过度饮食障碍患者的行为减肥结果:一个元分析
Evan M Forman1,2, Brittney C Evans3, Michael P Berry1,2
1Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USA.
Obesity (Silver Spring, Md.)
|July 21, 2023
概括
患有暴饮暴食障碍 (BED) 的人在行为减肥干预 (BWLI) 中实现了显著的体重减轻,但比没有BED的人要少. 诊断出BED也增加了这些课程中学的风险.
科学领域:
- 肥胖研究的研究.
- 精神病学是一个精神病学.
- 行为科学是一种行为科学.
背景情况:
- 暴饮暴食障碍 (BED) 经常与肥胖同时发生.
- 患有BED的个体经常被排除在减肥干预之外,这导致包括他们在内的研究结果混合.
- 这项研究是第一个在行为减肥干预 (BWLI) 中检查BED患者减肥的元分析.
研究的目的:
- 在BWLI中对BED和没有BED的个体进行体重减轻结果的元分析.
- 调查BED对减肥和治疗中断率的影响.
- 在分析中调整影响权重的变量.
主要方法:
- 对电子数据库和灰色文献进行了全面的文献搜索.
- 到2022年12月出版的30份手稿,包括1519名BED患者和6345名没有BED患者,被纳入了元分析.
- 使用元回归和随机效应模型来分析减肥和学数据.
主要成果:
- 患有BED的个体经历了显著的体重减轻,平均约8.1公斤治疗后.
- 然而,与那些没有BED的人相比,患有BED的个体体重减少了 (大约1.4公斤的差异).
- 一个BED诊断与治疗中断的几率增加了50%.
结论:
- 行为减肥干预措施对患有BED的个体是有效的,产生了相当大的体重减轻.
- 与BWLI中没有BED的个体相比,BED的个体体重减轻率较低,学率更高.
- 需要进行进一步的研究,以改善这些干预措施中BED患者的减肥结果和保持体重.
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