • Hillier-Brown FC; 1] Department of Geography, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] School of Medicine, Pharmacy and Health, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [3] Wolfson Research Institute for Health and Wellbeing, Durh
  • Bambra CL; 1] Department of Geography, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
  • Cairns JM; 1] Department of Geography, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
  • Kasim A; Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
  • Moore HJ; 1] School of Medicine, Pharmacy and Health, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
  • Summerbell CD; 1] School of Medicine, Pharmacy and Health, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
Int J Obes (Lond) ; 38(12): 1483-90, 2014 Dec.
Article em En | MEDLINE | ID: mdl-24813369
BACKGROUND: Socioeconomic inequalities in obesity are well established in high-income countries. There is a lack of evidence of the types of intervention that are effective in reducing these inequalities among adults. OBJECTIVES: To systematically review studies of the effectiveness of individual, community and societal interventions in reducing socio-economic inequalities in obesity among adults. METHODS: Nine electronic databases were searched from start date to October 2012 along with website and grey literature searches. The review examined the best available international evidence (both experimental and observational) of interventions at an individual, community and societal level that might reduce inequalities in obesity among adults (aged 18 years or over) in any setting and country. Studies were included if they reported a body fatness-related outcome and if they included a measure of socio-economic status. Data extraction and quality appraisal were conducted using established mechanisms and narrative synthesis was conducted. RESULTS: The 'best available' international evidence was provided by 20 studies. At the individual level, there was evidence of the effectiveness of primary care delivered tailored weight loss programmes among deprived groups. Community based behavioural weight loss interventions and community diet clubs (including workplace ones) also had some evidence of effectiveness-at least in the short term. Societal level evaluations were few, low quality and inconclusive. Further, there was little evidence of long term effectiveness, and few studies of men or outside the USA. However, there was no evidence to suggest that interventions increase inequalities. CONCLUSIONS: The best available international evidence suggests that some individual and community-based interventions may be effective in reducing socio-economic inequalities in obesity among adults in the short term. Further research is required particularly of more complex, multi-faceted and societal-level interventions.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Classe Social / Redução de Peso / Saúde Pública / Serviços de Saúde Comunitária / Programas de Redução de Peso / Promoção da Saúde / Obesidade Tipo de estudo: Clinical_trials / Diagnostic_studies / Evaluation_studies / Health_economic_evaluation / Observational_studies / Systematic_reviews Limite: Adult / Humans Idioma: En Ano de publicação: 2014 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Classe Social / Redução de Peso / Saúde Pública / Serviços de Saúde Comunitária / Programas de Redução de Peso / Promoção da Saúde / Obesidade Tipo de estudo: Clinical_trials / Diagnostic_studies / Evaluation_studies / Health_economic_evaluation / Observational_studies / Systematic_reviews Limite: Adult / Humans Idioma: En Ano de publicação: 2014 Tipo de documento: Article