关键词: obesity sports medicine systematic review

Mesh : Humans Male Weight Reduction Programs / methods Obesity / therapy Overweight / therapy Sex Factors Weight Loss

来  源:   DOI:10.1136/bmjopen-2023-083646   PDF(Pubmed)

Abstract:
OBJECTIVE: To examine how gender-sensitive community weight-loss programmes have been used to address overweight and obesity in men and to identify what can be learnt from this rapidly evolving field.
METHODS: Scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review checklist for reporting.
METHODS: A database search was conducted using EBSCOhost (Academic Search Complete, CINAHL Complete, Global Health, Health Source: Consumer Edition, Health Source: Nursing/Academic Edition and Medline Complete), Google, Google Scholar, Open Access Theses and Dissertations platform and Scopus.
METHODS: All weight-loss programmes using a gender-sensitive approach to address men\'s overweight and obesity in community settings.
METHODS: Narrative synthesis was conducted based on the research questions and objectives. Primary outcomes include operationalisation, context and concept of the gender-sensitive approach. Information was reviewed and extracted to Microsoft Excel by two reviewers.
RESULTS: A total of 40 studies (28 quantitative, eight mixed methods and four qualitative) were identified from 4617 records. Gender-sensitive approaches were undertaken in a range of settings and contexts including professional sports clubs (n=21), non-professional sporting clubs (n=16), workplace-based (n=2) and commercial organisation-based (n=1). The most common analysis approaches were evaluating the effect of the programmes (n=31) where positive impact was predominantly shown (eg, up to 3.9 kg weight reduction at 3-month follow-up). Programmes (ie, Football Fans in Training) were short-term cost-effective (eg, the cost was £862-£2228 per 5% weight reduction at 12-month follow-up). Qualitative evidence highlights factors that influenced men\'s participation (eg, camaraderie) and identifies areas for improvement.
CONCLUSIONS: The findings demonstrate that gender-sensitive programmes for men\'s weight loss have been effectively applied using a range of different approaches and in a range of different contexts. Further evidence is needed to confirm the effectiveness of the programmes across diverse groups of men.
摘要:
目的:研究对性别敏感的社区减肥计划如何用于解决男性超重和肥胖问题,并确定从这个快速发展的领域可以学到什么。
方法:在系统评价的首选报告项目和Meta分析扩展后进行范围审查,用于报告范围审查清单。
方法:使用EBSCOhost(学术搜索完整,CINAHL完成,全球卫生,健康来源:消费者版,健康来源:护理学/学术版和MedlineComplete),Google,谷歌学者,开放存取论文和论文平台和Scopus。
方法:所有的减肥计划都采用对性别敏感的方法来解决男性在社区环境中的超重和肥胖问题。
方法:根据研究问题和目标进行叙事综合。主要结果包括运营化,对性别问题有敏感认识的方法的背景和概念。两名审阅者审阅了信息并将其提取到MicrosoftExcel中。
结果:共40项研究(28项定量,从4617条记录中确定了8种混合方法和4种定性方法)。在包括职业体育俱乐部在内的一系列环境和背景下采取了对性别问题有敏感认识的方法(n=21),非职业体育俱乐部(n=16),基于工作场所的(n=2)和基于商业组织的(n=1)。最常见的分析方法是评估项目的效果(n=31),主要表现出积极的影响(例如,3个月随访时体重减轻3.9公斤)。方案(即,训练中的足球迷)具有短期成本效益(例如,在12个月的随访中,每减少5%体重,费用为862-2228英镑)。定性证据强调了影响男性参与的因素(例如,友情),并确定需要改进的地方。
结论:研究结果表明,对性别敏感的男性减肥计划已在一系列不同的情况下得到有效应用。需要进一步的证据来证实这些方案在不同男性群体中的有效性。
公众号