Improving diet and physical activity to reduce population prevalence of overweight and obesity: an overview of current evidence.

Abstract:

OBJECTIVE:The aim of this study is to provide an overview of interventions to reduce or prevent overweight or obesity and improve diet or physical activity. METHODS:A review of meta-analyses and/or systematic reviews of these interventions in any setting or age group were conducted. Narrative systematic reviews were included for intervention categories with limited meta-analyses available. Summary measures including weighted mean difference, standardised mean difference, and I-squared, were examined. RESULTS:A total of 60 meta-analyses and 23 systematic reviews met the inclusion criteria. Dietary interventions and multi-component interventions targeting overweight and obesity appeared to have the greatest effects, particularly in comparison with workplace or technology or internet-based interventions. Pharmaceutical and surgical interventions produced favourable results for specific population sub-groups (i.e. morbidly obese). Population-wide strategies such as policy interventions have not been widely analysed. The effectiveness of the interventions to assist in maintaining behaviour or weight change remains unclear. CONCLUSIONS:Various individually targeted interventions were shown to reduce body weight, although effect sizes were typically modest, and the durability of effects has been questioned. New approaches to evaluating population-based interventions, such as taxes and regulation, are recommended. Future research modelling the long-term effects of interventions across the lifespan would also be beneficial.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Stephens SK,Cobiac LJ,Veerman JL

doi

10.1016/j.ypmed.2014.02.008

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

167-78

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(14)00073-5

journal_volume

62

pub_type

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