A Call to Reconceptualize Obesity Treatment in Service of Health Equity: Review of Evidence and Future Directions.

IF 9.5 2区医学 Q1 ENDOCRINOLOGY & METABOLISM Current Obesity Reports Pub Date : 2023-03-01 DOI:10.1007/s13679-023-00493-5

Sylvia Herbozo, Kristal Lyn Brown, Natasha L Burke, Jessica Gokee LaRose

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引用次数: 4

Abstract

Purpose of review: Rates of obesity and associated comorbidities are higher among Black and Latino adults compared to white adults. We sought to provide an overview of both structural and individual factors contributing to obesity inequities and synthesize available evidence regarding treatment outcomes in Black and Latino adults, with an eye towards informing future directions.

Recent findings: Obesity disparities are influenced by myriad systemic issues, yet the vast majority of interventions target individual-level factors only, and most behavioral treatments fail to target drivers beyond eating and physical activity. Extant treatments are not equally accessible, affordable, or effective among Black and Latino adults compared with white counterparts. Asset-based, culturally relevant interventions that target the root causes of obesity and address intersectional stress-designed in partnership with intended beneficiaries-are urgently needed. Treatment trials must improve enrollment of Black and Latino adults and report treatment outcomes by race and ethnicity.

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呼吁重新定义肥胖治疗服务于健康公平:证据回顾和未来方向。

回顾目的:与白人相比，黑人和拉丁裔成年人的肥胖及相关合并症发生率更高。我们试图提供导致肥胖不平等的结构性和个体因素的概述，并综合有关黑人和拉丁裔成年人治疗结果的现有证据，以期为未来的方向提供信息。最近的研究发现:肥胖差异受到无数系统问题的影响，但绝大多数干预措施仅针对个人层面的因素，大多数行为治疗未能针对饮食和身体活动以外的驱动因素。与白人相比，现有的治疗方法在黑人和拉丁裔成年人中并不同样容易获得、负担得起或有效。迫切需要以资产为基础的、与文化相关的干预措施，针对肥胖的根本原因和解决交叉压力，与预期的受益者合作设计。治疗试验必须提高黑人和拉丁裔成人的入组率，并按种族和民族报告治疗结果。

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来源期刊

Current Obesity Reports Medicine-General Medicine

CiteScore

16.40

自引率

1.10%

发文量

期刊介绍： The main objective of Current Obesity Reports is to provide expert review articles on recent advancements in the interdisciplinary field of obesity research. Our aim is to offer clear, insightful, and balanced contributions that will benefit all individuals involved in the treatment and prevention of obesity, as well as related conditions such as cardiovascular diseases, endocrine disorders, gynecological issues, cancer, mental health, respiratory complications, and rheumatological diseases. We strive to redefine the way knowledge is expressed and provide organized content for the benefit of our readership.