School of Sport, Exercise and Health Sciences, Loughborough University, UK.
Obes Facts. 2011;4(3):229-37. doi: 10.1159/000329450. Epub 2011 Jun 6.
The emergence of obesity as a distinct disease could have far reaching consequences for an organisation where optimum health and physical fitness are required for personnel to perform their occupational roles effectively. The objectives of this paper are to systematically review the literature concerning correlates and treatment of obesity in military populations.
Through computerised searches of English language studies, 17 papers were identified (treatment (13), correlates (4)).
Successful treatment interventions incorporated exercise, healthy eating information, behavioural modification, self-monitoring, relapse prevention, and structured follow-up and were supported by trained personnel. Efficacy due to physical activity was underreported. Reduction in body fat rather than body weight was the most significant outcome. The major significant correlates of obesity were being enlisted personnel, male, ≥35 years of age, African-American/Hispanic ethnicity, and married (with spouse present).
This systematic review highlights the deficit in knowledge concerning treatment and the lack of engagement in relation to the specific correlates of obesity in military populations.
肥胖作为一种明确的疾病出现，可能会对一个组织产生深远的影响，因为该组织要求人员具备最佳的健康和体能，以有效地履行其职业角色。本文的目的是系统地回顾有关军事人群肥胖相关因素和治疗的文献。
通过计算机检索英文文献，共确定了 17 篇论文（治疗 13 篇，相关因素 4 篇）。
成功的治疗干预措施包括运动、健康饮食信息、行为改变、自我监测、防止复发以及结构化的随访，并由经过培训的人员提供支持。由于身体活动而产生的效果报道不足。减少体脂而非体重是最重要的结果。肥胖的主要相关因素是入伍人员、男性、年龄≥35 岁、非裔美国人/西班牙裔、已婚（配偶在场）。
本系统综述强调了在军事人群肥胖的治疗和特定相关因素方面知识的不足。
