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Obesity research in Canada: literature overview of the last 3 decades.

机译:加拿大的肥胖症研究:最近3年的文献综述。

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OBJECTIVE: To identify research published on obesity in Canada, to explore the range of areas studied, and to identify gaps and areas that merit future research attention. RESEARCH METHODS AND PROCEDURES: Medline and International Pharmaceutical Abstracts databases were searched from 1970 onwards. Original articles were identified and categorized by areas of interest. RESULTS: A total of 1186 relevant articles were identified: 17, 136, 687, and 346 articles during the 1970s, 1980s, 1990s, and 2000 to 2003, respectively. Of the articles, 816 were considered original studies and accepted for this analysis. Twelve research areas were identified: basic science involving animal experiments (29%), human experiments (16%), populations surveys (14%), obesity-related comorbidities (13%), diagnostic/surgical issues (11%), nonpharmacological approaches (7%), drug-related issues (4%), anthropometrics (2%), impact of weight loss (2%), cost/healthcare use (1%), attitudes/perceptions (0.9%), and models/procedures (0.5%). Two-thirds of all research was conducted in Quebec (34%) and Ontario (33%). DISCUSSION: Given the multifactorial nature of obesity, Canadian obesity research covers a broad range of areas with a predominance of basic science but lesser emphasis on community and primary care studies. Furthermore, there was a paucity of research on either clinical management of medical conditions in obese patients or clinical aspects that go beyond weight loss. Thus, although Canada appears well represented in basic research, more attention to exploration of clinical issues and healthcare delivery for obese patients appears warranted.
机译:目的:确定在加拿大发表的有关肥胖症的研究,探讨研究领域的范围,并确定值得今后研究关注的差距和领域。研究方法和程序:从1970年开始检索Medline和International Pharmaceutical Abstracts数据库。根据感兴趣的领域对原始文章进行识别和分类。结果:共确定1186篇相关文章:1970年代,1980年代,1990年代和2000年至2003年分别有17篇,136篇,687篇和346篇。在这些文章中,有816篇被认为是原创研究,并被接受了此分析。确定了十二个研究领域:涉及动物实验的基础科学(29%),人体实验(16%),人群调查(14%),肥胖相关合并症(13%),诊断/手术问题(11%),非药物学方法(7%),与毒品有关的问题(4%),人体测量学(2%),减肥的影响(2%),成本/医疗保健使用(1%),态度/看法(0.9%)和模型/程序(0.5%)。所有研究的三分之二是在魁北克(34%)和安大略(33%)进行的。讨论:鉴于肥胖症的多因素性质,加拿大肥胖症研究涵盖了广泛的领域,这些领域以基础科学为主,但较少关注社区和初级保健研究。此外,关于肥胖患者的医学状况的临床管理或减肥以外的临床方面的研究很少。因此,尽管加拿大在基础研究中表现出很好的代表性,但似乎有必要更加重视对肥胖患者的临床问题的探索和医疗保健的提供。

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