PDF(Pubmed)
Abstract：
UNASSIGNED: Pasifika populations experience high incidence and prevalence of obesity and T2DM. However, no international review of lifestyle intervention studies amongst Pasifika communities exists. This study seeks to identify the effect and translatability of lifestyle strategies on weight amongst Pasifika populations.
UNASSIGNED: Lifestyle studies involving ≥90% adult Pasifika participants measuring weight change were eligible for inclusion. Database searching was carried out up to December 2021. Databases searched were MEDLINE (Ovid), EMBASE (Ovid), CINAHL (EBSCOhost) and ProQuest Central. Risk of bias was assessed using RoB2 (RCTs) and the National Heart, Lung and Blood Institute (NHLBI) quality assessment tool. Meta-analysis and meta-regression used a bivariate random-effects model. Strategies were coded against pre-identified components of the newly proposed Cultural and Sustainability Assessment of Intervention (CSAI) framework.
UNASSIGNED: Twenty-three studies (n = 4258 participants) met inclusion and exclusion criteria. Thirty-two lifestyle strategies targeting weight loss (WL) and 7 targeting weight maintenance (WM) were extracted. Meta-analysis estimates small but significant effect of -0.26 standard deviations (95% CI -0.51 to -0.02), with RCTs demonstrating a non-significant effect of -0.23 standard deviations (95% CI -0.49 to 0.035). Culturally relevant strategies included community and peer support facilitators and team-based activities. The CSAI identified 14 out of 23 studies with low cultural competency and sustainability scores (<60%).
UNASSIGNED: Qualitative and quantitative analysis show tailored lifestyle interventions has had an estimated small but beneficial effect on WL amongst Pasifika communities. Potential for tailored interventions design to incorporate psychosocial and behavioural considerations. The CSAI has the potential for systematically identifying cultural and sustainability components of efficacy in interventions.
UNASSIGNED: This review was funded under Western Sydney University\'s Postgraduate Research Scholarship.
UNASSIGNED: Lifestyle studies involving ≥90% adult Pasifika participants measuring weight change were eligible for inclusion. Database searching was carried out up to December 2021. Databases searched were MEDLINE (Ovid), EMBASE (Ovid), CINAHL (EBSCOhost) and ProQuest Central. Risk of bias was assessed using RoB2 (RCTs) and the National Heart, Lung and Blood Institute (NHLBI) quality assessment tool. Meta-analysis and meta-regression used a bivariate random-effects model. Strategies were coded against pre-identified components of the newly proposed Cultural and Sustainability Assessment of Intervention (CSAI) framework.
UNASSIGNED: Twenty-three studies (n = 4258 participants) met inclusion and exclusion criteria. Thirty-two lifestyle strategies targeting weight loss (WL) and 7 targeting weight maintenance (WM) were extracted. Meta-analysis estimates small but significant effect of -0.26 standard deviations (95% CI -0.51 to -0.02), with RCTs demonstrating a non-significant effect of -0.23 standard deviations (95% CI -0.49 to 0.035). Culturally relevant strategies included community and peer support facilitators and team-based activities. The CSAI identified 14 out of 23 studies with low cultural competency and sustainability scores (<60%).
UNASSIGNED: Qualitative and quantitative analysis show tailored lifestyle interventions has had an estimated small but beneficial effect on WL amongst Pasifika communities. Potential for tailored interventions design to incorporate psychosocial and behavioural considerations. The CSAI has the potential for systematically identifying cultural and sustainability components of efficacy in interventions.
UNASSIGNED: This review was funded under Western Sydney University\'s Postgraduate Research Scholarship.
摘要：
■Pasifika人群肥胖和T2DM的发病率和患病率很高。然而,目前尚无关于Pasifika社区生活方式干预研究的国际综述.这项研究旨在确定生活方式策略对Pasifika人群体重的影响和可翻译性。
■涉及≥90%的成年Pasifika参与者测量体重变化的生活方式研究符合纳入条件。数据库搜索一直进行到2021年12月。搜索的数据库是MEDLINE(Ovid)，EMBASE(Ovid),CINAHL（EBSCOhost）和ProQuestCentral。使用RoB2（RCTs）和国家心脏评估偏倚风险，肺和血液研究所(NHLBI)质量评估工具。荟萃分析和荟萃回归使用双变量随机效应模型。根据新提出的文化和可持续性干预评估（CSAI）框架的预先确定的组成部分对策略进行了编码。
■23项研究（n=4258名参与者）符合纳入和排除标准。提取了32种针对体重减轻（WL）和7种针对体重维持（WM）的生活方式策略。荟萃分析估计-0.26个标准差(95%CI-0.51至-0.02)的小但显著的影响，RCT显示-0.23标准差(95%CI-0.49至0.035)的非显著影响。与文化相关的策略包括社区和同伴支持促进者以及基于团队的活动。CSAI在23项研究中发现了14项文化能力和可持续性得分较低(<60%)。
■定性和定量分析表明，量身定制的生活方式干预措施对Pasifika社区的WL产生了估计很小但有益的影响。定制干预设计的潜力，以纳入社会心理和行为考虑。CSAI有可能系统地确定干预措施有效性的文化和可持续性组成部分。
■此评论由西悉尼大学研究生研究奖学金资助。
■涉及≥90%的成年Pasifika参与者测量体重变化的生活方式研究符合纳入条件。数据库搜索一直进行到2021年12月。搜索的数据库是MEDLINE(Ovid)，EMBASE(Ovid),CINAHL（EBSCOhost）和ProQuestCentral。使用RoB2（RCTs）和国家心脏评估偏倚风险，肺和血液研究所(NHLBI)质量评估工具。荟萃分析和荟萃回归使用双变量随机效应模型。根据新提出的文化和可持续性干预评估（CSAI）框架的预先确定的组成部分对策略进行了编码。
■23项研究（n=4258名参与者）符合纳入和排除标准。提取了32种针对体重减轻（WL）和7种针对体重维持（WM）的生活方式策略。荟萃分析估计-0.26个标准差(95%CI-0.51至-0.02)的小但显著的影响，RCT显示-0.23标准差(95%CI-0.49至0.035)的非显著影响。与文化相关的策略包括社区和同伴支持促进者以及基于团队的活动。CSAI在23项研究中发现了14项文化能力和可持续性得分较低(<60%)。
■定性和定量分析表明，量身定制的生活方式干预措施对Pasifika社区的WL产生了估计很小但有益的影响。定制干预设计的潜力，以纳入社会心理和行为考虑。CSAI有可能系统地确定干预措施有效性的文化和可持续性组成部分。
■此评论由西悉尼大学研究生研究奖学金资助。
