在肥胖或超重的OBSERVE研究参与者中减肥偏好:共享决策的机会
Kimberly A Gudzune1, Lee M Kaplan2, Scott Kahan3
1Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
概括
肥胖的成年人更喜欢显著的减肥,女性和西班牙裔个人希望更大的减肥. 了解这些偏好是有效的肥胖管理和共同决策的关键.
科学领域:
- 肥胖问题研究研究
- 行为医学是一种行为医学.
- 公共卫生 公共卫生
背景情况:
- 关于美国肥胖成年人减肥偏好的最新数据有限.
- 了解患者报告的体重目标对于有效的肥胖护理至关重要.
研究的目的:
- 评估美国肥胖成年人的首选减肥量.
- 为了确定这些偏好是如何根据参与者的特征而有所不同.
主要方法:
- 对1007名肥胖或超重和肥胖相关并发症的成年人进行横截面调查.
- 参与者报告了当前体重和首选体重的"梦想"",目标"",快乐"",可接受"和"失望"等级.
- 多变量回归分析检查了体重偏好和人口统计数据之间的关联.
主要成果:
- 首选减肥的中位数:梦想=23.5%,目标=16.7%,快乐=14.6%,可以接受=10.3%,失望=4.8%.
- 女性比男性更希望减肥.
- 黑人/非洲裔美国人比白人更喜欢减肥.
- 在西班牙裔参与者中,更高的偏好与女性,体重自我耻辱和BMI类别有关.
结论:
- 首选的减肥大小超过了典型的非手术治疗结果,但可以通过减肥手术或新的抗肥胖药物实现.
- 将患者的偏好纳入肥胖管理中,有助于共享决策.
- 评估诸如体重自我耻辱等因素可以增强整体肥胖护理.
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