Application of system dynamics approach in developing health interventions to strengthen health systems to combat obesity: a systematic literature review and critical analysis

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Published in:BMC Public Health vol. 25 (2025), p. 1
Main Author: Zheng, Lingyu
Other Authors: Xue, Yan, Chen, Xianwen, Carolina Oi Lam Ung, Hu, Hao
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Springer Nature B.V.
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022 |a 1471-2458 
024 7 |a 10.1186/s12889-025-22821-1  |2 doi 
035 |a 3201543419 
045 2 |b d20250101  |b d20251231 
084 |a 58491  |2 nlm 
100 1 |a Zheng, Lingyu 
245 1 |a Application of system dynamics approach in developing health interventions to strengthen health systems to combat obesity: a systematic literature review and critical analysis 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundObesity is an escalating global public health challenge that is expected to impact a significant portion of the world's population in the coming decades. It leads to severe health conditions such as diabetes, cardiovascular diseases, and cancer, imposing significant economic burdens on health systems. Traditional intervention strategies, which emphasize individual lifestyle changes, fail to address the complex, systemic nature of obesity. This study aims to systematically review the application of system dynamics modelling (SDM) in obesity control, focusing on analyzing modelling methodologies and conducting a quality assessment of the included studies.MethodsEmploying a comprehensive systematic literature retrieval, we explored terms pertinent to overweight/obesity and system dynamics across three databases, including PubMed, Web of Science, and Scopus. This search culminated in identifying peer-reviewed studies published from the inception of these databases until July 2024. Quality assessment was used to evaluate the SDM for obesity control. The protocol of this systematic review has been registered on PROSPERO (CRD42024554520).ResultsThirty studies were identified through a systematic review. These studies primarily focus on the effects of SD approaches, such as individual lifestyle changes, policy interventions within populations, and socio-economic and environmental improvements on obesity control. Among them, eleven studies completed the entire SDM process. Twenty-seven studies presented conceptual models, of which twenty-five developed casual loop diagrams (CLD). Seventeen studies conducted computational system dynamics modelling, with thirteen constructing stock-flow diagrams (SFD). Additionally, fourteen studies performed simulation analyses. These models facilitated multi-level strategies to reduce obesity prevalence.ConclusionsUsing SDM approaches has significant potential to enhance the effectiveness of obesity interventions and optimize resource allocation. Our study into the application of SDM in the design of obesity health interventions revealed its ability to promote multi-level, cross-sectoral cooperation and coordination, thereby enhancing the effectiveness of interventions. Further exploration and optimization of obesity health interventions can significantly advance health systems and welfare. 
653 |a Resource allocation 
653 |a Databases 
653 |a Health promotion 
653 |a Public health 
653 |a Citation management software 
653 |a Modelling 
653 |a Obesity 
653 |a Cardiovascular diseases 
653 |a Computer simulation 
653 |a Data analysis 
653 |a Developing countries--LDCs 
653 |a Keywords 
653 |a Feedback 
653 |a System theory 
653 |a Literature reviews 
653 |a Economics 
653 |a Quality assessment 
653 |a Weight control 
653 |a Quality control 
653 |a Optimization 
653 |a Effectiveness 
653 |a Overweight 
653 |a Diabetes mellitus 
653 |a System dynamics 
653 |a Systems science 
653 |a Social 
700 1 |a Xue, Yan 
700 1 |a Chen, Xianwen 
700 1 |a Carolina Oi Lam Ung 
700 1 |a Hu, Hao 
773 0 |t BMC Public Health  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3201543419/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3201543419/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3201543419/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch