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改变生活方式的干预措施:REWIND的有效性,一个虚拟的,基于社区的体重管理计划
Amy E Rothberg1, Wen Ye2, Nicole Miller1
1Division of Metabolism, Endocrinology & Diabetes Michigan Medicine Ann Arbor Michigan USA.
虚拟生活方式干预的REWIND计划有效减少体重,并在肥胖的参与者中实现了2型糖尿病缓解. 这种以社区为基础的方法显示出广泛实施的希望.
科学领域:
- 肥胖和代谢健康 肥胖和代谢健康
- 糖尿病管理 糖尿病管理
- 行为医学是一种行为医学.
背景情况:
- 生活方式干预对于肥胖管理至关重要,补充了抗肥胖药物.
- 需要针对肥胖和2型糖尿病 (T2D) 的广泛实施和有效的生活方式计划.
研究的目的:
- 评估REWIND (一种基于社区的虚拟体重管理计划) 对肥胖和T2D患者的有效性.
主要方法:
- 一项前性队列研究,涉及219名BMI≥30kg/m2的参与者.
- 该REWIND计划采用了三阶段的方法:引入用餐替代品,过渡到日常食物,以及维护.
- 社区领袖,媒体人物和运动员被利用来促进参与和弹性.
主要成果:
- 参与者实现了显著的体重减轻:从114.4公斤减到96.1公斤在6个月,98.5公斤在12个月,101.1公斤在18个月.
- 很高的比例实现了显著的体重减轻:95%的体重减轻≥5%,79%的体重减轻≥10%,以及58%的体重减轻≥15%.在6个月后.
- 52%的T2D参与者在12个月后和43%在18个月后观察到糖尿病缓解.
结论:
- 基于社区的虚拟REWIND计划在肥胖患者中促进了显著的体重减轻和T2D缓解.
- 这种程序模型表明了在各种环境中广泛实施的潜力.
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