探讨中国成年人对超重和肥胖的看法:一项系统的文献综述。

IF 7.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Obesity Reviews Pub Date : 2025-02-18 DOI:10.1111/obr.13913
Yixi Wang-Chen, Hui Yang, Nicole J. Kellow, Tammie S. T. Choi
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引用次数: 0

摘要

在过去的二十年里,中国人口中肥胖的患病率增加了三倍多。了解中国人对肥胖的看法对于制定有效的体重管理措施至关重要。本双语系统综述旨在综合中国成年人对超重和肥胖认知的现有文献,并对方法学意义和未来的研究方向提出见解。方法:检索自成立至2025年1月8日的6个数据库。如果研究以英文或中文发表,调查人们对超重和肥胖的看法,并关注生活在中国大陆或大陆以外的中国成年人,则将其纳入其中。数据分析采用主题综合。结果:纳入53项研究(英文24项,中文29项),共纳入83,688名受试者。确定了三个主题;(1)中国成年人将肥胖与外表联系得更紧密,而不是与健康联系得更紧密;(2)中国成年人缺乏管理肥胖的实用知识;(3)肥胖被认为是一段孤独的旅程。结论:大多数研究都是针对健康体重范围内的中国人进行的,主要集中在以外表为导向的体重感知上。中国成年人有控制体重的强烈动机,但缺乏实用的减肥策略。从业者应用:缺乏实用的体重管理知识和减肥失败导致自我效能低,这可能被误认为是中国成年人体重管理动机低。然而,中国成年人普遍有控制体重的动机。重要的是,通过多学科和可负担的方法,让中国超重或肥胖人群掌握实用技能,提高自我效能感。肥胖污名带来的心理负担和中国文化的影响,使得中国超重肥胖成年人的体重管理之旅孤独而富有挑战性。从业者可能需要公开地解决这些问题,并帮助减轻心理负担,以实现更有效的减肥干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Exploring the perceptions of Chinese adults toward overweight and obesity: A systematic literature review

Exploring the perceptions of Chinese adults toward overweight and obesity: A systematic literature review

Introduction

The prevalence of obesity among the Chinese population has increased more than three-fold over the last twenty years. It is crucial to understand Chinese people's perceptions toward obesity to inform effective weight management initiatives. This bilingual systematic review aimed to synthesize the existing literature regarding the perceptions of Chinese adults toward overweight and obesity and provide insight on methodological implications and future research directions.

Method

Six databases were searched from inception to 8th January 2025. Studies were included if they were published in English or Chinese, investigated perceptions toward overweight and obesity, and focused on Chinese adults living in or outside of Mainland China. Thematic synthesis was employed for data analysis.

Results

Fifty-three studies (24 in English, 29 in Chinese) were included, involving 83,688 participants. Three themes were identified; (1) Chinese adults connected obesity with appearance more than with health, (2) Chinese adults lacked practical knowledge to manage obesity, and (3) living with obesity was perceived as a solitary journey.

Conclusion

Most studies were conducted on Chinese people within the healthy weight range, who predominantly focused on appearance-oriented weight perception. There was a strong motivation for weight control, but a lack of practical weight loss strategies among Chinese adults.

Practitioner applications

  • The lack of practical weight management knowledge and weight loss failures lead to low self-efficacy, which may be mistaken as low motivation for weight management among Chinese adults. However, Chinese adults generally have the motivation to control their weight. It is important to empower Chinese people living with overweight or obesity with practical skills and increase self-efficacy through a multidisciplinary and affordable approach.
  • The psychological burden caused by obesity stigma and the influence of Chinese culture makes the weight management journey lonely and challenging for Chinese adults living with overweight and obesity. Practitioners may need to openly address these issues and help reduce the mental burden toward more effective weight loss interventions.
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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
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