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在初级保健中对肥胖的查和简短干预:一个平行,双臂的随机试验
Paul Aveyard1, Amanda Lewis2, Sarah Tearne1
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford, UK.
Lancet (London, England)
|October 30, 2016
概括
医生对肥胖进行简短的干预是有效的. 与简单的建议相比,向体重控制小组提供推导致更大的体重减轻.
科学领域:
- 公共卫生
- 临床试验
- 行为医学
背景情况:
- 肥胖是非传染性疾病的重要原因之一.
- 建议医生对肥胖进行干预,但很少实施.
- 医生主导的减肥干预措施的有效性存在有限的试验.
研究的目的:
- 评估医生为肥胖患者提供简短的减肥干预措施的可接受性和有效性.
- 为了比较医生推到体重控制小组与简单的医生建议.
主要方法:
- 一个平行,双臂的随机试验,涉及初级保健医生和肥胖患者.
- 参与者被随机分配到一个为期30秒的干预期, 提供向体重控制小组转诊或简单的咨询.
- 主要结局是12个月体重变化,盲目评估.
主要成果:
- 医生主导的支持干预导致平均体重变化为2. 43公斤,而咨询干预则为1. 04公斤 (调整后的差异为1. 43公斤).
- 患者接受和感知到干预措施的有用性在不同组之间没有显著差异.
- 尽管体重控制组的出席率较低,但干预导致体重减少较大.
结论:
- 一个简短的,以行为为基础的医生干预是可以接受的,并且有效地降低了人口的平均体重.
- 机会主义,医生提供的干预可以成为治疗肥胖的重要工具.
- 在医生推后,进一步的研究可能会探索改善参与减肥计划的策略.
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