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Interventions based on environmental determinants for nutritional and physical activity behaviours in Colombia: a scoping review.

BMJ Open 2022 September 20
OBJECTIVE: To identify, systematically, the interventions based on environmental determinants to improve the nutritional and physical activity (PA) habits available in Colombia.

DESIGN: A scoping review was performed according to the guidelines of the Joanna Briggs Institute.

STUDY SELECTION: All studies about intervention programmes for PA and nutritional behaviours in Colombia were included.

METHODS: Searches in Medline/PubMed, Embase, Cochrane, Scielo and Lilacs, using MeSH, Decs and Emtree terms, were performed up to August 2020. Additionally, a manual search was made in specialised national journals. An internet documentary search of the official websites on policies and programmes by departmental, district and municipal secretariats was also performed.Two reviewers independently screened titles and abstracts. Then, the full texts were reviewed to select documents to be included.Data management relevant information from selected documents and articles was extracted. A descriptive analysis was considered.

RESULTS: Sixty-seven documents and 70 published articles were found. The programmes were identified in 13 initiatives, 7 in the area of PA and 6 with a nutrition focus. They were on physical and social environmental modifications such as the ' muévete ' ('get moving') programmes in Bogota, Quindio and Cartagena; a modification of ' ciclovía '; or bicycle path programmes as well as nutrition programmes in schools, universities and companies.

CONCLUSION: This scoping review identified national programmes and policies in Colombia in the area of nutrition and PA from the environmental perspective in different scenarios: from schools to workplaces and communities. The need to implement such programmes from public and private institutions is also noted, promoting the practice of PA and healthy eating in every scenario in the national territory. New research to determine the impact of these programmes is essential to get a glimpse of the effects of these programmes and the implications for public health.

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