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对NAFLD患者的行为减肥干预:系统的范围审查
Maya Balakrishnan1, Kyle Liu2, Sydney Schmitt2
1Section of Gastroenterology and Hepatology, Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA.
Hepatology communications
|August 3, 2023
概括
行为减肥干预措施是非酒精性脂肪肝 (NAFLD) 治疗的关键. 成功的策略包括频繁的咨询,具体的目标和自我监测,但对不同人群需要更多的研究.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 代谢综合征是代谢综合征的一种.
- 行为科学 行为科学
背景情况:
- 减肥是管理非酒精性脂肪性肝病 (NAFLD) 的核心.
- 行为干预表明减肥有前途,但在NAFLD患者的数据有限.
- 本范围审查审查审查了NAFLD减肥干预措施的特征和结果.
研究的目的:
- 为NAFLD患者绘制行为减肥干预措施的现有数据.
- 确定这些干预措施的特征,减肥结果和成功因素.
主要方法:
- 在多个数据库 (Medline,EMBASE,Cochrane,PsycINFO,Web of Science) 进行了搜索,截至2023年1月.
- 包括28项研究 (RCT,准实验,观察).
- 定义干预成功为≥5%的平均体重减轻或≥50%的参与者实现它.
主要成果:
- 在28次干预中,有12次成功.
- 电话干预的保留率最高,面对面的保留率最低.
- 成功的干预包括每两周一次的咨询,具体目标和行为理论.
结论:
- 关于NAFLD的行为减肥干预措施的数据有限.
- 需要进一步的研究来开发可泛化和遵守最大化的干预措施.
- 专注于糖尿病患者,女性和年轻患者群体至关重要.
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