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Comprehensive application of a systems approach to obesity prevention

A scoping review of empirical evidence

Bibliographic Data

ID22075338
AuthorsBai Li (0009-0005-5729-9685), Li Bai (0000-0001-7292-4876, University of Bristol, corresponding author), Mohammed Alharbi (0000-0002-9483-3155, University of Bristol), Steven Allender (0000-0002-4842-3294, Deakin University), Steve Allender, Boyd Swinburn, Boyd Swindurn (0000-0002-2131-045X, University of Auckland), Remco Peters (0000-0003-2795-0869, University of Bristol), Charlie Foster (0000-0002-5041-0601, University of Bristol)
Year2023
Volume11
Pages1015492-1015492
Publication date2023-08-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1015492
PMID37614454
OpenAlexW4385660829
LanguageEN
Citations received3
References cited34

A systems approach to obesity prevention is increasingly urged. However, confusion exists on what a systems approach entails in practice, and the empirical evidence on this new approach is unclear. This scoping review aimed to identify and synthesise studies/programmes that have comprehensively applied a systems approach to obesity prevention in intervention development, delivery/implementation, and evaluation. By searching international databases and grey literature, only three studies (10 publications) met inclusion criteria, which might be explained partially by suboptimal reporting. No conclusion on the effectiveness of this approach can be drawn yet due to the limited evidence base. We identified common features shared by the included studies, such as measuring ongoing changes, in addition to endpoint outcomes, and supporting capacity building. Some facilitators and barriers to applying a comprehensive systems approach in practice were identified. More well-designed and reported studies are needed, especially from low- and middle-income countries

Alternative medicine · Business · Confusion · Empirical evidence · Evidence-based medicine · Grey literature · Management science · MEDLINE · Political science · Process management · Computer Science · Engineering · Global Public Health Policies and Epidemiology · Health Policy Implementation Science · Medicine · Nursing · Obesity, Physical Activity, Diet · Psychology

  • Using systems archetypes to understand system behaviour and identify leverage points for change in local obesity prevention in The Netherlands

    Open Access•Jillian O’Mara, Loes Crielaard et al.•Health Promotion International•2026

  • Identifying mechanisms that shape the food environment in long-term healthcare facilities in the Netherlands

    Open Access•Joline J Wierda, Dijkstra et al.•BMC Public Health•2025

  • Optimizing athletic engagement and performance of obese students

    Open Access•Oumayma Slimi, Antonella Muscella et al.•Frontiers in Sports and Active…•2025

  • The stepped wedge cluster randomised trial

    Open Access•Karla Hemming, Timothy Haines et al.•BMJ•2015

  • Whole systems approaches to obesity and other complex public health challenges

    Open Access•Anne-Marie Bagnall, Duncan Radley et al.•BMC Public Health•2019

  • The need for a complex systems model of evidence for public health

    Open Access•Harry Rutter, Natalie Savona et al.•The Lancet•2017

  • Scoping studies

    Open Access•Danielle Levac, Heather Colquhoun et al.•Implementation Science•2010

  • The global obesity pandemic

    Open Access•Boyd A Swinburn, Gary Sacks et al.•The Lancet•2011

  • Improving the reporting of intervention studies underpinned by a systems approach to address obesity or other public health challenges

    Open Access•Bai Li, Li Bai et al.•Frontiers in Public Health•2022

  • Systems thinking for Aboriginal Health

    Open Access•Jennifer Browne, Troy Walker et al.•SSM - Population Health•2021

  • A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10–14-Year-Old Adolescents in Amsterdam

    Open Access•Wilma Waterlander, Angie Luna Pinzon et al.•International Journal of…•2020

  • Whole of Systems Trial of Prevention Strategies for Childhood Obesity

    Open Access•Steven Allender, Lynne Millar et al.•International Journal of…•2016

  • Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia

    Open Access•Nicola Maitland, Karen Wardle et al.•BMC Public Health•2021

  • Process evaluation of a whole-of-community systems approach to address childhood obesity in western Victoria, Australia

    Open Access•E Lynn Jenkins, Ebony Jenkins et al.•BMC Public Health•2020

  • A rural community moves closer to sustainable obesity prevention - an exploration of community readiness pre and post a community-based participatory intervention

    Open Access•Jillian M Whelan, Karen J Campbell et al.•BMC Public Health•2019

  • Evaluation of public health interventions from a complex systems perspective

    Open Access•Elizabeth Mcgill, Vanessa Er et al.•Social Science & Medicine•2021

  • Putting the system back into systems change

    Open Access•Pennie G Foster‐fishman, Pennie G Foster-Fishman et al.•American Journal of Community…•2007

  • Theorising Interventions as Events in Systems

    Open Access•Penelope Hawe, Alan Shiell et al.•American Journal of Community…•2009

  • Learning from Evidence in a Complex World

    John D Sterman•American Journal of Public Health•2006

  • Scoping studies

    Hilary Arksey, Lisa O’malley•International Journal of Social…•2005

Unique citing works3
Citations per year3
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3
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