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在一般实践中治疗超重和肥胖:一个集群随机试验
Morten Dag Nilsen1, Ibrahimu Mdala1, Erik L Werner1
1Department of General Practice, University of Oslo, Oslo, Norway.
BMJ nutrition, prevention & health
|April 15, 2024
概括
在初级保健中,简单的饮食和活动计划帮助患者实现了显著的减肥. 这种可行的方法使全科医生能够有效地管理超重和肥胖,改善患者的健康结果.
科学领域:
- 一般实践一般实践
- 肥胖管理 肥胖管理
- 公共卫生 公共卫生
背景情况:
- 超重和肥胖是全球关键的健康问题,大多数受影响患者的初级保健服务是最初的接触点.
- 医生经常因为缺乏知识和有效干预而避免解决体重问题.
- 为初级保健医生制定实用策略对于成功的患者体重管理至关重要.
研究的目的:
- 评估挪威一般实践中简单,结构化的减肥干预措施的可行性和有效性.
- 确定固定的饮食和活动计划是否可以导致超重或肥胖患者的体重有意义地减少.
主要方法:
- 一个集群随机研究,涉及23名医生和210名患者.
- 干预组的医生为患者提供了特定的饮食和活动计划.
- 对照组的医生遵循他们通常的护理方法;体重被测量了两年.
主要成果:
- 在对照组中没有观察到显著的体重减轻.
- 在干预组中,25.5%的患者在一年后至少减少了10%的体重,24.2%的患者在两年后保持了这种损失.
- 干预组中超过53%的患者在第一年内至少减轻了5%的体重.
结论:
- 一个简单的干预,结合饮食和活动计划是可行的在一般的做法设置.
- 这种简单的工具可以促进患者显著而持续的减肥.
- 初级保健可以成为实施肥胖管理策略的有效环境.
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