Evidence mapPaperPMID 37093795Full record

SynthesisPloS one2023

A systematic review of the burden of, access to services for and perceptions of patients with overweight and obesity, in humanitarian crisis settings.

Thomas Shortland, Majel McGranahan, Daniel Stewart, Oyinlola Oyebode, Saran Shantikumar, William Proto, Bassit Malik, Roger Yau, Maddie Cobbin, Ammar Sabouni and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Thomas ShortlandWarwick Medical School, University of Warwick, Coventry, United Kingdom.ORCID 0000-0001-8434-4019
Majel McGranahanWarwick Medical School, University of Warwick, Coventry, United Kingdom.ORCID 0000-0002-5892-0729
Daniel StewartNational Public Health Specialty Training Programme, South West Training Scheme, Bristol, United Kingdom.ORCID 0000-0003-4368-2788
Oyinlola OyebodeWarwick Medical School, University of Warwick, Coventry, United Kingdom.
Saran ShantikumarWarwick Medical School, University of Warwick, Coventry, United Kingdom.
William ProtoWarwick Medical School, University of Warwick, Coventry, United Kingdom.
Bassit MalikWarwick Medical School, University of Warwick, Coventry, United Kingdom.
Roger YauWarwick Medical School, University of Warwick, Coventry, United Kingdom.
Maddie CobbinWarwick Medical School, University of Warwick, Coventry, United Kingdom.ORCID 0000-0001-6946-4784
Ammar SabouniSyria Development Centre, London, United Kingdom.
Gavin RudgeInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
Farah KidyWarwick Medical School, University of Warwick, Coventry, United Kingdom.ORCID 0000-0003-0771-5052
University of Warwick · GBLondon International Development Centre · GBUniversity of Birmingham · GB

Funding

Department of Health 300688
6 · The paper itself

Abstract

introductionExcess body weight causes 4 million deaths annually across the world. The number of people affected by humanitarian crises stands at a record high level with 1 in 95 people being forcibly displaced. These epidemics overlap. Addressing obesity is a post-acute phase activity in non-communicable disease management in humanitarian settings. Information is needed to inform guidelines and timing of interventions. The objective of this review was to explore the prevalence of overweight and obesity in populations directly affected by humanitarian crises; the cascade of care in these populations and perceptions of patients with overweight and obesity.

methodsLiterature searches were carried out in five databases. Grey literature was identified. The population of interest was non-pregnant, civilian adults who had experience of humanitarian crises (armed conflict, complex emergencies and natural disasters). All study types published from January 1st, 2011, were included. Screening, data extraction and quality appraisal were carried out in duplicate. A narrative synthesis is presented.

resultsFifty-six reports from forty-five studies were included. Prevalence estimates varied widely across the studies and by subgroups. Estimates of overweight and obesity combined ranged from 6.4% to 82.8%. Studies were heterogenous. Global distribution was skewed. Increasing adiposity was seen over time, in older adults and in women. Only six studies were at low risk of bias. Body mass index was the predominant measure used. There were no studies reporting cascade of care. No qualitative studies were identified.

conclusionOverweight and obesity varied in crisis affected populations but were rarely absent. Improved reporting of existing data could provide more accurate estimates. Worsening obesity may be prevented by acting earlier in long-term crises and targeting risk groups. The use of waist circumference would provide useful additional information. Gaps remain in understanding the existing cascade of care. Cultural norms around diet and ideal body size vary.

Indexed as

EpidemicsOverweightAgedBody Mass IndexFemaleHumansNarrationObesity

Identifiers

PMID37093795
PMCPMC10124894
OpenAlexW4366819923

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.