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The effect of Public Health/Pediatric Obesity interventions on socioeconomic inequalities in childhood obesity: A scoping review
Childhood obesity has a strong social gradient. This scoping review aims to synthesize the evidence on the impact on inequalities of non‐targeted interventions to reduce the prevalence of childhood and adolescent obesity in high‐income countries. We updated a review by Hillier‐Brown, searching up to...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6899709/ https://www.ncbi.nlm.nih.gov/pubmed/31468647 http://dx.doi.org/10.1111/obr.12931 |
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author | Venturelli, Francesco Ferrari, Francesca Broccoli, Serena Bonvicini, Laura Mancuso, Pamela Bargellini, Annalisa Giorgi Rossi, Paolo |
author_facet | Venturelli, Francesco Ferrari, Francesca Broccoli, Serena Bonvicini, Laura Mancuso, Pamela Bargellini, Annalisa Giorgi Rossi, Paolo |
author_sort | Venturelli, Francesco |
collection | PubMed |
description | Childhood obesity has a strong social gradient. This scoping review aims to synthesize the evidence on the impact on inequalities of non‐targeted interventions to reduce the prevalence of childhood and adolescent obesity in high‐income countries. We updated a review by Hillier‐Brown, searching up to 31 December 2017 on MEDLINE, Embase, The Cochrane Library, CINAHL, and PsycINFO, with no limitations on study design. Fifty‐eight studies describing 51 interventions were included: 31 randomized clinical trials and 27 non‐randomized trials, with sample sizes from 67 to 2,700,880 subjects. The majority were implemented in the school setting at a community level; the others were in health services or general population setting and targeting individuals or the system. Twenty‐nine interventions proved to be effective overall; seven others had an effect only in a subgroup, while 15 proved not to be effective. All types of included interventions can increase inequalities. Moreover, some interventions had opposite effects based on the socioeconomic characteristics. Any kind of intervention can reduce equity. Consequences are difficult to predict based on intervention construct. Complex interventions acting on multiple targets, settings, and risk factors are more effective and have a lower risk of increasing inequalities. |
format | Online Article Text |
id | pubmed-6899709 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-68997092019-12-19 The effect of Public Health/Pediatric Obesity interventions on socioeconomic inequalities in childhood obesity: A scoping review Venturelli, Francesco Ferrari, Francesca Broccoli, Serena Bonvicini, Laura Mancuso, Pamela Bargellini, Annalisa Giorgi Rossi, Paolo Obes Rev Public Health/Pediatric Obesity Childhood obesity has a strong social gradient. This scoping review aims to synthesize the evidence on the impact on inequalities of non‐targeted interventions to reduce the prevalence of childhood and adolescent obesity in high‐income countries. We updated a review by Hillier‐Brown, searching up to 31 December 2017 on MEDLINE, Embase, The Cochrane Library, CINAHL, and PsycINFO, with no limitations on study design. Fifty‐eight studies describing 51 interventions were included: 31 randomized clinical trials and 27 non‐randomized trials, with sample sizes from 67 to 2,700,880 subjects. The majority were implemented in the school setting at a community level; the others were in health services or general population setting and targeting individuals or the system. Twenty‐nine interventions proved to be effective overall; seven others had an effect only in a subgroup, while 15 proved not to be effective. All types of included interventions can increase inequalities. Moreover, some interventions had opposite effects based on the socioeconomic characteristics. Any kind of intervention can reduce equity. Consequences are difficult to predict based on intervention construct. Complex interventions acting on multiple targets, settings, and risk factors are more effective and have a lower risk of increasing inequalities. John Wiley and Sons Inc. 2019-08-29 2019-12 /pmc/articles/PMC6899709/ /pubmed/31468647 http://dx.doi.org/10.1111/obr.12931 Text en © 2019 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Public Health/Pediatric Obesity Venturelli, Francesco Ferrari, Francesca Broccoli, Serena Bonvicini, Laura Mancuso, Pamela Bargellini, Annalisa Giorgi Rossi, Paolo The effect of Public Health/Pediatric Obesity interventions on socioeconomic inequalities in childhood obesity: A scoping review |
title | The effect of Public Health/Pediatric Obesity interventions on socioeconomic inequalities in childhood obesity: A scoping review |
title_full | The effect of Public Health/Pediatric Obesity interventions on socioeconomic inequalities in childhood obesity: A scoping review |
title_fullStr | The effect of Public Health/Pediatric Obesity interventions on socioeconomic inequalities in childhood obesity: A scoping review |
title_full_unstemmed | The effect of Public Health/Pediatric Obesity interventions on socioeconomic inequalities in childhood obesity: A scoping review |
title_short | The effect of Public Health/Pediatric Obesity interventions on socioeconomic inequalities in childhood obesity: A scoping review |
title_sort | effect of public health/pediatric obesity interventions on socioeconomic inequalities in childhood obesity: a scoping review |
topic | Public Health/Pediatric Obesity |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6899709/ https://www.ncbi.nlm.nih.gov/pubmed/31468647 http://dx.doi.org/10.1111/obr.12931 |
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