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How does the food environment influence people engaged in weight management? A systematic review and thematic synthesis of the qualitative literature

Neve, K. ORCID: 0000-0002-0931-8213 and Isaacs, A. ORCID: 0000-0001-5135-232X (2021). How does the food environment influence people engaged in weight management? A systematic review and thematic synthesis of the qualitative literature. Obesity Reviews, doi: 10.1111/obr.13398

Abstract

People engaged in weight loss or weight loss maintenance (weight management) often regain weight longterm. Unsupportive food environments are one of the myriad challenges people face when working towards a healthier weight. This systematic review explores how the food environment influences people engaged in weight management and the policy implications.

Nine electronic databases (CINAHL, Medline, PsycINFO, Academic Search Complete, Embase, Ovid Emcare, PubMed, Open Grey and BASE) were searched systematically in May 2020 to synthesize the qualitative evidence. Eligible studies were conducted with adults (18+) in high-income countries, available in English and published 2010-2020 with a substantial qualitative element and reference to food environments. Data was analysed using a thematic synthesis approach. Quality assessment using the Critical Appraisal Skills Programme was undertaken.

We identified 26 studies of 679 individuals reporting on weight management experiences with reference to the food environment. Limitations of the included studies included a lack of detail regarding socioeconomic status and ethnicity in many studies. The analysis revealed that food environments undermine efforts at weight management, consistently making purchasing and consumption of healthier food more difficult, particularly for those on a low income. For weight management to be more successful, concurrent actions to reshape food environments are necessary.

Publication Type: Article
Additional Information: This is the peer reviewed version of the following article: Neve, K. and Isaacs, A. (2021). How does the food environment influence people engaged in weight management? A systematic review and thematic synthesis of the qualitative literature. Obesity Reviews, which is to be published in final form at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1467-789X. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Departments: School of Health Sciences > Healthcare Services Research & Management > Food Policy
Project Input:
Project IDFunder NameFunder ID
PR-PRU-0916-21001National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
Date available in CRO: 16 Nov 2021 14:23
Date deposited: 16 November 2021
Date of acceptance: 8 November 2021
URI: https://openaccess.city.ac.uk/id/eprint/27106
[img] Text - Accepted Version
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