Evidence based systematic review on the association between social built environment and childhood obesity / 中国学校卫生

ABSTRACT

Objective@#To evaluate the impact of community built environment and the distribution of fast food restaurants on childhood obesity, and to provide evidence support for childhood obesity prevention and control strategies in China.@*Methods@#A systematic review method was used to search relevant literatures published to November 30，2020 from 8 databases including CNKI, VIP, Wanfang Data, PubMed, SpringerLink, Web of Science, Science Direct. The high quality system reviews published since 2016 were included directly, and those published before 2016 were reviewed before combined with other literatures.@*Results@#A total of 20 articles were included for evaluation, including systematic reviews, cohort studies, randomized controlled trials and cross sectional studies. High walkability near the living area could increase children s physical activity levels and reduce the risk of obesity. The fast food sales environment increased the risk of obesity; while large supermarkets or health food sales environment could reduce the risk of obesity.@*Conclusion@#Improving walking suitability in residential areas and reducing the density of unhealthy fast food sales could help decrease the risk of childhood obesity.