The Gaps and Opportunities in Primary Care Programs to Address Childhood Obesity in Saudi Arabia: A Comprehensive Review

W. Abdulmonem, Sultan A. Alghaniam, Hmoud Alenazi, P. Baker, Mansour Alghoniam, Abduallh Alfugaier, Abdulrhman A. Alghunaim
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Abstract

Childhood obesity is a significant health concern globally, and it is associated with lethal disorders such as diabetes, hypertension, cardiovascular and cancers in later years of life. We review the numerous aspects of childhood obesity to identify the gaps and opportunity to combat the increasing prevalence and translation of current knowledge into nutritional practice, doable recommendations, and strategic actions at primary health care settings, particularly in Saudi Arabia. Based upon methodology meetings, knowledge-to-action (KTA) framework, population/patient problem, intervention, comparison and outcome, formulated research questions, and reporting guidelines of preferred reporting items for systematic reviews and meta-analysis (PRISMA), the gaps and opportunities are identified in this systematic review. The key findings revealed that the main determinants of childhood obesity are lack of adequate knowledge, nutritional facilities, unhealthy dietary practices or behavioral factors, and rapid urbanization. At present, most countries, including Saudi Arabia, have not implemented childhood obesity prevention and control interventions. Based on the evidence gathered by the practical application of the knowledge translation approach, the community-based multi-sectoral and multicomponent approaches at schools and primary healthcare settings are certainly substantial to confront the increasing burden of childhood obesity.
沙特阿拉伯解决儿童肥胖问题的初级保健计划的差距和机会:一项全面审查
儿童肥胖是全球的一个重大健康问题,它与生命后期的糖尿病、高血压、心血管疾病和癌症等致命疾病有关。我们回顾了儿童肥胖的许多方面,以确定差距和机会,以应对日益普遍的患病率,并将现有知识转化为营养实践、可行的建议和初级卫生保健机构的战略行动,特别是在沙特阿拉伯。基于方学会议、知识到行动(KTA)框架、人群/患者问题、干预、比较和结果、制定的研究问题以及系统评价和荟萃分析(PRISMA)首选报告项目的报告指南,本系统评价确定了差距和机会。主要研究结果表明,儿童肥胖的主要决定因素是缺乏足够的知识、营养设施、不健康的饮食习惯或行为因素以及快速城市化。目前,包括沙特阿拉伯在内的大多数国家尚未实施儿童肥胖预防和控制干预措施。根据知识转化方法的实际应用所收集的证据,在学校和初级卫生保健机构采用基于社区的多部门和多成分方法,对于应对日益增加的儿童肥胖负担无疑是重要的。
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