journal article Mar 16, 2014

The effect of obesity prevention interventions according to socioeconomic position: a systematic review

Obesity Reviews Vol. 15 No. 7 pp. 541-554 · Wiley
View at Publisher Save 10.1111/obr.12161
Abstract
SummaryObesity prevention is a major public health priority. It is important that all groups benefit from measures to prevent obesity, but we know little about the differential effectiveness of such interventions within particular population subgroups. This review aimed to identify interventions for obesity prevention that evaluated a change in adiposity according to socioeconomic position (SEP) and to determine the effectiveness of these interventions across different socioeconomic groups. A systematic search of published and grey literature was conducted. Studies that described an obesity prevention intervention and reported anthropometric outcomes according to a measure of SEP were included. Evidence was synthesized using narrative analysis. A total of 14 studies were analysed, representing a range of study designs and settings. All studies were from developed countries, with eight conducted among children. Three studies were shown to have no effect on anthropometric outcomes and were not further analysed. Interventions shown to be ineffective in lower SEP participants were primarily based on information provision directed at individual behaviour change. Studies that were shown to be effective in lower SEP participants primarily included community‐based strategies or policies aimed at structural changes to the environment. Interventions targeting individual‐level behaviour change may be less successful in lower SEP populations. It is essential that our efforts to prevent obesity do not leave behind the most disadvantaged members of society.
Topics

No keywords indexed for this article. Browse by subject →

References
51
[2]
KuipersY.Focusing on obesity through a health equity lens.Eurohealthnet:Brussels 2010.
[7]
AchesonD.Report of the independent inquiry into inequalities in health.Stationery Office:London 1998.
[8]
World Health Organization (2003)
[22]
Mrazek P (1994)
[24]
Effective Public Health Practice Project.Quality Assessment Tool for Quantitative Studies.2012. URLhttp://www.ephpp.ca/Tools.html(accessed November 2012).
[42]
Hollar D "Effective multi‐level, multi‐sector, school‐based obesity prevention programming improves weight, blood pressure, and academic performance, especially among low‐income, minority children" J Health Care Poor Underserved (2010) 10.1353/hpu.0.0304
[49]
Centers for Disease Control and Prevention.Addressing Obesity Disparities.2013. URLhttp://www.cdc.gov/obesity/health_equity/index.html(accessed September 2013).

Showing 50 of 51 references

Cited By
199
Personality Science
A framework for digital health equity

Safiya Richardson, Katharine Lawrence · 2022

npj Digital Medicine
Journal of the American Medical Inf...
Public Health Nutrition