Evidence map›Paper›PMID 24813369›Full record

SynthesisInternational journal of obesity (2005)2014

A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults.

F C Hillier-Brown, C L Bambra, J-M Cairns, A Kasim, H J Moore, C D Summerbell

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of obesity (2005), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 9 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

F C Hillier-Brown1] Department of Geography, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] School of Medicine, Pharmacy and Health, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [3] Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
C L Bambra1] Department of Geography, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
J-M Cairns1] Department of Geography, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
A KasimWolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
H J Moore1] School of Medicine, Pharmacy and Health, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.
C D Summerbell1] School of Medicine, Pharmacy and Health, Wolfson Research Institute, Durham University Queen's Campus, Stockton-on-Tees, UK [2] Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton-on-Tees, UK.

Funding

Department of Health 09/3010/14Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundSocioeconomic inequalities in obesity are well established in high-income countries. There is a lack of evidence of the types of intervention that are effective in reducing these inequalities among adults.

objectivesTo systematically review studies of the effectiveness of individual, community and societal interventions in reducing socio-economic inequalities in obesity among adults.

methodsNine electronic databases were searched from start date to October 2012 along with website and grey literature searches. The review examined the best available international evidence (both experimental and observational) of interventions at an individual, community and societal level that might reduce inequalities in obesity among adults (aged 18 years or over) in any setting and country. Studies were included if they reported a body fatness-related outcome and if they included a measure of socio-economic status. Data extraction and quality appraisal were conducted using established mechanisms and narrative synthesis was conducted.

resultsThe 'best available' international evidence was provided by 20 studies. At the individual level, there was evidence of the effectiveness of primary care delivered tailored weight loss programmes among deprived groups. Community based behavioural weight loss interventions and community diet clubs (including workplace ones) also had some evidence of effectiveness-at least in the short term. Societal level evaluations were few, low quality and inconclusive. Further, there was little evidence of long term effectiveness, and few studies of men or outside the USA. However, there was no evidence to suggest that interventions increase inequalities.

conclusionsThe best available international evidence suggests that some individual and community-based interventions may be effective in reducing socio-economic inequalities in obesity among adults in the short term. Further research is required particularly of more complex, multi-faceted and societal-level interventions.

Indexed as

Community Health ServicesPublic HealthSocial ClassWeight LossAdultCost-Benefit AnalysisDelivery of Health CareDeveloped CountriesEvidence-Based PracticeHealthcare DisparitiesHealth PromotionHumansObesityObservational Studies as TopicPoverty AreasProgram Evaluation

Identifiers

PMID24813369
PMCPMC4262962

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.