Obesity Reviews最新文献

{"title":"What matters to adolescents with obesity, and their caregivers, when considering bariatric surgery or weight loss devices? A qualitative evidence synthesis","authors":"Christopher Carroll,&nbsp;Andrew Booth,&nbsp;Diana Castelblanco Cuevas","doi":"10.1111/obr.13654","DOIUrl":"10.1111/obr.13654","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bariatric surgery and weight loss devices have been considered as a therapeutic option in some settings for adolescents with severe obesity. We conducted a systematic review and qualitative evidence synthesis of factors affecting adolescent and caregiver decision-making processes around such interventions, as well as post-surgery demands and challenges, so that their experiences might be better understood and improved support given. No previous qualitative evidence synthesis has been published on this topic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and findings</h3>\u0000 \u0000 <p>We searched 10 bibliographic databases and followed-up gray literature and citations sources. We performed a qualitative evidence synthesis on 19 primary qualitative research studies in adolescents aged 13 years or older. They reported diverse motivations and incentives for considering these interventions, including the physical and social problems resulting from living with obesity, and an awareness of the benefits and limitations of interventions. They reported that they need: information, physical and emotional support and, in some cases, financial assistance. There was high confidence in a majority of these findings (GRADE CERQual).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We found that supportive interventions accompanying bariatric surgery should be in place to offer: practical help; address anxieties and uncertainties; and facilitate both appropriate decision-making and the achievement of young people's desired outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 2","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71418996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons for strengthening policymaking for obesity and diet-related noncommunicable disease prevention: A narrative synthesis of policy literature from the Western Pacific Region","authors":"Erica Reeve,&nbsp;Colin Bell,&nbsp;Gary Sacks,&nbsp;Sarah Mounsey,&nbsp;Gade Waqa,&nbsp;Anna Peeters,&nbsp;Anne Marie Thow","doi":"10.1111/obr.13651","DOIUrl":"10.1111/obr.13651","url":null,"abstract":"<p>Obesity and diet-related noncommunicable diseases (NCDs) have a profound impact on individuals, households, health care systems, and economies in low- and middle- income countries (LMICs), with the Western Pacific Region experiencing some of the highest impacts. Governments have committed to improving population diets; however, implementation challenges limit effective policy action. We undertook meta-narrative synthesis of the academic literature and used theories of policymaking and implementation to synthesize current knowledge of issues affecting the adoption and implementation of policies to prevent obesity and diet-related NCDs in LMICs in the Western Pacific Region. We found that political leadership and management of food and nutrition policies often diluted following policy adoption, and that nutrition and health advocates find it difficult to enforce policy compliance from actors outside their sectors. Opportunities for strengthening implementation of food and nutrition policies in the Western Pacific include (1) improved and earlier engagement between health policymakers and implementing agencies; (2) focusing on the need for increased accountability from governments, including through effective engagement and organization of actor networks, knowledge sharing, and in highlighting where stronger action is required; and (3) identifying and building the strategic capacities of policy actors in framing, advocacy, coalition-building, knowledge translation, and leadership.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 2","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13651","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71409977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of incident chronic kidney disease in metabolically healthy obesity and metabolically unhealthy normal weight: A systematic review and meta-analysis","authors":"Junaid Iqbal,&nbsp;Hui-Xuan Wu,&nbsp;Muhammad Asad Nawaz,&nbsp;Hong-Li Jiang,&nbsp;Shi-Na Xu,&nbsp;Bi-Ling Huang,&nbsp;Long Li,&nbsp;Jun-Min Cai,&nbsp;Hou-De Zhou","doi":"10.1111/obr.13656","DOIUrl":"10.1111/obr.13656","url":null,"abstract":"<div>\u0000 \u0000 <p>Studies have reported inconsistent results about the risk of incident chronic kidney disease (CKD) in people with metabolically healthy obesity (MHO). We designed this systematic review and meta-analysis to evaluate the risk of developing CKD in people with MHO and metabolically unhealthy normal weight (MUNW). We used a predefined search strategy to retrieve eligible studies from multiple databases up to June 20, 2022. Random-effects model meta-analyses were implied to estimate the overall hazard ratio (HR) of incident CKD in obesity phenotypes. Eight prospective cohort studies, including approximately 5 million participants with a median follow-up ranging between 3 and 14 years, were included in this meta-analysis. Compared to the metabolically healthy normal weight (MHNW), the mean differences in cardiometabolic and renal risk factors in MHO, MUNW, and metabolically unhealthy obesity (MUO) were evaluated with overall HR of 1.42, 1.49, and 1.84, respectively. Compared to MHNW, the mean estimated glomerular filtration rate (eGFR) and high-density lipoprotein (HDL) were significantly lower, and low-density lipoprotein (LDL), blood pressure, blood glucose, and triglycerides were higher in MHO and MUNW. In conclusion, MHO and MUNW are not benign conditions and pose a higher risk for incident CKD. Obesity, whether in the presence or absence of metabolic health, is a risk factor for CKD.</p>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 2","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71409978","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}

{"title":"Substitution of sugar-sweetened beverages with non-caloric alternatives and weight change: A systematic review of randomized trials and meta-analysis","authors":"Philip A.-S. Tobiassen,&nbsp;Rasmus Køster-Rasmussen","doi":"10.1111/obr.13652","DOIUrl":"10.1111/obr.13652","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Intake of sugar-sweetened beverages has been associated with weight gain. It is uncertain if replacing an existing use of sugar-sweetened beverages with non-caloric beverages results in long-term reduction in body weight.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study is to explore if a long-term reduction in body weight can be achieved by replacing an existing intake of sugar-sweetened beverages with non-caloric beverages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Systematic review and meta-analysis of randomized clinical trials in accordance with PRISMA guidelines. PubMed and EMBASE were searched for literature. Studies with a “substitution” design were included, that is, studies where subjects substituted an existing intake of sugar-sweetened beverages with either artificially sweetened beverages or unsweetened beverages/water. Studies with 6 months or longer follow-up of weight change were included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six trials with a total of 1729 participants were included in the meta-analysis. Replacing an existing intake of sugar-sweetened beverages with a non-caloric beverage resulted in a long-term BMI reduction of 0.31 kg/m² compared with the sugar-sweetened beverage-group (95% CI; 0.17–0.44). One study with 1 year's intervention and 2 years follow-up showed a regression towards baseline BMI after the intervention had ended.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Replacing an existing use of sugar-sweetened beverages with artificially sweetened beverages or unsweetened beverages resulted in a long-term 0.31 kg/m² reduction in BMI equivalent to 0.5–1 kg in children and adults, respectively, as long as the interventions lasted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 2","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13652","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50160114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal prepregnancy body mass index, gestational weight gain, and allergic diseases in children: A systematic review and meta-analysis","authors":"Hongbiao Yu,&nbsp;Ling Chen,&nbsp;Yulin Zhang","doi":"10.1111/obr.13653","DOIUrl":"10.1111/obr.13653","url":null,"abstract":"<div>\u0000 \u0000 <p>Several studies have investigated a link between maternal preconception body mass index, gestational weight gain (GWG), and the risk of childhood allergic diseases, but the conclusions of these studies were inconsistent. This review aimed to evaluate the relationship based on existing studies. We eventually included 18 cohort studies. The findings indicated that both maternal preconception overweight or obesity increased the risk of childhood wheezing (overweight: risk ratio (RR) 1.09, 95% confidence interval (CI) 1.04–1.15; obesity: RR 1.24, 95% CI 1.12–1.38) and asthma (overweight: RR 1.18, 95% CI 1.05–1.32; obesity: RR 1.34, 95% CI 1.13–1.58), and the risk of childhood wheezing increased with continuous prepregnancy BMI changes (per 5 kg/m² increase) (RR 1.10, 95% CI 1.05–1.15). Preconception underweight may elevate the risk of childhood eczema ever (RR 1.05, 95% CI 1.02–1.09) and current eczema (RR 1.20, 95% CI 1.05–1.37), and preconception overweight may reduce the risk of childhood eczema ever (RR 0.98, 95% CI 0.96–0.99). No statistically significant association between GWG and the risk of allergic diseases in children was found. Preconception weight management is encouraged for the prevention of allergic diseases in children.</p>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 2","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50160110","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}

{"title":"A literature review of evidence for primary prevention of overweight and obesity in healthy weight children and adolescents: A report produced by a working group of the Danish Council on Health and Disease Prevention","authors":"Nanna J. Olsen,&nbsp;Jane N. Østergaard,&nbsp;Lise G. Bjerregaard,&nbsp;Teresa V. Høy,&nbsp;Lene Kierkegaard,&nbsp;Kim F. Michaelsen,&nbsp;Thorkild I. A. Sørensen,&nbsp;Morten K. Grønbæk,&nbsp;Jens M. Bruun,&nbsp;Berit L. Heitmann","doi":"10.1111/obr.13641","DOIUrl":"10.1111/obr.13641","url":null,"abstract":"<p>Primary prevention targets development of overweight in individuals with healthy weight and is a great challenge. This paper summarizes the main findings of a working group of the Danish Council on Health and Disease Prevention that reviewed the literature on primary prevention of overweight and obesity among children and adolescents. The results were presented in a Danish report, in which a 2019 Cochrane review on childhood obesity prevention was complemented by searches in PubMed to include all relevant subsequent studies published from January 2018 until March 2020. In this paper, the review was updated until June 2023. Numerous childhood overweight prevention interventions have been developed during the past decades, primarily targeting diet and/or physical activity. Several of these interventions showed positive effects on diet and physical activity level but did not show effects on risk of developing overweight. The evidence foundation is inconsistent as four out of five interventions did not show positive effects. Previously observed intervention effects may not reflect excessive weight gain prevention among children with healthy weight but rather bodyweight reduction among those with overweight or obesity. We do not have sufficient knowledge about how to prevent children with healthy weight from developing overweight, and creative solutions are urgently needed.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 1","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13641","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing the global obesity narrative to recognize and reduce weight stigma: A position statement from the World Obesity Federation","authors":"Sarah Nutter,&nbsp;Laura A. Eggerichs,&nbsp;Taniya S. Nagpal,&nbsp;Ximena Ramos Salas,&nbsp;Christine Chin Chea,&nbsp;Shubo Saiful,&nbsp;Johanna Ralston,&nbsp;Olivia Barata-Cavalcanti,&nbsp;Claudia Batz,&nbsp;Louise A. Baur,&nbsp;Susie Birney,&nbsp;Sheree Bryant,&nbsp;Kent Buse,&nbsp;Michelle I. Cardel,&nbsp;Aastha Chugh,&nbsp;Ada Cuevas,&nbsp;Mychelle Farmer,&nbsp;Allison Ibrahim,&nbsp;Ishu Kataria,&nbsp;Catherine Kotz,&nbsp;Ted Kyle,&nbsp;Sara le Brocq,&nbsp;Vicki Mooney,&nbsp;Clare Mullen,&nbsp;Joe Nadglowski,&nbsp;Margot Neveux,&nbsp;Karin Papapietro,&nbsp;Jaynaide Powis,&nbsp;Rebecca M. Puhl,&nbsp;Bernardo Rea Ruanova,&nbsp;Jessica F. Saunders,&nbsp;Fatima Cody Stanford,&nbsp;Ogweno Stephen,&nbsp;Kwang Wei Tham,&nbsp;Agbo Urudinachi,&nbsp;Lesly Vejar-Renteria,&nbsp;Danielle Walwyn,&nbsp;John Wilding,&nbsp;Saifullah Yusop","doi":"10.1111/obr.13642","DOIUrl":"10.1111/obr.13642","url":null,"abstract":"<p>Weight stigma, defined as pervasive misconceptions and stereotypes associated with higher body weight, is both a social determinant of health and a human rights issue. It is imperative to consider how weight stigma may be impeding health promotion efforts on a global scale. The World Obesity Federation (WOF) convened a global working group of practitioners, researchers, policymakers, youth advocates, and individuals with lived experience of obesity to consider the ways that global obesity narratives may contribute to weight stigma. Specifically, the working group focused on how overall obesity narratives, food and physical activity narratives, and scientific and public-facing language may contribute to weight stigma. The impact of weight stigma across the lifespan was also considered. Taking a global perspective, nine recommendations resulted from this work for global health research and health promotion efforts that can help to reduce harmful obesity narratives, both inside and outside health contexts.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 1","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13642","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41230909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential biopsychosocial factors mediating/moderating the relationship between depressive symptoms and body size among children and adolescents: A systematic review","authors":"Bing Cao,&nbsp;Xiaoli Shao,&nbsp;Yefei Xiao,&nbsp;Roger S. McIntyre,&nbsp;Kayla M. Teopiz,&nbsp;Ruonan Li,&nbsp;Linlin Fan,&nbsp;Hong Chen","doi":"10.1111/obr.13645","DOIUrl":"10.1111/obr.13645","url":null,"abstract":"<div>\u0000 \u0000 <p>The prevalence of depression and obesity in the pediatric population has increased along with multiple adverse health outcomes in later life. However, the mechanisms underlying the bidirectional relationship between obesity and depression have not yet been clarified. We aim to systematically summarize the literature reporting on mediational or moderational biopsychosocial factors in the relationship between depression and body size among children and adolescents. Four electronic databases (PubMed, Web of Science, PsycINFO, and PsychArticles) were systematically searched from inception until December 23, 2021, and subsequently updated until June 9, 2023. The study protocol was registered with PROSPERO (CRD42022301475). A total of 36 unique records reporting 152,513 children and adolescents meeting the inclusion criteria were identified. The results indicate that disparate psychological variables (e.g., body image, victimization and bullying, eating disorders, and sleep problems) may mediate the bidirectional relationship between depressive symptoms and body size. Moreover, the mediational/moderational effect of biological factors has not been well established. The moderational effect of social factors was inconsistently reported. Future research should aim to identify and characterize factors that may impact the bidirectional relationship between depression and obesity to inform prevention intervention strategies for affected children and adolescents.</p>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 1","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41181570","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}

{"title":"Composition of gut microbiota and non-alcoholic fatty liver disease: A systematic review and meta-analysis","authors":"Xin Su,&nbsp;Shiyun Chen,&nbsp;Jiazi Liu,&nbsp;Yonghui Feng,&nbsp;Eerdun Han,&nbsp;Xiaolei Hao,&nbsp;Minqi Liao,&nbsp;Jun Cai,&nbsp;Shiwen Zhang,&nbsp;Jianxiang Niu,&nbsp;Shihua He,&nbsp;Shaofen Huang,&nbsp;Kenneth Lo,&nbsp;Fangfang Zeng","doi":"10.1111/obr.13646","DOIUrl":"10.1111/obr.13646","url":null,"abstract":"<div>\u0000 \u0000 <p>The present systematic review and meta-analysis aimed to summarize the associations between gut microbiota composition and non-alcoholic fatty liver disease. To compare the differences between individuals with or without NAFLD, the standardized mean difference and 95% confidence interval were computed for each α-diversity index and relative abundance of gut microbes. The β-diversity indices were summarized in a qualitative manner. A total of 54 studies with 8894 participants were included. Overall, patients with NAFLD had moderate reduction in α-diversity indices including Shannon (SMD = −0.36, 95% CI = [−0.53, −0.19], <i>p</i> &lt; 0.001) and Chao 1 (SMD = −0.42, 95% CI = [−0.68, −0.17], <i>p</i> = 0.001), but no significant differences were found for Simpson, observed species, phylogenetic diversity, richness, abundance-based coverage estimator, and evenness (<i>p</i> ranged from 0.081 to 0.953). Over 75% of the included studies reported significant differences in β-diversity. Although there was substantial interstudy heterogeneity, especially for analyses at the phylum, class, and family levels, the majority of the included studies showed alterations in the depletion of anti-inflammatory microbes (i.e., <i>Ruminococcaceae</i> and <i>Coprococcus</i>) and the enrichment of proinflammatory microbes (i.e., <i>Fusobacterium</i> and <i>Escherichia</i>) in patients with NAFLD. Perturbations in gut microbiota were associated with NAFLD, commonly reflected by a reduction in beneficial species and an increase in the pathogenic species.</p>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 1","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41181569","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}

{"title":"The built environment and child obesity: A review of Australian policies","authors":"Anna Henry,&nbsp;Leanne Fried,&nbsp;Andrea Nathan,&nbsp;Gursimran Dhamrait,&nbsp;Bryan Boruff,&nbsp;Jasper Schipperijn,&nbsp;Donna Cross,&nbsp;Ben Beck,&nbsp;Gina Trapp,&nbsp;Hayley Christian","doi":"10.1111/obr.13650","DOIUrl":"10.1111/obr.13650","url":null,"abstract":"<p>Child obesity is a serious public health challenge affected by both individual choice and societal and environmental factors. The main modifiable risk factors for child obesity are unhealthy eating and low levels of physical activity, both influenced by aspects of the built environment. Coordinated government policy across jurisdictions, developed using strong research evidence, can enable built environments that better support healthy lifestyles. This study reviewed current Australian and Western Australian government policies to understand if and how they address the impact of the built environment on child obesity, physical activity, sedentary behavior, and diet. Current government policy documents related to the built environment and child health were analyzed using the Comprehensive Analysis of Policy on Physical Activity framework. Ten Australian and 31 Western Australian government policy documents were identified. Most referred to the role of the built environment in supporting physical activity. Very few policies mentioned the built environment's role in reducing sedentary behaviors, supporting healthy eating, and addressing obesity. Few recognized the needs of children, and none mentioned children in policy development. Future government policy development should include the voices of children and child-specific built environment features. Inter-organizational policies with transparent implementation and evaluation plans are recommended.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"25 1","pages":""},"PeriodicalIF":8.9,"publicationDate":"2023-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13650","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41099250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}