Toward Health Equity: A Workshop Report on the State of the Science of Obesity Interventions for Adults.

Loneke T Blackman Carr, Jamy Ard, Carmen Byker Shanks, Evan M Forman, Stephanie P Goldstein, Debra Haire-Joshu, Ania M Jastreboff, Shaneeta Johnson, Namratha R Kandula, Peter T Katzmarzyk, Thomas C Keyserling, Shiriki K Kumanyika, Bruce Y Lee, Kristina Henderson Lewis, Michelle Y Martin, Dariush Mozaffarian, Robert L Newton, Angela Odoms-Young, Emily Panza, Nicolaas P Pronk, Lisa G Rosas, Carmen Samuel-Hodge, Laura A Schmidt, Nancy E Sherwood, Bonnie Spring, Kristen Cooksey Stowers, Monica L Baskin
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Abstract

Objective: From October 18-20, 2022, the National Institutes of Health held a workshop to examine the state of the science concerning obesity interventions in adults to promote health equity. The workshop had three objectives: (1) Convene experts from key institutions and the community to identify gaps in knowledge and opportunities to address obesity, (2) generate recommendations for obesity prevention and treatment to achieve health equity, and (3) identify challenges and needs to address obesity prevalence and disparities, and develop a diverse workforce.

Methods: A three-day virtual convening.

Results: Several key themes emerged from the workshop discussions that describe directions to build on the currently limited amount of research on obesity, disparities, and equity. Key themes centered on the determinants of health, leveraging technology, clinical, community, commercial, and policy approaches. Community-engaged work, particularly in populations that have received little focus (e.g., sexual gender minorities, Asian communities), were also discussed.

Conclusions: Future research may be impactful when multilevel approaches are undertaken that leverage equity-minded tools and can be scaled up to meet community-informed population needs in a variety of settings. Funding priorities and workforce development will be critical to realizing health equity.

迈向健康公平:关于成人肥胖干预科学现状的研讨会报告。
目的:从2022年10月18日至20日,美国国立卫生研究院举办了一个研讨会,研究成人肥胖干预的科学现状,以促进健康公平。研讨会有三个目标:(1)召集来自主要机构和社区的专家,以确定解决肥胖问题的知识差距和机会;(2)提出肥胖预防和治疗建议,以实现健康公平;(3)确定解决肥胖流行和差距的挑战和需求,并发展多样化的劳动力队伍。方法:召开为期三天的虚拟会议。结果:研讨会讨论中出现了几个关键主题,这些主题描述了在目前关于肥胖、差异和公平的有限研究基础上的发展方向。关键主题集中于健康的决定因素,利用技术、临床、社区、商业和政策方法。还讨论了社区参与的工作,特别是在很少受到关注的人口中(例如,性、性别少数群体、亚洲社区)。结论:未来的研究可能会产生影响,如果采用多层次的方法,利用公平的工具,并可以扩大规模,以满足各种环境下社区知情人口的需求。资助优先事项和人力资源发展对于实现卫生公平至关重要。
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