寻找可扩展的减肥干预措施:一个尺寸适合所有吗? 从平等审判中可以吸取的教训
Travis R Moore1, Wendy Demark-Wahnefried2
1Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts.
概括
对急性淋巴细胞白血病幸存者进行的白血病后运动和质量饮食 (EQUAL) 试验没有显示体重减轻的好处. 远程干预需要更好地为特定的癌症幸存者群体量身定制.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 超重和肥胖在一般成年人群 (71.2%) 和癌症幸存者 (70.3%) 中普遍存在.
- 急性淋巴细胞白血病 (ALL) 幸存者面临着严重的体重管理挑战.
- 基于实践的减肥机会 (POWER) 计划在减肥干预中取得了成功.
研究的目的:
- 评估远程输送的减肥干预措施对所有幸存者的有效性.
- 为所有幸存者群体适应成功的POWER计划.
- 在一个独特的癌症幸存者小组中评估体重管理策略.
主要方法:
- 在白血病后的运动和质量饮食 (EQUAL) 试验中使用了远程传递的干预.
- 这项干预基于已建立的POWER计划.
- 研究人口包括急性淋巴细胞白血病的成年幸存者.
主要成果:
- 在EQUAL试验中,关于减肥的结果为零.
- 挑战包括未能达到积累目标和参与者不良遵守.
- 研究群体和干预背景的差异 (例如,缺乏PCP参与) 可能影响了结果.
结论:
- 在没有适应的情况下,远程交付的干预措施可能对所有癌症幸存者子组都不会普遍有效.
- 针对特定幸存者群体量身定制干预措施对于成功至关重要.
- 尽管没有任何结果,但EQUAL试验的高保留率为未来的研究提供了宝贵的见解.
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