Tackling Obesity in Southeast Asia: A Narrative Review of Emerging Dietary, Digital, and Policy Interventions

  • Nurul Ain Azizan University of Nottingham Malaysia
  • Ms Min Halisa School of Biological and Environmental Sciences, University of Nottingham Malaysia
Keywords: obesity, south east asia, intervention

Abstract

Obesity has become a growing public health challenge in Southeast Asia due to rapid urbanization, dietary transitions toward energy-dense foods, and increasingly sedentary lifestyles. The rising prevalence of obesity across Southeast Asian countries has contributed to a greater burden of non-communicable diseases and substantial economic and social costs. This study aimed to synthesize and critically evaluate current evidence on emerging dietary, digital, behavioral, environmental, and policy interventions for obesity prevention and management in Southeast Asia, as well as to identify research gaps and implications for future public health practice and policy development. A narrative review approach was employed through a comprehensive literature search of PubMed, Scopus, Web of Science, ScienceDirect, EBSCOhost, and Google Scholar, supplemented by reports from international health organizations. Eligible publications included peer-reviewed articles and official reports published between 2015 and 2025. Data were collected using keywords related to obesity, overweight, Southeast Asia, dietary interventions, and obesity management strategies, and were analyzed using a descriptive thematic approach. The findings indicate that digital health interventions, personalized nutrition, intermittent fasting, gut microbiome-based approaches, front-of-pack food labeling, food product reformulation, sugar-sweetened beverage taxation, and culturally tailored community-based programs show considerable potential in addressing obesity. The review further highlights that integrated behavioral, environmental, psychological, and policy interventions are more effective than single-component approaches. The conclusion is The findings indicate that combining individual, environmental, and policy-level approaches is more effective than single interventions in reducing obesity risk and improving health outcomes. Therefore, governments, healthcare providers, and communities should strengthen collaboration in implementing evidence-based obesity prevention programs, while future research should focus on evaluating the long-term effectiveness and scalability of these interventions in diverse Southeast Asian populations.

Downloads

Download data is not yet available.

References

World Health Organization. Obesity and overweight. WHO Fact Sheet (2025). Available at: WHO Obesity and Overweight Fact Sheet

World Obesity Federation. World Obesity Atlas 2025. London: World Obesity Federation (2025). Available at: World Obesity Atlas 2025

Popkin, B. M. The nutrition transition and obesity in the developing world. Nutr. Rev. 80, 1201–1213 (2022). DOI: https://doi.org/10.1093/nutrit/nuab067

Okunogbe, A., Nugent, R., Spencer, G., Ralston, J. & Wilding, J. Economic impacts of overweight and obesity: current and future estimates for countries worldwide. BMJ Global Health 7, e009773 (2022). DOI: https://doi.org/10.1136/bmjgh-2022-009773

Pettigrew, S., Coyle, D., McKenzie, B. et al. A review of front-of-pack nutrition labelling in Southeast Asia: industry interference, lessons learned, and future directions. Lancet Regional Health – Southeast Asia 3, 100017 (2022). DOI: https://doi.org/10.1016/j.lansea.2022.100017

Institute for Public Health Malaysia. National Health and Morbidity Survey (NHMS) 2023: Key Findings. Ministry of Health Malaysia (2024). Available at: NHMS 2023 Key Findings

Ministry of Health Republic of Indonesia. Indonesia Health Profile 2024. Jakarta: Ministry of Health Republic of Indonesia (2025). Available at: Indonesia Health Profile

Madigan, C. D., Graham, H. E., Sturgiss, E. et al. Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomized controlled trials. BMJ 377, e069719 (2022). DOI: https://doi.org/10.1136/bmj-2021-069719

Chew, H. S. J., Koh, W. L., Ng, J. S. H. Y. & Tan, K. K. Sustainability of weight loss through smartphone apps: a systematic review and meta-analysis. J. Med. Internet Res. 24, e40141 (2022). DOI: https://doi.org/10.2196/40141

Rasaei, N., Heidari, M., Esmaeili, F. et al. The effects of prebiotic, probiotic or synbiotic supplementation on overweight/obesity indicators: an umbrella review of trials’ meta-analyses. Front. Endocrinol. 15, 1277921 (2024). DOI: https://doi.org/10.3389/fendo.2024.1277921

Jayawardena, R., Byrne, N. M., Soares, M. J., Katulanda, P. & Hills, A. P. Obesity in South Asia: epidemiology and management. Current Obesity Reports 11, 52–65 (2022). DOI: https://doi.org/10.1007/s13679-021-00467-0

Semnani-Azad, Z., Khan, T. A., Chiavaroli, L. et al. Intermittent fasting strategies and cardiometabolic risk: a network meta-analysis of randomized clinical trials. BMJ 389, e082007 (2025). DOI: https://doi.org/10.1136/bmj-2024-082007

Jaacks, L. M., Vandevijvere, S., Pan, A. et al. The obesity transition: stages of the global epidemic. Lancet Diabetes & Endocrinology 7, 231–240 (2019). DOI: https://doi.org/10.1016/S2213-8587(19)30026-9

Swinburn, B., Egger, G., & Raza, F. (1999). Dissecting obesogenic environments: The development and application of a framework for identifying and prioritizing environmental interventions for obesity. Preventive Medicine, 29(6), 563–570. DOI: https://doi.org/10.1006/pmed.1999.0585

Ufholz, K., & Werner, J. (2023). The efficacy of mobile applications for weight loss. Current Cardiovascular Risk Reports, 17, 83–90. DOI: https://doi.org/10.1007/s12170-023-00717-2

Patikorn, C., Roubal, K., Veettil, S. K., et al. (2021). Intermittent fasting and obesity-related health outcomes: An umbrella review of meta-analyses of randomized trials. JAMA Network Open, 4(12), e2139558. DOI: https://doi.org/10.1001/jamanetworkopen.2021.39558

Siles-Guerrero, V., Romero-Márquez, J. M., García-Pérez, R. N., et al. (2024). Is fasting superior to continuous caloric restriction for weight loss and metabolic outcomes? A systematic review and meta-analysis of randomized clinical trials. Nutrients, 16(20), 3533. DOI: https://doi.org/10.3390/nu16203533

Shin, S., Puri, J., & Finkelstein, E. A. (2023). A randomized trial to evaluate the impact of Singapore’s Nutri-Grade front-of-pack beverage label on food and beverage purchases. International Journal of Behavioral Nutrition and Physical Activity, 20(1), 18. DOI: https://doi.org/10.1186/s12966-023-01422-4

Andreyeva, T., Marple, K., Marinello, S., et al. (2022). Outcomes following taxation of sugar-sweetened beverages: A systematic review and meta-analysis. JAMA Network Open, 5(6), e2215276. DOI: https://doi.org/10.1001/jamanetworkopen.2022.15276

Hongsanun, W., Kitreerawutiwong, N., & Petcharaburanin, K. (2021). Sugar content in sugar-sweetened beverages in the aftermath of Thailand’s sugar tax: A cross-sectional analysis. Journal of the Medical Association of Thailand, 104, 552–559.

Mohamed Nor, N., Bui Kher Thinng, W., Veerman, J. L., et al. (2021). Price elasticity of demand and the impact of taxing sugar-sweetened beverages in Malaysia. Malaysian Journal of Public Health Medicine, 21(1). DOI: https://doi.org/10.37268/mjphm/vol.21/no.1/art.794

Comșa, L., David, O., & David, D. (2020). Outcomes and mechanisms of change in cognitive-behavioural interventions for weight loss: A meta-analysis of randomized clinical trials. Behaviour Research and Therapy, 132, 103654. DOI: https://doi.org/10.1016/j.brat.2020.103654

Lawlor, E. R., Islam, N., Hill, A. J., et al. (2020). Third-wave cognitive behaviour therapies for weight management: A systematic review and network meta-analysis. Obesity Reviews, 21(11), e13013. DOI: https://doi.org/10.1111/obr.13013

Published
2026-08-01
How to Cite
Azizan, N. A., & Mohd Izam, M. H. (2026). Tackling Obesity in Southeast Asia: A Narrative Review of Emerging Dietary, Digital, and Policy Interventions. Jurnal Kesehatan Cendikia Jenius , 3(3), 347-355. https://doi.org/10.70920/jenius.v3i3.399