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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Active transport and obesity prevention - A transportation sector obesity impact scoping review and assessment for Melbourne, Australia
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Active transport and obesity prevention - A transportation sector obesity impact scoping review and assessment for Melbourne, Australia

机译：积极的运输和肥胖预防 - 澳大利亚墨尔本的交通部门肥胖影响范围和评估

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Given the alarming prevalence of obesity worldwide and the need for interventions to halt the growing epidemic, more evidence on the role and impact of transport interventions for obesity prevention is required. This study conducts a scoping review of the current evidence of association between modes of transport (motor vehicle, walking, cycling and public transport) and obesity-related outcomes. Eleven reviews and thirty-three primary studies exploring associations between transport behaviours and obesity were identified. Cohort simulation Markov modelling was used to estimate the effects of body mass index (BMI) change on health outcomes and health care costs of diseases causally related to obesity in the Melbourne, Australia population. Results suggest that evidence for an obesity effect of transport behaviours is inconclusive (29% of published studies reported expected associations, 33% mixed associations), and any potential BMI effect is likely to be relatively small. Hypothetical scenario analyses suggest that active transport interventions may contribute small but significant obesity-related health benefits across populations (approximately 65 health adjusted life years gained per year). Therefore active transport interventions that are low cost and targeted to those most amenable to modal switch are the most likely to be effective and cost-effective from an obesity prevention perspective. The uncertain but potentially significant opportunity for health benefits warrants the collection of more and better quality evidence to fully understand the potential relationships between transport behaviours and obesity. Such evidence would contribute to the obesity prevention dialogue and inform policy across the transportation, health and environmental sectors. (C) 2016 Elsevier Inc. All rights reserved.
机译：鉴于全世界肥胖的令人震惊，需要干预措施来停止不断增长的疫情，需要更多关于肥胖预防运输干预措施的作用和影响。本研究对运输方式（机动车，行走，骑自行车和公共交通工具）和肥胖有关的结果之间的当前证据进行了审查。确定了探索运输行为与肥胖之间的关联的114次初步研究。队列仿真马尔可夫建模用于估算体重指数（BMI）对澳大利亚墨尔本墨尔本肥胖疾病的疾病对疾病的健康结果和医疗费用的影响。结果表明，运输行为肥胖效应的证据是不确定的（29％的公布研究报告了预期的协会，33％的混合协会），任何潜在的BMI效应可能相对较小。假设情景分析表明，积极的运输干预措施可能会促进跨越人群的小而大量的肥胖相关的健康效益（每年获得的大约65个健康的生命年份）。因此，从肥胖预防的角度来看，最低成本和最适合模态开关最适合的运输干预措施最有可能是有效的，并且具有成本效益。健康福利的不确定但潜在的重要机会需要收集更多和更好的质量证据，以充分了解运输行为与肥胖之间的潜在关系。这些证据将有助于肥胖预防对话，并告知整个交通，卫生和环境部门的政策。 （c）2016年Elsevier Inc.保留所有权利。

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