Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in ColombiaResearch in context
Summary: Background: This project aimed to synthesize the quantitative/qualitative evidence on the effectiveness of overweight/obesity prevention strategies implemented in Colombia and their barriers and facilitators. Methods: A scoping review was conducted by searching PubMed, SciELO, Scopus, and...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | The Lancet Regional Health. Americas |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667193X23002302 |
| _version_ | 1827391932184133632 |
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| author | Gabriela V. Proaño Lina Marcela Rodriguez Moreno Maria Jacquelinne Arciniegas Niliarys Sifre-Acosta Carlos Espinal Rajiv Chowdhury Luis Jorge Hernández Flórez Cristina Palacios |
| author_facet | Gabriela V. Proaño Lina Marcela Rodriguez Moreno Maria Jacquelinne Arciniegas Niliarys Sifre-Acosta Carlos Espinal Rajiv Chowdhury Luis Jorge Hernández Flórez Cristina Palacios |
| author_sort | Gabriela V. Proaño |
| collection | DOAJ |
| description | Summary: Background: This project aimed to synthesize the quantitative/qualitative evidence on the effectiveness of overweight/obesity prevention strategies implemented in Colombia and their barriers and facilitators. Methods: A scoping review was conducted by searching PubMed, SciELO, Scopus, and the grey literature (2012–2023). In-depth interviews were also conducted among key stakeholders on their perception of these strategies’ effectiveness, barriers, and facilitators. Findings: 26 records were included; four studies found positive changes in weight/body mass index, five found positive changes in physical activity, two found positive changes in food intake, and four found positive changes in healthy lifestyle knowledge, perception, attitudes, and habits. The main barrier reported was the obesogenic environment, and the facilitators were program flexibility and community engagement. Eighteen interviews were conducted (one interview per strategy); the main barriers reported were political, lack of evaluation access, economic situation, and lack of articulation; the main facilitators were incorporating the strategy into policies, articulation with stakeholders, and strong oversight. Interpretation: Moderate evidence indicates that these strategies positively impact outcomes related to overweight/obesity in Colombia, but more long-term studies are needed for overweight/obesity reduction. Lack of (1) evaluation and resources (barriers), (2) incorporation into policies (facilitators), and (3) strong stakeholder coordination (facilitators) was identified. Funding: Global Health Consortium, Department of Global Health, FIU. |
| first_indexed | 2024-03-08T17:22:33Z |
| format | Article |
| id | doaj.art-3f870f36587a4cada2849fb6169ab116 |
| institution | Directory Open Access Journal |
| issn | 2667-193X |
| language | English |
| last_indexed | 2024-03-08T17:22:33Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Americas |
| spelling | doaj.art-3f870f36587a4cada2849fb6169ab1162024-01-03T04:13:02ZengElsevierThe Lancet Regional Health. Americas2667-193X2024-01-0129100656Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in ColombiaResearch in contextGabriela V. Proaño0Lina Marcela Rodriguez Moreno1Maria Jacquelinne Arciniegas2Niliarys Sifre-Acosta3Carlos Espinal4Rajiv Chowdhury5Luis Jorge Hernández Flórez6Cristina Palacios7Department of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United StatesUniversidad de los Andes, Bogotá, ColombiaPontificia Universidad Javeriana, Bogotá, ColombiaDepartment of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United StatesRobert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United StatesDepartment of Global Health, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United StatesPublic Health, Universidad de los Andes, Bogotá, ColombiaDepartment of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States; Corresponding author. Department of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, 11200 S.W. 8th Street, AHC5-306, Miami, FL, 33199, United States.Summary: Background: This project aimed to synthesize the quantitative/qualitative evidence on the effectiveness of overweight/obesity prevention strategies implemented in Colombia and their barriers and facilitators. Methods: A scoping review was conducted by searching PubMed, SciELO, Scopus, and the grey literature (2012–2023). In-depth interviews were also conducted among key stakeholders on their perception of these strategies’ effectiveness, barriers, and facilitators. Findings: 26 records were included; four studies found positive changes in weight/body mass index, five found positive changes in physical activity, two found positive changes in food intake, and four found positive changes in healthy lifestyle knowledge, perception, attitudes, and habits. The main barrier reported was the obesogenic environment, and the facilitators were program flexibility and community engagement. Eighteen interviews were conducted (one interview per strategy); the main barriers reported were political, lack of evaluation access, economic situation, and lack of articulation; the main facilitators were incorporating the strategy into policies, articulation with stakeholders, and strong oversight. Interpretation: Moderate evidence indicates that these strategies positively impact outcomes related to overweight/obesity in Colombia, but more long-term studies are needed for overweight/obesity reduction. Lack of (1) evaluation and resources (barriers), (2) incorporation into policies (facilitators), and (3) strong stakeholder coordination (facilitators) was identified. Funding: Global Health Consortium, Department of Global Health, FIU.http://www.sciencedirect.com/science/article/pii/S2667193X23002302ColombiaOverweightObesityPreventionStrategiesEffectiveness |
| spellingShingle | Gabriela V. Proaño Lina Marcela Rodriguez Moreno Maria Jacquelinne Arciniegas Niliarys Sifre-Acosta Carlos Espinal Rajiv Chowdhury Luis Jorge Hernández Flórez Cristina Palacios Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in ColombiaResearch in context The Lancet Regional Health. Americas Colombia Overweight Obesity Prevention Strategies Effectiveness |
| title | Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in ColombiaResearch in context |
| title_full | Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in ColombiaResearch in context |
| title_fullStr | Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in ColombiaResearch in context |
| title_full_unstemmed | Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in ColombiaResearch in context |
| title_short | Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in ColombiaResearch in context |
| title_sort | effectiveness barriers and facilitators of overweight and obesity prevention strategies in latin america a scoping review and qualitative study in colombiaresearch in context |
| topic | Colombia Overweight Obesity Prevention Strategies Effectiveness |
| url | http://www.sciencedirect.com/science/article/pii/S2667193X23002302 |
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