Obesity Reviews最新文献

The impact of food and nonalcoholic beverage sponsorship and marketing in the school environment on the food choices of school-going children and adolescents: A scoping review, 2011-2023.

IF 8 2区医学

Obesity Reviews Pub Date : 2025-03-28 DOI: 10.1111/obr.13923

Kelly O Farmer, Ronel A Beukes, Marwyn Sowden, Lisanne M du Plessis

{"title":"The impact of food and nonalcoholic beverage sponsorship and marketing in the school environment on the food choices of school-going children and adolescents: A scoping review, 2011-2023.","authors":"Kelly O Farmer, Ronel A Beukes, Marwyn Sowden, Lisanne M du Plessis","doi":"10.1111/obr.13923","DOIUrl":"https://doi.org/10.1111/obr.13923","url":null,"abstract":"Globally, childhood obesity presents as a major public health challenge that is steadily on the increase. This is a result of, among other factors, children consuming excessive amounts of empty calories, specifically from foods high in saturated fats, refined sugar, and sodium, which may be exacerbated by targeted marketing and sponsorships. This scoping review aimed to investigate the prevalence of food and nonalcoholic beverage marketing in schools and to determine the impact marketing and sponsorship in the school environment has on the food choices of school-going children and adolescents. The objectives of the scoping review were to conduct a systematic search of available and relevant literature, identify recurring themes and knowledge gaps, and make recommendations for future research. For this scoping review, PubMed, Scopus, Web of Science, and EBSCO were searched for relevant studies published between 2011 and 2023. Gray literature was searched for on ProQuest and Google Scholar. The results were exported from the database into CADIMA for screening and data analysis; 1608 references were screened. Twelve primary studies (n = 12) were included in the final review. The evidence mapped out through this scoping review found that a link has been established between food and nonalcoholic beverage marketing and enhanced interest in these products from adolescents. It showed that food and nonalcoholic beverage marketing is prevalent in the school environment and influences the dietary behavior of school-going children. The school food environment is an opportunity to positively influence children and adolescents' food choices and consumption habits through nutrition education and health promotion.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13923"},"PeriodicalIF":8.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Defective lymphatic vasculature in obesity.

IF 8 2区医学

Obesity Reviews Pub Date : 2025-03-27 DOI: 10.1111/obr.13922

Jingjing Zhu, John P H Wilding, Ji Hu

{"title":"Defective lymphatic vasculature in obesity.","authors":"Jingjing Zhu, John P H Wilding, Ji Hu","doi":"10.1111/obr.13922","DOIUrl":"https://doi.org/10.1111/obr.13922","url":null,"abstract":"Lymphedema is an important, and often underdiagnosed complication of obesity and is likely due to acquired defects in the lymphatic vasculature. Study of diet-induced obesity animal models have indicated defective lymphatic vasculatures might extend to other anatomical sites, especially visceral depots. Excess mechanical pressure, metabolites, pro-inflammatory cytokines, and adipokines released during adipose tissue expansion can predispose lymphocytes to overactivation and apoptosis; compromising collecting lymphatic vessels; and triggering lymph node hypoplasia, fibrosis, and apoptosis. Consequently, the defective lymphatic vasculature may disrupt local and systemic immune-metabolic homeostasis, contributing to various adverse outcomes including inflammation and immune dysfunction, abnormal transport dynamics of lipids, vitamin D, and possibly incretin in obesity. Weight reduction is the definitive management to restore lymphatic function and should be instituted before permanent vasculature impairment develops. Besides lymphatic regeneration, future research aimed at elucidating the pathophysiological mechanisms between adipose tissue and lymphatic vasculature should be considered to help the development of potential adjunctive therapies that might repair the lymphatic vasculature, improve immune-metabolic outcomes, and even combat obesity.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13922"},"PeriodicalIF":8.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contemporary esophageal physiological testing for primary esophageal motility disorder (PEMD) and gastroesophageal reflux disease (GERD) before bariatric surgery: A systematic literature review.

IF 8 2区医学

Obesity Reviews Pub Date : 2025-03-26 DOI: 10.1111/obr.13924

Muhammed Ashraf Memon, Khorshed Alam, Zahirul Hoque, Shahjahan Khan

{"title":"Contemporary esophageal physiological testing for primary esophageal motility disorder (PEMD) and gastroesophageal reflux disease (GERD) before bariatric surgery: A systematic literature review.","authors":"Muhammed Ashraf Memon, Khorshed Alam, Zahirul Hoque, Shahjahan Khan","doi":"10.1111/obr.13924","DOIUrl":"https://doi.org/10.1111/obr.13924","url":null,"abstract":"Objective: This systematic review was conducted to evaluate the preoperative prevalence of primary esophageal motility disorders and gastroesophageal reflux disease in patients with morbid obesity before bariatric surgery.Background: The use of esophageal manometry ± 24-hour pH study before bariatric surgery was explored.Material and methods: Articles on preoperative conventional or high-resolution manometry ± 24-hours pH-study or both before bariatric surgery between 1999 and 2023 were identified using the Medline, PubMed, EMBASE, Cochrane Register of Systematic Reviews, and Science Citation Index. The search terms were selected for each search engine to optimize the published literature and meet the inclusion criteria. The modified AXIS was used as a critical appraisal tool to assess the quality of studies.Results: Thirty-three studies performing preoperative esophageal manometry ± pH studies or both were identified. Various manometric abnormalities have been described by the authors depending on the type of technique used. Twenty-two studies undertook a 24-hour ambulatory pH study to identify abnormal acid exposure. Twenty studies performed preoperative gastroscopy. The incidence of hiatal hernia varied from 5.4% to 52.6%, and reflux esophagitis from 4.4% to 42%.Conclusions: The preoperative prevalence of PEMD and GERD was significant in patients with morbid obesity. This implies that the selection of the most appropriate bariatric procedure needs to be tailored not only for weight reduction but also for the prevention of further deterioration in esophageal motor function and GERD and its future consequences, such as Barrett's esophagus, erosive esophagitis, and esophageal adenocarcinoma, in both the short and long term.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13924"},"PeriodicalIF":8.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measurement and evaluation of community engagement in complex, chronic medical conditions: HIV and obesity as exemplar conditions.

IF 8 2区医学

Obesity Reviews Pub Date : 2025-03-24 DOI: 10.1111/obr.13919

Andrew D Brown, A Colin Bell, Josh Hayward, Tiana Felmingham, Steven Allender

{"title":"Measurement and evaluation of community engagement in complex, chronic medical conditions: HIV and obesity as exemplar conditions.","authors":"Andrew D Brown, A Colin Bell, Josh Hayward, Tiana Felmingham, Steven Allender","doi":"10.1111/obr.13919","DOIUrl":"https://doi.org/10.1111/obr.13919","url":null,"abstract":"Objective To systematically review, describe, and compare quantitative measures of community engagement in obesity and HIV prevention research. Materials & Methods A systematic review adhering to PRISMA and PROSPERO guidelines was conducted, searching seven databases. Screening and quality assessment were carried out by four reviewers independently. Studies were included if they explicitly used community engagement for obesity or HIV prevention and quantitatively measured community engagement. Extracted data included descriptions of community engagement, measurement constructs, and statistical results. Results Of 8922 studies screened by title and abstract and 1326 studies screened by full text, 13 studies were included from obesity prevention and 42 studies from HIV prevention. The studies used a range of terms for community engagement, highlighting differing approaches and challenges in measurement. Quantitative measures of community engagement varied across the studies. When change over time in community engagement was analyzed, an increase in engagement was generally found, and when an association between engagement and health was tested, a positive association was generally found. Conclusion Despite diverse measurement approaches, drawing parallels between obesity and HIV prevention offers new pathways to strengthen community engagement evaluations through the iteration of existing measures across the two fields.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13919"},"PeriodicalIF":8.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diet-focused behavioral interventions to reduce the risk of non-communicable diseases in low- and middle-income countries: A scoping review of existing evidence.

IF 8 2区医学

Obesity Reviews Pub Date : 2025-03-24 DOI: 10.1111/obr.13918

Averi Chakrabarti, Nathan Ellermeier, Arpita Tripathi, Harsha Thirumurthy, Rachel Nugent

{"title":"Diet-focused behavioral interventions to reduce the risk of non-communicable diseases in low- and middle-income countries: A scoping review of existing evidence.","authors":"Averi Chakrabarti, Nathan Ellermeier, Arpita Tripathi, Harsha Thirumurthy, Rachel Nugent","doi":"10.1111/obr.13918","DOIUrl":"https://doi.org/10.1111/obr.13918","url":null,"abstract":"Purpose: Non-communicable diseases (NCDs) are on the rise worldwide, with low- and middle-income countries (LMICs) bearing more than three-quarters of global deaths from NCDs. Unhealthy diet is a major risk factor for NCDs. This scoping review compiles evidence on the effectiveness of diet-focused behavioral interventions in LMICs.Methods: We conducted a search of five databases to identify studies that evaluated a broad set of behavioral interventions to address diet in LMICs. The final sample comprised 52 studies. The interventions investigated were education (N = 10), messaging (N = 12), multi-component (N = 26), and others (N = 4). Fiscal interventions were excluded as their impacts have been widely studied in prior research. The most common evaluation methods were randomized controlled trials (N = 31) followed by pre-post comparisons (N = 13). We extracted effect sizes for: biological risk factors (such as cholesterol or body mass index), nutritional intake for different food groups (e.g., fruits and vegetables), and nutritional knowledge.Results: Studies of behavioral interventions to promote dietary change reported a broad range of outcomes. The most commonly reported outcomes were body mass index (BMI), intake of specific foods, and nutrition knowledge. Most interventions produced small effects in the expected direction. Many of the studies fell short of quality measures, with quality being affected by small sample sizes, no adjustment for multiple hypothesis testing, and a lack of objectively measured outcomes. A few LMICs were heavily represented. Overall, there was limited evidence on how to effectively promote healthier diets through behavioral interventions in LMICs. Existing studies have examined a narrow range of interventions and provided little evidence that health outcomes substantially improved.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13918"},"PeriodicalIF":8.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stakeholder views of behavioral interventions for children and adolescents with obesity: Mega-ethnography of qualitative syntheses.

IF 8 2区医学

Obesity Reviews Pub Date : 2025-03-19 DOI: 10.1111/obr.13917

Joanna Leaviss, Roos Verstraeten, Christopher Carroll, Andrew Booth, Munira Essat, Diana Castelblanco Cuevas

{"title":"Stakeholder views of behavioral interventions for children and adolescents with obesity: Mega-ethnography of qualitative syntheses.","authors":"Joanna Leaviss, Roos Verstraeten, Christopher Carroll, Andrew Booth, Munira Essat, Diana Castelblanco Cuevas","doi":"10.1111/obr.13917","DOIUrl":"https://doi.org/10.1111/obr.13917","url":null,"abstract":"Background: The prevalence of overweight and obesity among children and adolescents is rising and is a recognized global health problem. This overview of reviews explored the views of children, adolescents, and parents/caregivers regarding behavioral interventions for obesity management.Methods: Eleven electronic databases were searched to identify reviews of qualitative research regarding the views of children or adolescents with obesity, and their caregivers, concerning behavioral interventions for obesity. Synthesis was performed using a mega-ethnography approach.Results: Eleven reviews were included. Factors associated with feasibility, acceptability, and equity were identified that influenced decisions to engage with these interventions. Children and adolescents with obesity can be encouraged to engage and participate in behavioral interventions if there is a positive environment, free from stigma; have the necessary resources needed to fully engage in the intervention; are taught holistic, practical skills that allow for long-term lifestyle change, not just short-term weight loss; and are provided with activities likely to be perceived as fun and enjoyable. Interventions are more acceptable to the child/adolescent when parents and families are able to engage with them.Conclusion: Practitioners can improve engagement with behavioral interventions for obesity management for children/adolescents if they are aware of specific motivating factors.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13917"},"PeriodicalIF":8.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143661816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of dietary weight-loss interventions on the inflammatory markers interleukin-6 and TNF-alpha in adults with obesity: A systematic review and meta-analysis of randomized controlled clinical trials.

IF 8 2区医学

Obesity Reviews Pub Date : 2025-03-16 DOI: 10.1111/obr.13910

Cate Bulmer, Alison Avenell

{"title":"The effect of dietary weight-loss interventions on the inflammatory markers interleukin-6 and TNF-alpha in adults with obesity: A systematic review and meta-analysis of randomized controlled clinical trials.","authors":"Cate Bulmer, Alison Avenell","doi":"10.1111/obr.13910","DOIUrl":"https://doi.org/10.1111/obr.13910","url":null,"abstract":"Background: A chronic inflammatory state characterizes a wide range of diseases for which obesity is a risk factor. Weight loss could reduce levels of circulating inflammatory markers potentially reducing the incidence of associated diseases and improving response to treatment. However, dietary weight loss studies have reported inconsistent effects on serum inflammatory makers and the long-term effects are unknown.Objective: To systematically review randomized controlled trials and analyze any differences in serum interleukin-6 and tumor necrosis factor-alpha between adults with obesity achieving weight loss through dietary intervention compared to those receiving none or standard care.Methods: Studies were identified by searching databases from 1966 to November 2024. Randomized controlled trials with at least 12 months' follow-up were included in this systematic review and meta-analysis with an assessment of Cochrane risk of bias version 1.Results: Twelve eligible studies were included. No trials reported a significant effect of weight loss on circulating tumor necrosis factor-alpha, whilst studies achieving greater than 5% weight loss significantly reduced circulating interleukin-6 in adults with obesity.Conclusion: Weight loss interventions achieving and maintaining greater than 5% weight loss appear to be required to reduce circulating interleukin-6 levels in adults with obesity.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13910"},"PeriodicalIF":8.0,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of epicardial adipose tissue in heart failure with preserved ejection fraction: An emerging molecular mechanism and therapeutic potential. 心外膜脂肪组织在射血分数保留型心力衰竭中的作用：新出现的分子机制和治疗潜力

IF 8 2区医学

Obesity Reviews Pub Date : 2025-03-01 DOI: 10.1111/obr.13912

Zhongwen Qi, Dan Wu, Zhipeng Yan, Qing Wang, Yiming Li, Junnan Zhao, Fengqin Xu

{"title":"Role of epicardial adipose tissue in heart failure with preserved ejection fraction: An emerging molecular mechanism and therapeutic potential.","authors":"Zhongwen Qi, Dan Wu, Zhipeng Yan, Qing Wang, Yiming Li, Junnan Zhao, Fengqin Xu","doi":"10.1111/obr.13912","DOIUrl":"https://doi.org/10.1111/obr.13912","url":null,"abstract":"With the evolving landscape of diseases, heart failure with preserved ejection fraction (HFpEF) now encompasses more than half of all heart failure patients. This condition is clinically diverse, involving multiple organ systems and often occurring alongside the aging process. To deeply investigate the common pathogenesis of HFpEF and to explore new therapeutic approaches is of great significance for the treatment of HFpEF. Epicardial adipose tissue (EAT) is not only a dynamic organ with biological functions but also physically adjacent to the myocardium and coronary arteries, endowing it with unique properties as a visceral fat depot. During pathology, EAT can secrete adipocytokines via paracrine mechanisms, establishing direct communication with the heart and vascular, thereby impacting cardiac function. This review aims to elucidate the intricate relationship between EAT and cardiac function in HFpEF, delineate the roles of adipocytes, macrophages, lymphocytes, and stem cells within EAT in HFpEF, and summarize the progress in research regarding drug therapies targeting EAT for HFpEF treatment.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13912"},"PeriodicalIF":8.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship of fat in the pancreas with cardiovascular disease: A systematic review and meta-analysis. 胰腺中的脂肪与心血管疾病的关系：系统回顾和荟萃分析。

IF 8 2区医学

Obesity Reviews Pub Date : 2025-02-27 DOI: 10.1111/obr.13914

Yingxin Zhang, Yutong Liu, Maxim S Petrov

{"title":"Relationship of fat in the pancreas with cardiovascular disease: A systematic review and meta-analysis.","authors":"Yingxin Zhang, Yutong Liu, Maxim S Petrov","doi":"10.1111/obr.13914","DOIUrl":"https://doi.org/10.1111/obr.13914","url":null,"abstract":"Background: General adiposity is a well-known risk factor for cardiovascular disease. By contrast, the interconnection between high intra-pancreatic fat deposition and cardiovascular disease has been scantily investigated. This field-wide systematic review aimed to map the available evidence on cardiovascular disease according to the fat content of the pancreas.Methods: A literature search using two electronic databases (MEDLINE and Embase) was conducted independently by two reviewers. Studies reporting on the association between intra-pancreatic fat deposition and cardiovascular disease in humans were included. Where meta-analysis was possible, data were pooled using a random-effects method.Results: A total of 16 studies published between 1966 and 2024 were included. The most credible findings across domains of heart diseases, diseases of arteries, arterioles, and capillaries, as well as subclinical atherosclerosis provided supportive evidence of a positive relationship between high intra-pancreatic fat deposition and cardiovascular disease. Meta-analysis showed that high intra-pancreatic fat deposition was significantly associated with increased aortic intima-media thickness (mean difference: 0.19 mm; 95% confidence interval: 0.12-0.26; p < 0.001), increased carotid intima-media thickness (mean difference: 0.06 mm; 95% confidence interval: 0.03-0.08; p < 0.001), and increased vascular stiffness (mean difference: 167 cm/s; 95% confidence interval: 81-254; p < 0.001).Conclusion: The accumulated evidence from more than 7000 people demonstrates a tangible connection of intra-pancreatic fat deposition with cardiovascular disease (especially, subclinical atherosclerosis). Purposely designed investigations of high intra-pancreatic fat deposition as an additional risk factor (independent of general adiposity) for cardiovascular disease are warranted.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13914"},"PeriodicalIF":8.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of school food policies for secondary schools in Europe: Results for health, acceptance, and affordability from a scoping review. 欧洲中学学校食品政策评估：从健康、接受度和可负担性方面进行范围审查的结果。

IF 8 2区医学

Obesity Reviews Pub Date : 2025-02-25 DOI: 10.1111/obr.13911

Nadia Blecha, Janina Meuer, Wiebke Hübner, Lara Christianson, Maike Wolters, Heide Busse, Antje Hebestreit, Sarah Forberger

{"title":"Evaluation of school food policies for secondary schools in Europe: Results for health, acceptance, and affordability from a scoping review.","authors":"Nadia Blecha, Janina Meuer, Wiebke Hübner, Lara Christianson, Maike Wolters, Heide Busse, Antje Hebestreit, Sarah Forberger","doi":"10.1111/obr.13911","DOIUrl":"https://doi.org/10.1111/obr.13911","url":null,"abstract":"Introduction: All European Union (EU) countries have established national school food policies. However, evaluations of those policies for secondary schools remain limited. This scoping review aims to synthesize the evidence of school food policies in secondary schools on child health, acceptance, and affordability in the EU, UK, Switzerland, Norway, and Iceland.Methods: The scoping review adheres to the PRISMA-ScR guideline. Searches were conducted in four databases from 2000 to September 2023 without language and methods restrictions following a published protocol. After a two-stage screening process, reviewers extracted data using a standardized and predefined coding scheme.Results: The search identified 185 records with N = 10 articles meeting the inclusion criteria (n = 7 UK, n = 1 each in Norway, Sweden, and Portugal). Among the included articles, n = 7 addressed school meal acceptance, n = 6 addressed health impacts, and n = 3 addressed affordability. Findings indicate low acceptance rates of school meals. Results of several studies showed that the reformulated menus did not meet nutritional standards and were not accepted because of taste, quality, and pupils' different food preferences. Affordability was reported as a barrier across the three articles addressing this topic.Conclusion: The existing literature highlights challenges in interpreting the impact of school food policies on health, acceptance, and affordability. Further research is needed to strengthen the methodological approaches and increase the evidence to inform policy development and implementation.","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13911"},"PeriodicalIF":8.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0