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自助减肥与结构化商业计划相比:一个随机试验
Stanley Heshka1, James W Anderson, Richard L Atkinson
1New York Obesity Research Center, St Luke's/Roosevelt Hospital and Columbia University, New York, NY, USA. sh311@columbia.edu
JAMA
|April 10, 2003
概括
一项为期2年的研究发现,结构化的商业减肥计划导致比自助计划更大的减肥. 虽然这两种方法都显示出一些好处,但商业计划提供了更显著和持续的减肥结果.
科学领域:
- 肥胖研究的研究.
- 行为医学是一种行为医学.
- 公共卫生 公共卫生
背景情况:
- 商业减肥计划为数百万人服务,但缺乏严格的长期疗效数据.
- 评估商业体重管理与自助体重管理的长期有效性至关重要.
研究的目的:
- 为了比较自助减肥与结构化商业计划的有效性.
- 为了评估体重减轻和两年内维持的健康益处.
主要方法:
- 一个为期2年的多中心随机临床试验,涉及423名超重/肥胖成年人.
- 参与者被分配到自助计划或商业减肥计划中.
- 主要结局是体重变化;次要结局包括体重指数和腰围.
主要成果:
- 与自助小组相比,商业减肥计划在1年和2年后的减肥量显著增加.
- 商业组的参与者表现出腰围和体重指数的较大减少.
- 虽然生物参数随着体重减轻而改善,但在第二年,群体之间的显著差异是最小的.
结论:
- 结构化的商业减肥计划在2年时间内,与自助干预相比,产生了适度但优异的减肥.
- 这些发现突显了结构化的商业计划对持续体重管理的有效性.
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