首页 > 最新文献

Obesity Reviews最新文献

英文 中文
Is Obesity a Risk Factor for Periodontitis? A Systematic Review and Meta-Analysis 肥胖是牙周炎的危险因素吗?系统回顾和荟萃分析。
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-09-16 DOI: 10.1111/obr.70020
Fariba Esperouz, Domenico Ciavarella, Claudio Di Gioia, Gaetano Serviddio, Mauro Lorusso, Lucio Lo Russo

Objectives

This study aims at reviewing available evidence on the relationship between obesity and periodontitis, focusing on whether obesity is a risk factor for the development and progression of periodontal disease.

Materials and Methods

This systematic review and meta-analysis were reported in accordance with the PRISMA guidelines. Searches were performed in databases such as PUBMED, SCOPUS, and Web of Science for studies investigating the correlation between obesity (BMI ≥ 30 kg/m2) and periodontitis in adult patients. Heterogeneity was assessed using the I2 statistic, and a meta-analysis was performed to calculate pooled odds ratios with 95% confidence intervals.

Results

The analysis included 19 studies with a total of 41,107 patients. The meta-analysis showed a significant association between obesity and an increased risk of periodontitis (OR = 1.31 95% CI: 1.22–1.41) confirming that obesity is a risk factor for periodontal disease.

Conclusion

The results suggest that obesity is significantly associated with an increased risk of periodontitis. Given this correlation, further research is needed to better understand the implications of this association on clinical outcomes.

目的:本研究旨在回顾肥胖与牙周炎之间关系的现有证据,重点关注肥胖是否是牙周病发生和进展的危险因素。材料和方法:本系统综述和荟萃分析按照PRISMA指南进行报道。在PUBMED、SCOPUS和Web of Science等数据库中进行搜索,研究肥胖(BMI≥30 kg/m2)与成人牙周炎之间的相关性。采用I2统计量评估异质性,并进行meta分析以95%置信区间计算合并优势比。结果:该分析包括19项研究,共41,107例患者。荟萃分析显示肥胖与牙周炎风险增加之间存在显著关联(OR = 1.31 95% CI: 1.22-1.41),证实肥胖是牙周病的一个危险因素。结论:结果表明,肥胖与牙周炎风险增加显著相关。鉴于这种相关性,需要进一步的研究来更好地理解这种关联对临床结果的影响。
{"title":"Is Obesity a Risk Factor for Periodontitis? A Systematic Review and Meta-Analysis","authors":"Fariba Esperouz,&nbsp;Domenico Ciavarella,&nbsp;Claudio Di Gioia,&nbsp;Gaetano Serviddio,&nbsp;Mauro Lorusso,&nbsp;Lucio Lo Russo","doi":"10.1111/obr.70020","DOIUrl":"10.1111/obr.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aims at reviewing available evidence on the relationship between obesity and periodontitis, focusing on whether obesity is a risk factor for the development and progression of periodontal disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This systematic review and meta-analysis were reported in accordance with the PRISMA guidelines. Searches were performed in databases such as PUBMED, SCOPUS, and Web of Science for studies investigating the correlation between obesity (BMI ≥ 30 kg/m<sup>2</sup>) and periodontitis in adult patients. Heterogeneity was assessed using the <i>I</i><sup>2</sup> statistic, and a meta-analysis was performed to calculate pooled odds ratios with 95% confidence intervals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis included 19 studies with a total of 41,107 patients. The meta-analysis showed a significant association between obesity and an increased risk of periodontitis (OR = 1.31 95% CI: 1.22–1.41) confirming that obesity is a risk factor for periodontal disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results suggest that obesity is significantly associated with an increased risk of periodontitis. Given this correlation, further research is needed to better understand the implications of this association on clinical outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"27 2","pages":""},"PeriodicalIF":7.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Holistic Approach to Describe, Monitor, Evaluate, and Learn From Government Engagement With Private-Sector Actors to Promote Healthy Food Environments
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-09-16 DOI: 10.1111/obr.70019
Vivica I. Kraak
{"title":"A Holistic Approach to Describe, Monitor, Evaluate, and Learn From Government Engagement With Private-Sector Actors to Promote Healthy Food Environments","authors":"Vivica I. Kraak","doi":"10.1111/obr.70019","DOIUrl":"10.1111/obr.70019","url":null,"abstract":"","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"27 2","pages":""},"PeriodicalIF":7.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to “The Effectiveness of Interventions on Changing Caregivers' Feeding Practices With Preschool Children: A Systematic Review and Meta-Analysis” 对“改变照顾者喂养学龄前儿童的干预措施的有效性:一项系统回顾和荟萃分析”的更正。
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-09-11 DOI: 10.1111/obr.70018

Wang, J., Chang, Y. S., Wei, X., Cao, Y., and Winkley, K. (2024). The Effectiveness of Interventions on Changing Caregivers' Feeding Practices With Preschool Children: A Systematic Review and Meta-Analysis. Obesity Reviews, 25(4), e13688, https://doi.org/10.1111/obr.13688.

In the Abstract, the pooled effect of randomized controlled trials (RCTs) on pressure to eat was incorrectly reported as:

SMD = 0.61; 95% CI: −1.16, −0.06.

The correct value should be:

SMD = −0.61; 95% CI: −1.16 to −0.06.

In Section 3.6.1 (Restrictive feeding), the 95% confidence interval (CI) for the 6-month follow-up pooled SMD from RCTs was incorrectly reported as:

6 months follow-up (pooled SMD = 0.15; 95% CI: −0.22, 0.52).

The correct value, as shown in Figure 3, should be:

6 months follow-up (pooled SMD = 0.15; 95% CI: −0.22, 0.53).

We apologize for these errors.

王军,张玉生,魏晓明,曹勇,温克利,K.(2024)。干预措施对改变学龄前儿童照顾者喂养方式的有效性:一项系统回顾和荟萃分析。肥胖评论,25(4),e13688, https://doi.org/10.1111/obr.13688.In摘要,随机对照试验(RCTs)对饮食压力的综合效应被错误地报道为:SMD = 0.61;95% ci:−1.16,−0.06。正确的值应为:SMD =−0.61;95% CI:−1.16 ~−0.06。在第3.6.1节(限制性喂养)中,来自随机对照试验的6个月随访汇总SMD的95%置信区间(CI)被错误地报告为:6个月随访(汇总SMD = 0.15; 95% CI: - 0.22, 0.52)。如图3所示,正确的值应为:随访6个月(汇总SMD = 0.15; 95% CI: - 0.22, 0.53)。我们为这些错误道歉。
{"title":"Correction to “The Effectiveness of Interventions on Changing Caregivers' Feeding Practices With Preschool Children: A Systematic Review and Meta-Analysis”","authors":"","doi":"10.1111/obr.70018","DOIUrl":"10.1111/obr.70018","url":null,"abstract":"<p>\u0000 <span>Wang, J.</span>, <span>Chang, Y. S.</span>, <span>Wei, X.</span>, <span>Cao, Y.</span>, and <span>Winkley, K.</span> (<span>2024</span>). <span>The Effectiveness of Interventions on Changing Caregivers' Feeding Practices With Preschool Children: A Systematic Review and Meta-Analysis</span>. <i>Obesity Reviews</i>, <span>25</span>(<span>4</span>), e13688, https://doi.org/10.1111/obr.13688.</p><p>In the Abstract, the pooled effect of randomized controlled trials (RCTs) on pressure to eat was incorrectly reported as:</p><p>SMD = 0.61; 95% CI: −1.16, −0.06.</p><p>The correct value should be:</p><p>SMD = −0.61; 95% CI: −1.16 to −0.06.</p><p>In Section 3.6.1 (Restrictive feeding), the 95% confidence interval (CI) for the 6-month follow-up pooled SMD from RCTs was incorrectly reported as:</p><p>6 months follow-up (pooled SMD = 0.15; 95% CI: −0.22, 0.52).</p><p>The correct value, as shown in Figure 3, should be:</p><p>6 months follow-up (pooled SMD = 0.15; 95% CI: −0.22, 0.53).</p><p>We apologize for these errors.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"27 2","pages":""},"PeriodicalIF":7.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining the Role of Sleep in Body Weight Regulation and Implications for Obesity Treatment: A Narrative Review 研究睡眠在体重调节中的作用及其对肥胖治疗的影响:一篇叙述性综述。
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-09-08 DOI: 10.1111/obr.70017
Rebecca Rosenberg, Matthew J. Breit, Kevin C. Clark, Josiane L. Broussard, Victoria A. Catenacci, Christopher M. Depner, Stacey L. Simon, Kenneth P. Wright Jr., Faris M. Zuraikat, Seth A. Creasy

Despite significant public health efforts to counter the obesity epidemic, approximately 50% of US adults will have obesity by 2030. The cornerstone of obesity treatment is a behavioral intervention promoting negative energy balance via a reduced-calorie diet and increased physical activity. Behavioral treatment also requires additional support to promote adherence to these recommended lifestyle changes. More recently, sleep has been recognized as an important component of body weight regulation due to its effects on physiological and behavioral determinants of energy balance. Therefore, sleep may represent a modifiable behavior to target during the behavioral treatment of obesity. This review summarizes existing clinical evidence on the influence of sleep on energy balance and body weight regulation in adults. The results of controlled laboratory studies as well as pragmatic clinical trials are reviewed. In addition, we identify existing gaps and future areas of research that are necessary to understand the role of sleep in behavioral treatments for obesity.

尽管为对抗肥胖流行病做出了重大的公共卫生努力,但到2030年,大约50%的美国成年人将患有肥胖症。肥胖治疗的基石是通过减少卡路里的饮食和增加体力活动来促进负能量平衡的行为干预。行为治疗还需要额外的支持,以促进坚持这些建议的生活方式改变。最近,由于睡眠对能量平衡的生理和行为决定因素的影响,睡眠已被认为是体重调节的重要组成部分。因此,在肥胖的行为治疗中,睡眠可能是一种可改变的行为目标。本文综述了睡眠对成人能量平衡和体重调节影响的现有临床证据。对照实验室研究的结果以及实用的临床试验进行了审查。此外,我们还确定了现有的差距和未来的研究领域,这些领域对于了解睡眠在肥胖行为治疗中的作用是必要的。
{"title":"Examining the Role of Sleep in Body Weight Regulation and Implications for Obesity Treatment: A Narrative Review","authors":"Rebecca Rosenberg,&nbsp;Matthew J. Breit,&nbsp;Kevin C. Clark,&nbsp;Josiane L. Broussard,&nbsp;Victoria A. Catenacci,&nbsp;Christopher M. Depner,&nbsp;Stacey L. Simon,&nbsp;Kenneth P. Wright Jr.,&nbsp;Faris M. Zuraikat,&nbsp;Seth A. Creasy","doi":"10.1111/obr.70017","DOIUrl":"10.1111/obr.70017","url":null,"abstract":"<div>\u0000 \u0000 <p>Despite significant public health efforts to counter the obesity epidemic, approximately 50% of US adults will have obesity by 2030. The cornerstone of obesity treatment is a behavioral intervention promoting negative energy balance via a reduced-calorie diet and increased physical activity. Behavioral treatment also requires additional support to promote adherence to these recommended lifestyle changes. More recently, sleep has been recognized as an important component of body weight regulation due to its effects on physiological and behavioral determinants of energy balance. Therefore, sleep may represent a modifiable behavior to target during the behavioral treatment of obesity. This review summarizes existing clinical evidence on the influence of sleep on energy balance and body weight regulation in adults. The results of controlled laboratory studies as well as pragmatic clinical trials are reviewed. In addition, we identify existing gaps and future areas of research that are necessary to understand the role of sleep in behavioral treatments for obesity.</p>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"27 2","pages":""},"PeriodicalIF":7.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Physical Activity and Indicators of Overweight/Obesity and Metabolically Unhealthy Obesity Risk in Children and Adolescents: A Systematic Review of Prospective Epidemiological Studies and Randomized Controlled Trials in Western Countries 儿童和青少年身体活动与超重/肥胖指标和代谢不健康肥胖风险之间的关系:西方国家前瞻性流行病学研究和随机对照试验的系统回顾
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-09-08 DOI: 10.1111/obr.70014
Michael Georgoulis, Ismini Grapsa, Giannis Arnaoutis, Vasiliki Bountziouka, Alexandra Karachaliou, Georgios Saltaouras, Eirini Bathrellou, Mary Yannakoulia, George Dimitrakopoulos, Meropi D. Kontogianni

This systematic review examined the etiologic association between physical activity (PA) and indicators of childhood overweight/obesity (OV/OB) and metabolically unhealthy obesity (MUO) risk. Original peer-reviewed English reports published between January 01, 2013, and June 30, 2024, were retrieved from MEDLINE and Scopus. A total of 106 prospective epidemiological studies and randomized controlled trials (RCTs) conducted in Western countries among 2- to 19-year-olds with ≥12-month follow-up were eligible. Study quality was evaluated through risk of bias (RoB). Regarding OV/OB, epidemiological studies (n = 86, 57% high-RoB) revealed a protective effect of certain accelerometry-measured exposures: moderate-to-vigorous PA (n = 17/32), vigorous PA (n = 10/15), substituting lower-intensity with higher-intensity PA (n = 7/11), and longitudinally sustaining high PA (n = 3/3). Of the 16 RCTs (31% high-RoB), 10 were successful and most utilized long-term (≥ 1-year) multicomponent PA interventions incorporating behavior change techniques. Random-effects meta-analysis of RCTs revealed a beneficial effect of PA on body mass index (BMI) (n = 5: −0.42 [95% CI: −0.64, −0.21] kg/m2) and BMI z-score (n = 5: −0.09 [95% CI: −0.14, −0.04] SD) change; results were consistent in mixed-effects linear regression models accounting for repeated measurements. PA had no impact on MUO indicators, albeit studies were scarce (n = 4). Promoting PA is a promising strategy against childhood OV/OB. Future research should focus on elucidating its role in MUO prevention.

本系统综述研究了身体活动(PA)与儿童超重/肥胖(OV/OB)和代谢性不健康肥胖(MUO)风险指标之间的病因学关联。发表于2013年1月1日至2024年6月30日之间的同行评议英文报告原件,检索自MEDLINE和Scopus。共有106项前瞻性流行病学研究和随机对照试验(rct)在西方国家进行,随访≥12个月,受试者为2- 19岁。通过偏倚风险(RoB)评价研究质量。关于OV/OB,流行病学研究(n = 86, 57%高强度)揭示了某些加速度测量暴露的保护作用:中度至重度PA (n = 17/32),重度PA (n = 10/15),用高强度PA代替低强度PA (n = 7/11),纵向维持高强度PA (n = 3/3)。在16项随机对照试验(31%为高rob)中,10项成功,大多数采用了长期(≥1年)多组分PA干预措施,包括行为改变技术。随机效应荟萃分析显示,PA对体重指数(BMI) (n = 5: -0.42 [95% CI: -0.64, -0.21] kg/m2)和BMI z评分(n = 5: -0.09 [95% CI: -0.14, -0.04] SD)变化有有益影响;考虑到重复测量,混合效应线性回归模型的结果是一致的。PA对MUO指标没有影响,尽管研究很少(n = 4)。推广PA是治疗儿童OV/OB的有效策略。未来的研究应重点阐明其在预防MUO中的作用。
{"title":"Association Between Physical Activity and Indicators of Overweight/Obesity and Metabolically Unhealthy Obesity Risk in Children and Adolescents: A Systematic Review of Prospective Epidemiological Studies and Randomized Controlled Trials in Western Countries","authors":"Michael Georgoulis,&nbsp;Ismini Grapsa,&nbsp;Giannis Arnaoutis,&nbsp;Vasiliki Bountziouka,&nbsp;Alexandra Karachaliou,&nbsp;Georgios Saltaouras,&nbsp;Eirini Bathrellou,&nbsp;Mary Yannakoulia,&nbsp;George Dimitrakopoulos,&nbsp;Meropi D. Kontogianni","doi":"10.1111/obr.70014","DOIUrl":"10.1111/obr.70014","url":null,"abstract":"<p>This systematic review examined the etiologic association between physical activity (PA) and indicators of childhood overweight/obesity (OV/OB) and metabolically unhealthy obesity (MUO) risk. Original peer-reviewed English reports published between January 01, 2013, and June 30, 2024, were retrieved from MEDLINE and Scopus. A total of 106 prospective epidemiological studies and randomized controlled trials (RCTs) conducted in Western countries among 2- to 19-year-olds with ≥12-month follow-up were eligible. Study quality was evaluated through risk of bias (RoB). Regarding OV/OB, epidemiological studies (<i>n</i> = 86, 57% high-RoB) revealed a protective effect of certain accelerometry-measured exposures: moderate-to-vigorous PA (<i>n</i> = 17/32), vigorous PA (<i>n</i> = 10/15), substituting lower-intensity with higher-intensity PA (<i>n</i> = 7/11), and longitudinally sustaining high PA (<i>n</i> = 3/3). Of the 16 RCTs (31% high-RoB), 10 were successful and most utilized long-term (≥ 1-year) multicomponent PA interventions incorporating behavior change techniques. Random-effects meta-analysis of RCTs revealed a beneficial effect of PA on body mass index (BMI) (<i>n</i> = 5: −0.42 [95% CI: −0.64, −0.21] kg/m<sup>2</sup>) and BMI <i>z</i>-score (<i>n</i> = 5: −0.09 [95% CI: −0.14, −0.04] SD) change; results were consistent in mixed-effects linear regression models accounting for repeated measurements. PA had no impact on MUO indicators, albeit studies were scarce (<i>n</i> = 4). Promoting PA is a promising strategy against childhood OV/OB. Future research should focus on elucidating its role in MUO prevention.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"27 1","pages":"1-28"},"PeriodicalIF":7.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ensuring Competent Care Provision for Children and Adolescents With Obesity in the Primary Care Setting 确保初级保健机构为肥胖儿童和青少年提供合格的护理。
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-08-23 DOI: 10.1111/obr.70009
Stephanie W. Waldrop, Brandon Osborn, Sophie Allende-Richter, Stephanie P. Gilley, Jacqueline Maya, Alfonso Floyd, Fatima Cody Stanford

Purpose of Review

Using guidelines from the Obesity Medical Education Collaborative (OMEC) of the Obesity Medicine Association, we highlight competencies needed for primary care health workers to manage obesity in children and adolescents. We discuss the training, policy, advocacy, and healthcare system requirements necessary for the development and maintenance of competent pediatric obesity care provision and to continuously monitor for quality improvement.

Methods

PubMed, EBSCO, Web of Science, the Harvard Library, Google, and ScienceDirect were queried from January 2019 to August 2024 using medical subject headings (MeSH) terms and keywords such as obesity, pediatric, healthcare worker, competencies, primary care, best practice with filters for age (birth to 19 years), and language (English).

Recent Findings

Pediatric health workers in primary care settings must effectively (1) diagnose and manage obesity, (2) communicate with patients to promote engagement in improving health outcomes, (3) collaborate with specialists to implement treatment and address co-morbidities, and (4) commit to lifelong training and development within the field to maintain competent care provision. International, national, and regional professional organizations committed to pediatric health as well as health information industry experts (e.g., electronic health records) can assist in ensuring competencies are integrated into clinical care through policy and infrastructure supports to improve patient outcomes.

Summary

Early and accurate diagnosis of obesity is critical to preventing and treating related co-morbidities and halting disease progression. Competencies in clinical and communication skills, team dynamics, and collaborative care are required throughout the lifelong learning process for successful treatment of pediatric obesity.

回顾的目的:利用肥胖医学协会肥胖医学教育合作组织(OMEC)的指南,我们强调了初级保健卫生工作者管理儿童和青少年肥胖所需的能力。我们讨论了培训、政策、宣传和医疗保健系统的要求,以发展和维持合格的儿童肥胖护理服务,并持续监测质量的提高。方法:对2019年1月至2024年8月期间的PubMed、EBSCO、Web of Science、哈佛图书馆、b谷歌和ScienceDirect进行查询,使用医学主题词(MeSH)术语和关键词,如肥胖、儿科、医护人员、能力、初级保健、最佳实践,并使用年龄(出生至19岁)和语言(英语)过滤器。最近的研究发现:初级保健机构的儿科卫生工作者必须有效地(1)诊断和管理肥胖,(2)与患者沟通以促进参与改善健康结果,(3)与专家合作实施治疗并解决合并症,(4)在该领域致力于终身培训和发展,以保持合格的护理提供。致力于儿科保健的国际、国家和区域专业组织以及保健信息产业专家(例如,电子健康记录)可协助确保通过政策和基础设施支持将能力纳入临床护理,以改善患者的治疗效果。摘要:肥胖的早期准确诊断对于预防和治疗相关合并症和阻止疾病进展至关重要。临床和沟通技巧、团队动力和协作护理能力是成功治疗儿童肥胖的终身学习过程中所需要的。
{"title":"Ensuring Competent Care Provision for Children and Adolescents With Obesity in the Primary Care Setting","authors":"Stephanie W. Waldrop,&nbsp;Brandon Osborn,&nbsp;Sophie Allende-Richter,&nbsp;Stephanie P. Gilley,&nbsp;Jacqueline Maya,&nbsp;Alfonso Floyd,&nbsp;Fatima Cody Stanford","doi":"10.1111/obr.70009","DOIUrl":"10.1111/obr.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose of Review</h3>\u0000 \u0000 <p>Using guidelines from the Obesity Medical Education Collaborative (OMEC) of the Obesity Medicine Association, we highlight competencies needed for primary care health workers to manage obesity in children and adolescents. We discuss the training, policy, advocacy, and healthcare system requirements necessary for the development and maintenance of competent pediatric obesity care provision and to continuously monitor for quality improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, EBSCO, Web of Science, the Harvard Library, Google, and ScienceDirect were queried from January 2019 to August 2024 using medical subject headings (MeSH) terms and keywords such as obesity, pediatric, healthcare worker, competencies, primary care, best practice with filters for age (birth to 19 years), and language (English).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recent Findings</h3>\u0000 \u0000 <p>Pediatric health workers in primary care settings must effectively (1) diagnose and manage obesity, (2) communicate with patients to promote engagement in improving health outcomes, (3) collaborate with specialists to implement treatment and address co-morbidities, and (4) commit to lifelong training and development within the field to maintain competent care provision. International, national, and regional professional organizations committed to pediatric health as well as health information industry experts (e.g., electronic health records) can assist in ensuring competencies are integrated into clinical care through policy and infrastructure supports to improve patient outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Summary</h3>\u0000 \u0000 <p>Early and accurate diagnosis of obesity is critical to preventing and treating related co-morbidities and halting disease progression. Competencies in clinical and communication skills, team dynamics, and collaborative care are required throughout the lifelong learning process for successful treatment of pediatric obesity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"27 1","pages":"1-16"},"PeriodicalIF":7.4,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144937374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Macroeconomic Cost of Obesity and Overweight in European Countries: A Systematic Review and Methodological Quality Analysis 欧洲国家肥胖和超重的宏观经济成本:系统回顾和方法学质量分析。
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-08-14 DOI: 10.1111/obr.70011
Jaume Puig-Junoy, Judit Guzmán-Sánchez, Nil Criach-García, Natàlia Pascual-Argenté

Objective

The aim for this study is to systematically review cost-of-illness (COI) studies of costs attributable to obesity and overweight (OAO) at the country level for European Union (EU) countries, Northern European countries, the United Kingdom, and Switzerland.

Methods

PubMed, Scopus, and HTA Database were searched from 2014 to 2024. This study adhered to PRISMA guidelines. A COI checklist was used to assess methodological quality. Outcome measures were cost as a percentage of GDP and percentage of direct costs.

Results

Eight studies were included. Only one study did not use the population attributable fraction approach. Important heterogeneity among studies was observed for BMI categories, for the population age range included, for the range of diseases attributed to OAO, and for the discount rate. Included costs varied among studies, especially indirect costs. More than half of the results for the highest observation for each country, including obesity and overweight global costs, showed results above 2% of GDP (14 out of 26 countries). The results of the regression models showed the decreasing trend of the proportion of GDP attributed to OAO as per capita GDP increases.

Conclusions

The majority of studies showed a proportion of costs above 1.5% of GDP; more than half of the 26 European countries showed a cost above 2% of GDP. Total cost at the country level attributed to OAO as a proportion of GDP decreases as GDP per capita increases.

目的:本研究的目的是系统地回顾欧盟(EU)国家、北欧国家、英国和瑞士在国家层面上关于肥胖和超重(OAO)成本的疾病成本(COI)研究。方法:检索2014 - 2024年PubMed、Scopus、HTA数据库。本研究遵循PRISMA指南。COI检查表用于评估方法学质量。结果测量是成本占GDP的百分比和直接成本的百分比。结果:纳入8项研究。只有一项研究没有使用总体归因分数法。在BMI类别、包括的人口年龄范围、归因于OAO的疾病范围和贴现率方面,研究中观察到重要的异质性。包括的成本因研究而异,特别是间接成本。每个国家超过一半的最高观察结果,包括肥胖和超重的全球成本,显示结果超过GDP的2%(26个国家中的14个)。回归模型的结果显示,随着人均GDP的增加,OAO占GDP的比重呈下降趋势。结论:大多数研究表明,成本占GDP的比例超过1.5%;在26个欧洲国家中,超过一半的国家的成本超过了GDP的2%。国家一级归属于OAO的总费用占国内总产值的比例随着人均国内总产值的增加而下降。
{"title":"The Macroeconomic Cost of Obesity and Overweight in European Countries: A Systematic Review and Methodological Quality Analysis","authors":"Jaume Puig-Junoy,&nbsp;Judit Guzmán-Sánchez,&nbsp;Nil Criach-García,&nbsp;Natàlia Pascual-Argenté","doi":"10.1111/obr.70011","DOIUrl":"10.1111/obr.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim for this study is to systematically review cost-of-illness (COI) studies of costs attributable to obesity and overweight (OAO) at the country level for European Union (EU) countries, Northern European countries, the United Kingdom, and Switzerland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, Scopus, and HTA Database were searched from 2014 to 2024. This study adhered to PRISMA guidelines. A COI checklist was used to assess methodological quality. Outcome measures were cost as a percentage of GDP and percentage of direct costs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight studies were included. Only one study did not use the population attributable fraction approach. Important heterogeneity among studies was observed for BMI categories, for the population age range included, for the range of diseases attributed to OAO, and for the discount rate. Included costs varied among studies, especially indirect costs. More than half of the results for the highest observation for each country, including obesity and overweight global costs, showed results above 2% of GDP (14 out of 26 countries). The results of the regression models showed the decreasing trend of the proportion of GDP attributed to OAO as per capita GDP increases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The majority of studies showed a proportion of costs above 1.5% of GDP; more than half of the 26 European countries showed a cost above 2% of GDP. Total cost at the country level attributed to OAO as a proportion of GDP decreases as GDP per capita increases.</p>\u0000 </section>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"27 1","pages":"1-17"},"PeriodicalIF":7.4,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adipose-Derived Extracellular Vesicles and Intercellular Crosstalk With Skeletal Muscle: Implications for Sarcopenic Obesity and Metabolic Dysregulation 脂肪来源的细胞外囊泡和骨骼肌细胞间串扰:对肌肉减少型肥胖和代谢失调的影响。
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-08-13 DOI: 10.1111/obr.70005
Michael Macleod, Joshua Price, Elpida Tsonou, David J. Baker, Kostas Tsintzas, Simon W. Jones

Sarcopenic obesity, characterized by the concurrent presence of excess adiposity and diminished skeletal muscle mass and function, is closely linked to frailty, chronic inflammation, and insulin resistance. The increasing prevalence of sarcopenic obesity is driven by the global aging population, widespread adoption of sedentary lifestyles, and the ongoing obesity epidemic. Existing research describes a role for dysregulated crosstalk between adipose tissue and skeletal muscle tissue in driving sarcopenic obesity pathology, with recent evidence implying that extracellular vesicles (EVs, nano- to micro-scale, lipid bilayer membrane-delimited particles) have a significant role in facilitating intercellular communication to mediate critical tissue crosstalk. Given the significance of dysregulated tissue crosstalk in sarcopenic obesity pathology and the dysregulation of metabolism, the potential involvement of EVs has garnered considerable attention because of their scope as pharmacological targets and drug delivery vehicles, potentially leading to innovative therapeutic approaches. This review begins with an exploration of EV biology and the challenges associated with the standardization and execution of EV research. It then examines the impact of sarcopenic obesity risk factors on circulating and adipose-derived EV profiles. Current understanding of the role of specific EV cargo, including microRNAs, proteins, and lipids, in mediating crosstalk between adipose tissue and skeletal muscle is critically evaluated. Finally, the potential of EV-based therapeutics for treating sarcopenic obesity is discussed, along with recommendations for future research directions.

肌肉减少型肥胖的特征是同时存在过量脂肪和骨骼肌质量和功能减少,与虚弱、慢性炎症和胰岛素抵抗密切相关。全球人口老龄化、久坐不动的生活方式的广泛采用以及肥胖症的持续流行推动了肌少性肥胖的日益流行。现有的研究描述了脂肪组织和骨骼肌组织之间的失调串扰在驱动肌肉减少性肥胖病理中的作用,最近的证据表明,细胞外囊泡(EVs,纳米到微观尺度,脂质双层膜划界颗粒)在促进细胞间通讯介导关键组织串扰中起着重要作用。鉴于组织串扰失调在肌肉减少性肥胖病理和代谢失调中的重要性,ev的潜在参与已经引起了相当大的关注,因为它们可以作为药理靶点和药物传递载体,可能导致创新的治疗方法。本综述首先探讨了电动汽车生物学以及与电动汽车研究标准化和执行相关的挑战。然后研究了肌肉减少型肥胖风险因素对循环和脂肪源性EV谱的影响。目前对特定EV货物(包括microrna、蛋白质和脂质)在介导脂肪组织和骨骼肌之间的串扰中的作用的理解进行了批判性评估。最后,讨论了基于ev的疗法治疗肌肉减少型肥胖的潜力,并对未来的研究方向提出了建议。
{"title":"Adipose-Derived Extracellular Vesicles and Intercellular Crosstalk With Skeletal Muscle: Implications for Sarcopenic Obesity and Metabolic Dysregulation","authors":"Michael Macleod,&nbsp;Joshua Price,&nbsp;Elpida Tsonou,&nbsp;David J. Baker,&nbsp;Kostas Tsintzas,&nbsp;Simon W. Jones","doi":"10.1111/obr.70005","DOIUrl":"10.1111/obr.70005","url":null,"abstract":"<p>Sarcopenic obesity, characterized by the concurrent presence of excess adiposity and diminished skeletal muscle mass and function, is closely linked to frailty, chronic inflammation, and insulin resistance. The increasing prevalence of sarcopenic obesity is driven by the global aging population, widespread adoption of sedentary lifestyles, and the ongoing obesity epidemic. Existing research describes a role for dysregulated crosstalk between adipose tissue and skeletal muscle tissue in driving sarcopenic obesity pathology, with recent evidence implying that extracellular vesicles (EVs, nano- to micro-scale, lipid bilayer membrane-delimited particles) have a significant role in facilitating intercellular communication to mediate critical tissue crosstalk. Given the significance of dysregulated tissue crosstalk in sarcopenic obesity pathology and the dysregulation of metabolism, the potential involvement of EVs has garnered considerable attention because of their scope as pharmacological targets and drug delivery vehicles, potentially leading to innovative therapeutic approaches. This review begins with an exploration of EV biology and the challenges associated with the standardization and execution of EV research. It then examines the impact of sarcopenic obesity risk factors on circulating and adipose-derived EV profiles. Current understanding of the role of specific EV cargo, including microRNAs, proteins, and lipids, in mediating crosstalk between adipose tissue and skeletal muscle is critically evaluated. Finally, the potential of EV-based therapeutics for treating sarcopenic obesity is discussed, along with recommendations for future research directions.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"27 1","pages":"1-22"},"PeriodicalIF":7.4,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144843939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Exercise on Dietary Fat Taste Perception: A Report on Its Role in Obesity Prevention. 运动对饮食脂肪味觉的影响:一份关于其在肥胖预防中的作用的报告。
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-08-12 DOI: 10.1111/obr.70010
Deepankumar Shanmugamprema, Dhanraj Ganapathy, Karthi Muthuswamy, Selvakumar Subramaniam

Dietary fat taste, a distinct gustatory modality that greatly influences food choice and energy intake, is primarily mediated by the lingual receptors CD36 and GPR120. Recent studies show that both short-term and long-term physical activity can modulate sensitivity to long-chain fatty acids, which can lead to changes in dietary patterns and preferences for high-fat foods. This review specifically examines the effects of exercise on the perception of fat taste by integrating findings from human and animal studies that examine alterations in detection thresholds, suprathreshold intensity ratings, and hedonic responses to fatty stimuli. We explore mechanistic pathways by which exercise influences fat taste, such as changes in hormones that regulate appetite, systemic anti-inflammatory processes that may enhance or attenuate CD36/GPR120 signaling in taste bud cells, and neural adaptations within gustatory cortices. The implications of exercise-induced alterations in fat-taste acuity for appetite regulation, dietary behavior, and long-term metabolic health are discussed, with particular attention to how increased sensitivity may promote reduced consumption of energy-dense foods. Finally, we highlight significant gaps in human translational research regarding the magnitude and persistence of exercise-induced fat-taste plasticity and propose targeted future studies to employ fat-taste modulation as a cutting-edge strategy for obesity prevention and public health nutrition interventions.

膳食脂肪味觉是一种独特的味觉模式,它极大地影响食物选择和能量摄入,主要由舌受体CD36和GPR120介导。最近的研究表明,短期和长期的体育活动都可以调节对长链脂肪酸的敏感性,从而导致饮食模式的改变和对高脂肪食物的偏好。这篇综述通过整合人类和动物的研究结果,专门研究了运动对脂肪味觉感知的影响,这些研究检查了检测阈值、超阈值强度评级和对脂肪刺激的享乐反应的改变。我们探索了运动影响脂肪味觉的机制途径,如调节食欲的激素的变化,可能增强或减弱味蕾细胞中CD36/GPR120信号的全身抗炎过程,以及味觉皮层内的神经适应。本文讨论了运动引起的脂肪味觉敏锐度的改变对食欲调节、饮食行为和长期代谢健康的影响,特别关注了灵敏度的增加如何促进减少能量密集食物的消耗。最后,我们强调了在人类转化研究中关于运动诱导的脂肪-味觉可塑性的大小和持久性的重大差距,并提出了有针对性的未来研究,将脂肪-味觉调节作为肥胖预防和公共卫生营养干预的前沿策略。
{"title":"The Impact of Exercise on Dietary Fat Taste Perception: A Report on Its Role in Obesity Prevention.","authors":"Deepankumar Shanmugamprema, Dhanraj Ganapathy, Karthi Muthuswamy, Selvakumar Subramaniam","doi":"10.1111/obr.70010","DOIUrl":"https://doi.org/10.1111/obr.70010","url":null,"abstract":"<p><p>Dietary fat taste, a distinct gustatory modality that greatly influences food choice and energy intake, is primarily mediated by the lingual receptors CD36 and GPR120. Recent studies show that both short-term and long-term physical activity can modulate sensitivity to long-chain fatty acids, which can lead to changes in dietary patterns and preferences for high-fat foods. This review specifically examines the effects of exercise on the perception of fat taste by integrating findings from human and animal studies that examine alterations in detection thresholds, suprathreshold intensity ratings, and hedonic responses to fatty stimuli. We explore mechanistic pathways by which exercise influences fat taste, such as changes in hormones that regulate appetite, systemic anti-inflammatory processes that may enhance or attenuate CD36/GPR120 signaling in taste bud cells, and neural adaptations within gustatory cortices. The implications of exercise-induced alterations in fat-taste acuity for appetite regulation, dietary behavior, and long-term metabolic health are discussed, with particular attention to how increased sensitivity may promote reduced consumption of energy-dense foods. Finally, we highlight significant gaps in human translational research regarding the magnitude and persistence of exercise-induced fat-taste plasticity and propose targeted future studies to employ fat-taste modulation as a cutting-edge strategy for obesity prevention and public health nutrition interventions.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e70010"},"PeriodicalIF":7.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging the Gap: Evaluating Tools for Adherence to Dietary-Related Behavioral Recommendations After Metabolic Bariatric Surgery—A Scoping Review 弥合差距:评估代谢减肥手术后饮食相关行为建议依从性的工具-范围审查。
IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-08-10 DOI: 10.1111/obr.70012
Shiri Sherf-Dagan, Charlene Wright, Laura Heusschen, Daniela Alceste, Lior Mor-Sasson, Dale S. Bond, Tair Ben-Porat

Background and Aims

Adherence to dietary-related behavioral recommendations following metabolic bariatric surgery (MBS) is important for achieving optimal surgical outcomes, but standardized definitions and tools are lacking. This scoping review aimed to map existing tools for assessing adherence to dietary-related behavioral recommendations after MBS, evaluate their content and psychometric properties, and identify gaps to guide future research and tool development.

Methods

The review was registered on the Open Science Framework and followed PRISMA-ScR guidelines. Searches were conducted in PubMed and Embase from inception through April 2024, supplemented by hand-searching the reference lists of included reports. The review included studies of adults who underwent MBS, using tools with at least two items assessing adherence to dietary-related recommendations, with detailed tool descriptions, and, when available, information on validity and reliability. Screening and data extraction were performed independently by two reviewers, with discrepancies resolved by a third reviewer.

Results

From 3223 publications, 16 reports from 10 countries were included. Tools assessing dietary adherence post-MBS varied widely in content and behavioral targets, with most robust psychometric properties lacking. Reliability was assessed via Cronbach's alpha and test–retest methods and validity via face, content, construct, and criterion measures. Standardized recall periods and comprehensive scoring systems were notably absent.

Conclusions

Existing tools for assessing adherence to dietary-related behavioral recommendations after MBS show significant variability, with most lacking standardized psychometric properties and recall periods, limiting their utility. Future research should focus on standardizing dietary-related “core principles,” facilitating the development of new instruments in research and clinical settings.

背景和目的:在代谢减肥手术(MBS)后坚持饮食相关的行为建议对于获得最佳手术结果很重要,但缺乏标准化的定义和工具。本综述旨在绘制用于评估MBS后饮食相关行为建议依从性的现有工具,评估其内容和心理测量特性,并确定差距以指导未来的研究和工具开发。方法:该综述在开放科学框架上注册,遵循PRISMA-ScR指南。从开始到2024年4月,在PubMed和Embase中进行了搜索,并辅以人工搜索所包含报告的参考文献列表。该综述包括对接受MBS的成年人的研究,使用至少有两项评估饮食相关建议依从性的工具,详细的工具描述,以及可用的有效性和可靠性信息。筛选和数据提取由两名审稿人独立完成,差异由第三名审稿人解决。结果:从3223篇出版物中,纳入了来自10个国家的16篇报告。评估mbs后饮食依从性的工具在内容和行为目标上差异很大,缺乏最可靠的心理测量特性。信度通过Cronbach's alpha和重测法进行评估,效度通过面孔、内容、结构和标准测量进行评估。标准化的召回期和综合评分系统明显缺失。结论:现有的评估MBS后饮食相关行为建议依从性的工具显示出显著的可变性,大多数缺乏标准化的心理测量特性和回忆期,限制了它们的效用。未来的研究应侧重于标准化饮食相关的“核心原则”,促进研究和临床环境中新工具的发展。
{"title":"Bridging the Gap: Evaluating Tools for Adherence to Dietary-Related Behavioral Recommendations After Metabolic Bariatric Surgery—A Scoping Review","authors":"Shiri Sherf-Dagan,&nbsp;Charlene Wright,&nbsp;Laura Heusschen,&nbsp;Daniela Alceste,&nbsp;Lior Mor-Sasson,&nbsp;Dale S. Bond,&nbsp;Tair Ben-Porat","doi":"10.1111/obr.70012","DOIUrl":"10.1111/obr.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Adherence to dietary-related behavioral recommendations following metabolic bariatric surgery (MBS) is important for achieving optimal surgical outcomes, but standardized definitions and tools are lacking. This scoping review aimed to map existing tools for assessing adherence to dietary-related behavioral recommendations after MBS, evaluate their content and psychometric properties, and identify gaps to guide future research and tool development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The review was registered on the Open Science Framework and followed PRISMA-ScR guidelines. Searches were conducted in PubMed and Embase from inception through April 2024, supplemented by hand-searching the reference lists of included reports. The review included studies of adults who underwent MBS, using tools with at least two items assessing adherence to dietary-related recommendations, with detailed tool descriptions, and, when available, information on validity and reliability. Screening and data extraction were performed independently by two reviewers, with discrepancies resolved by a third reviewer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 3223 publications, 16 reports from 10 countries were included. Tools assessing dietary adherence post-MBS varied widely in content and behavioral targets, with most robust psychometric properties lacking. Reliability was assessed via Cronbach's alpha and test–retest methods and validity via face, content, construct, and criterion measures. Standardized recall periods and comprehensive scoring systems were notably absent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Existing tools for assessing adherence to dietary-related behavioral recommendations after MBS show significant variability, with most lacking standardized psychometric properties and recall periods, limiting their utility. Future research should focus on standardizing dietary-related “core principles,” facilitating the development of new instruments in research and clinical settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"27 1","pages":"1-21"},"PeriodicalIF":7.4,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Obesity Reviews
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1