Primary care-based interventions for treatment of obesity: a systematic review.

Autor: Marques ES; Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil. Electronic address: emanuelesm.ims@gmail.com., Interlenghi GS; Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil., Leite TH; Sergio Arouca National School of Public Health at the Oswaldo Cruz Foundation (ENSP/Fiocruz), Rio de Janeiro, Brazil., Cunha DB; Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil., Verly Júnior E; Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil., Steffen RE; Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil., Azeredo CM; School of Medicine, Federal University of Uberlandia, Minas Gerais, Brazil.
Jazyk: angličtina
Zdroj: Public health [Public Health] 2021 Jun; Vol. 195, pp. 61-69. Date of Electronic Publication: 2021 May 28.
DOI: 10.1016/j.puhe.2021.04.012
Abstrakt: Objective: The objective of this study was to synthesise evidence from primary care-based interventions for the treatment of obesity in adults and the elderly.
Study Design: Systematic review.
Methods: Eight electronic databases (MEDLINE, Lilacs, Embase, Psycinfo, Cochrane, WHOLIS, Open Gray and Scholar Google) were searched. There was no limitation on publication period; articles published in English, Portuguese or Spanish were included. The selection, data extraction and quality analyses were performed by three reviewers.
Results: A literature search retrieved 6464 publications, of which 5120 publications were excluded after reading the title/abstract and 293 after reading the full text. In total, 56 publications, representing 72 interventions were included. All studies were published between 2000 and 2020. Most studies were conducted in high-income countries. The mean duration of interventions was 11.5 months (SD: 7.5), ranging from 3 to 44 months. Most interventions were effective for body mass index reduction, weight loss and waist circumference change.
Conclusion: Our study showed that most interventions were effective for outcomes analysed in adults and the elderly. We also found some literature gaps, such as the need to implement and evaluate obesity after intervention and the requirement to carry out more studies in low- and middle-income countries.
(Copyright © 2021 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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