Burke Lora E, Steenkiste Ann, Music Edvin, Styn Mindi A
School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, USA.
J Am Diet Assoc. 2008 Apr;108(4):640-7. doi: 10.1016/j.jada.2008.01.012.
Overweight and obesity affect more than 60% of the adult population in the United States. Most adults who are overweight have a history of previous weight-loss treatment. Exploring individuals' past experiences with weight-loss treatment may allow improvements to the current approach to treatment.
To examine individuals' prior experiences with weight-loss treatment, their treatment preferences, and what they found to be most and least satisfying.
Cross-sectional descriptive study.
SUBJECTS/SETTING: Individuals (N=155) who had registered for a weight-loss study wait list and met standard criteria for a weight-loss program (aged 18 to 55 years and body mass index between 25 and 42).
Questionnaire packets were mailed to participants.
Descriptive analyses of the participants' past history with weight-loss treatment, treatment preference, self-efficacy, therapeutic efficacy, barriers to adherence to weight-loss treatment, barriers to healthy eating, and experiences associated with following a low-fat diet.
One hundred ten participants (71%) returned completed questionnaire packets. The sample (82% white, 84% female, aged 42.6+/-8.5 years, and body mass index 33.5+/-5.3) was representative of those who seek weight-loss treatment in research settings. Participants were, on average, aged 21.1+/-8.9 years when they first tried a weight-loss program; 96.3% had tried to lose weight since that first time. The two most frequently tried programs were doing it on their own (93.5%) and commercial programs (70.8%). Barriers included having trouble controlling what I eat when hungry (71.3%), difficulty motivating myself to eat appropriately (66.2%), and using food as a reward (59.3%). Preferred weight-loss regimens were doing it on their own (30.6%) and a research program (22.4%).
Participants were not seeking their preferred treatment. These data can be used to improve weight-loss programs by tailoring programs to meet the needs and preferences of participants.
超重和肥胖影响着美国60%以上的成年人口。大多数超重成年人都有过减肥治疗史。探究个人过去的减肥治疗经历可能有助于改进当前的治疗方法。
研究个人过去的减肥治疗经历、治疗偏好以及他们认为最满意和最不满意的方面。
横断面描述性研究。
研究对象/研究地点：登记参加减肥研究等待名单且符合减肥项目标准的个人（N = 155）（年龄在18至55岁之间，体重指数在25至42之间）。
向参与者邮寄问卷包。
对参与者过去的减肥治疗史、治疗偏好、自我效能、治疗效果、减肥治疗依从性障碍、健康饮食障碍以及低脂饮食相关经历进行描述性分析。
110名参与者（71%）返回了填好的问卷包。该样本（82%为白人，84%为女性，年龄42.6±8.5岁，体重指数33.5±5.3）代表了在研究环境中寻求减肥治疗的人群。参与者首次尝试减肥项目时的平均年龄为21.1±8.9岁；自首次尝试后，96.3%的人曾试图减肥。最常尝试的两种减肥方式是自行减肥（93.5%）和商业减肥项目（70.8%）。障碍包括饥饿时难以控制饮食（71.3%）、难以激励自己合理饮食（66.2%）以及将食物作为奖励（59.3%）。首选的减肥方案是自行减肥（30.6%）和研究项目（22.4%）。
参与者并未寻求他们偏好的治疗方法。这些数据可用于通过调整减肥项目以满足参与者的需求和偏好来改进减肥项目。
