San Francisco Burden of Disease & Injury Study:
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MEDLINE Search Strategies: Obesity

These recommendations are based on the PubMed interface to MEDLINE.

In mid-2004, a search for "obesity" in the PubMed search box turned up nearly three-quarters of a million citations, so some care must be taken in formulating focused search strategies. This is best accomplished by using takng advantage of MEDLINE's indexing by Medical Subject Headings (MeSH) and related subheadings.

If you begin your search by clicking on the link to the MeSH database on the left-hand side of the PubMed opening screen and type obesity into the search box, you will find 5 MeSH entries related to the word "obesity." One of these is the MeSH "obesity." Clicking on this link, you will see this page, where you can begin constructing an obesity search that is limited to specific subheadings. In addition, you can restrict your search to those papers in which obesity (or obesity resticted to specific subheadings) was the major topic of the article.

Here is an example of a search that is limited to obesity/prevention and control as a major topic.

Combining Obesity with other MeSH

You can create very specific searches by combining MeSH. For example, after sending "obesity" to the search box, you can type in the word "mortality," which you see is also MeSH, and send it too to the search box. This will create the following search strategy: "Obesity"[MeSH] AND "Mortality"[MeSH], the results of which can be seen by following this link. These results (more than 500 citations) might be further limited by language or by journal subset. Other MeSH -- such as "diabetes mellitus" or "hypertension" or "hypercholesterolemia" -- might have been employed insted of "mortality."

Body Mass Index

It is always a good idea to employ mulitple strategies when searching in PubMed/MEDLINE. Looking at the indexing of some of the results from the above search ("Obesity"[MeSH] AND "Mortality"[MeSH]), it became clear that the MeSH "Body Mass Index" was used to index many relevant papers. A search based on the strategy "Body Mass Index"[MeSH] AND "Mortality"[MeSH] produces this result.

Upstream Causes of Obesity

The MEDLINE indexing for French et al, Annu Rev Public Health is as follows:

MH - Adult
MH - Advertising
MH - Child
MH - *Exercise
MH - *Food Habits
MH - Food Supply
MH - Health Planning
MH - Human
MH - Leisure Activities
MH - *Life Style
MH - Obesity/epidemiology/*prevention & control
MH - *Social Environment
MH - United States/epidemiology

Systematic Reviews

Systematic reviews can be located by using a filter in PubMed. To to this, find click on the "Clinical Queries" button on the left hand side of the PubMed screen, which will take you to the PubMed Clinical Queries screen. Toward the bottom of this screen, you will find the "systematic reviews" check button and entry box. To create the pre-formulated search that you see on the "What can be done?" page, I first formulated my search strategy in the MeSH browser and then cut and pasted it into this search box. Here's what got pasted into the systematic reviews box:

"obesity/prevention and control"[MAJR]

After finding the results, I clicked on the "Details" link toward the right side of the screen, beneath the search box. The link to the url for this search was then pasted into the Web page...it will conduct a new search based on this strategy whenever anyone clicks on it.

Overweight/Obesity

Overview

Contribution to overall disease burden in SF

Downstream (health consequences)

Upstream causes

What can be done?

Web resources

MEDLINE strategies

Updated August 2, 2004

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