Understanding the impact of rural weight loss interventions: A systematic review and meta-analysis.

Autor: Porter GC; Department of Health Promotion, University of Nebraska Medical Center, Omaha, Nebraska, USA., Laumb K; Laumb Consulting, LLC, Minneapolis, Minnesota, USA., Michaud T; Department of Health Promotion, University of Nebraska Medical Center, Omaha, Nebraska, USA., Brito F; Department of Health Promotion, University of Nebraska Medical Center, Omaha, Nebraska, USA., Petreca D; Nucleus of Research in Collective Health & Environment, University of Contestado, Mafra-SC, Brazil., Schwieger G; Department of Health Promotion, University of Nebraska Medical Center, Omaha, Nebraska, USA., Bartee T; Department of Kinesiology and Sport Sciences, University of Nebraska at Kearney, Kearney, Nebraska, USA., Yeary KHK; Department of Health Behavior and Health Education, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA., Estabrooks PA; Department of Health Promotion, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Jazyk: angličtina
Zdroj: Obesity reviews : an official journal of the International Association for the Study of Obesity [Obes Rev] 2019 May; Vol. 20 (5), pp. 713-724. Date of Electronic Publication: 2019 Jan 11.
DOI: 10.1111/obr.12825
Abstrakt: Rural adults have a higher risk of developing obesity than urban adults. Several evidence-based interventions have targeted rural regions, but their impact, defined as reach (number and representativeness of participants) by effectiveness, has not been examined. The purpose of this review was to determine the impact of rural weight loss interventions and the availability of data across dimensions of the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework. A systematic review was conducted to identify rural weight loss interventions that targeted adults. RE-AIM-related data were abstracted from each article. We performed a meta-analysis to examine effectiveness. Sixty-four articles reported on rural weight loss interventions, describing 50 unique interventions. The median number of participants was 107. Median participation rate differed between values reported by the authors (62%) and values computed using a standard method (32%). Two studies reported on sample representativeness; none reported comparisons made between target and actual delivery settings. Median weight loss per participant was 3.64 kg. Meta-analyses revealed the interventions achieved a significant weight reduction, and longer-duration interventions resulted in greater weight loss. Rural weight loss interventions appear to be effective in supporting clinically meaningful weight loss but reach and cost outcomes are still difficult to determine.
(© 2019 World Obesity Federation.)
Databáze: MEDLINE
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