减肥种族差异的预测因素:PROPEL试验
Robert L Newton1, Dachaun Zhang1, William D Johnson1
1Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.
Obesity (Silver Spring, Md.)
|December 7, 2023
概括
在行为干预中,非裔美国人体重减轻的情况较少. 改善会议出席率和每日称重是实现更公平减肥结果的关键.
科学领域:
- 肥胖研究的研究.
- 在健康方面存在差异.
- 行为医学是一种行为医学.
背景情况:
- 非洲裔美国人通过行为干预,持续显示体重减轻.
- 这些差异背后的机制仍未得到充分研究.
- 在路易斯安那州的PROmoting Successful Weight Loss在初级护理中的成功减肥研究 (PROPEL) 为此分析提供了数据.
研究的目的:
- 研究种族与减肥之间的关系中介因素.
- 确定有助于非洲裔美国参与者减肥结果差异的特定变量.
- 为制定更公平的体重管理干预策略提供信息.
主要方法:
- 对PROPEL干预组的445名参与者进行了反事实调解分析.
- 审查的调解者包括治疗参与 (会议出席,每日权衡),心理社会因素和生活方式因素.
- 在6个月和24个月评估体重减轻.
主要成果:
- 在6个月后,每日权衡调解了33%的体重减轻的种族差异.
- 在24个月后,会议出席率占体重减轻的种族差异的35%,每日称重占66%.
- 没有心理社会或生活方式因素调解了种族与减肥的关联.
结论:
- 参与策略,特别是改善会议出席率和每日权衡,对于非洲裔美国人来说至关重要.
- 需要有针对性的干预措施来促进长时间的公平减肥.
- 解决参与差异可以帮助减少体重管理结果的种族差异.
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