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体重减轻对肥胖女性生活质量和饮食行为的影响。

Effect of weight reduction on quality of life and eating behaviors in obese women.

作者信息

Lemoine Sophie, Rossell Nadia, Drapeau Vicky, Poulain Magali, Garnier Sophie, Sanguignol Frédéric, Mauriège Pascale

机构信息

UFR STAPS, Université Paul Sabatier, Toulouse, France.

出版信息

Menopause. 2007 May-Jun;14(3 Pt 1):432-40. doi: 10.1097/gme.0b013e31802e46c2.

DOI:10.1097/gme.0b013e31802e46c2
PMID:17314737
Abstract

OBJECTIVE

To examine the impact of a 3-week weight-reducing program on body composition, physical condition, health-related quality of life, and eating behaviors of sedentary, obese (body mass index, 29-35 kg/m) women, according to menopausal status and menopause duration (<5, >or=5, and >or=10 y).

DESIGN

Thirteen premenopausal and 27 postmenopausal women received a dietary plan of 1,400 +/- 200 kcal/day and completed 110-minute endurance exercise 6 days per week. Body mass index, fat mass, lean mass, distance walked in the Six-Minute Walk Test, health-related quality of life estimated by the 36-item Short Form Health Survey (SF-36), and eating behaviors (restriction, disinhibition, and susceptibility to hunger) assessed by the Three-Factor Eating Questionnaire were determined before and after weight reduction.

RESULTS

Body mass index and fat mass decreased (P < 0.0001), whereas distance walked increased in both groups after weight reduction (P < 0.001). Although the SF-36 mental component score increased after weight loss in both groups (P < 0.0001), the SF-36 physical component score increased in postmenopausal women only (P < 0.001). Restriction increased (P < 0.0001), whereas disinhibition and susceptibility to hunger decreased after weight reduction (P < 0.001 and P < 0.01, respectively) in both groups. Distance walked and SF-36 physical component score after weight loss were higher in women whose menopause ranged between 5 and 9 years and exceeded 10 years, respectively (P < 0.01).

CONCLUSIONS

Our study shows that a short-term weight-reducing program combining caloric restriction and physical activity has a favorable impact on women's body composition, physical condition, health-related quality of life, and eating behaviors irrespective of their menopausal status.

摘要

目的

根据绝经状态和绝经持续时间(<5年、≥5年和≥10年),研究为期3周的减重计划对久坐不动的肥胖(体重指数,29 - 35 kg/m²)女性的身体成分、身体状况、健康相关生活质量和饮食行为的影响。

设计

13名绝经前女性和27名绝经后女性接受了每天1400±200千卡的饮食计划,并每周6天进行110分钟的耐力运动。在减重前后测定体重指数、脂肪量、瘦体重、六分钟步行试验中的步行距离、由36项简短健康调查问卷(SF - 36)评估的健康相关生活质量以及由三因素饮食问卷评估的饮食行为(限制、去抑制和饥饿易感性)。

结果

两组减重后体重指数和脂肪量均下降(P < 0.0001),而步行距离增加(P < 0.001)。虽然两组减重后SF - 36心理成分得分均增加(P < 0.0001),但SF - 36身体成分得分仅在绝经后女性中增加(P < 0.001)。两组减重后限制增加(P < 0.0001),而去抑制和饥饿易感性下降(分别为P < 0.001和P < 0.01)。绝经5至9年和超过10年的女性减重后的步行距离和SF - 36身体成分得分分别更高(P < 0.01)。

结论

我们的研究表明,结合热量限制和体育活动的短期减重计划无论女性的绝经状态如何,都对其身体成分、身体状况、健康相关生活质量和饮食行为有积极影响。

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