在数字健康行为改变支持系统上随机减肥试验的五年随访
Eero Turkkila1,2, Taru Pekkala1,2, Heta Merikallio3,4
1Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
International journal of obesity (2005)
|March 16, 2025
概括
一个基于网络的健康支持系统在五年后没有比通常的护理更好地维持减肥. 然而,该系统显示出积极的健康遗产效应,减少了对血压药物的需求.
科学领域:
- 改变健康行为改变健康行为
- 数字健康干预措施 数字健康干预措施
- 体重管理 体重管理
背景情况:
- 体重恢复是成功减肥后的常见挑战.
- 基于网络的健康行为改变支持系统 (HBCSS) 使用说服性系统设计 (PSD) 和认知行为疗法 (CBT).
- 之前的研究表明,HBCSS.的两年有效性.
研究的目的:
- 评估基于网络的健康行为改变支持系统 (HBCSS) 的长期 (五年) 有效性.
- 将HBCSS与不同干预强度 (基于CBT的小组辅导,自助指导) 和通常护理进行比较.
主要方法:
- 532名参与者超重或肥胖 (BMI 27-35 公斤/米2).
- 三个干预组:基于CBT的小组咨询,自助指导 (SHG) 和常规护理.
- 组分为HBCSS和非HBCSS子组;HBCSS干预持续52周;五年随访.
主要成果:
- 五年后,HBCSS和非HBCSS用户之间的平均体重变化 (%) 没有显著差异.
- 没有HBCSS的SHG组在五年后显示出显著的体重增加.
- 在HBCSS组中,在5年内开始服用血压药物的人数较少 (p=0.046).
结论:
- 12个月的HBCSS干预措施在5年内没有比非HBCSS更好地维持减肥.
- 在五年期间,显著的权重差异有利于HBCSS.
- 降低抗高血压药物的使用表明,通过HBCSS获得的早期减肥可以促进健康的遗留效应.
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