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一项针对超重和肥胖且被诊断患有冠心病和/或 2 型糖尿病的人群的减肥干预的随机试验。

A randomised trial of a weight loss intervention for overweight and obese people diagnosed with coronary heart disease and/or type 2 diabetes.

机构信息

Faculty of Nursing, Midwifery and Health, The University of Technology, Sydney, PO Box 123, Broadway, NSW 2007, Australia.

出版信息

Ann Behav Med. 2012 Aug;44(1):119-28. doi: 10.1007/s12160-012-9369-2.

Abstract

BACKGROUND

Weight reduction limits disease progression in obese people with coronary heart disease (CHD) and/or type 2 diabetes mellitus (T2DM).

PURPOSE

To test a 16-week group-based weight reduction intervention combining exercise, diet and behaviour change strategies aimed to increase self-efficacy (Healthy Eating and Exercise Lifestyle Program-HEELP) on weight, body mass index (BMI), waist circumference and exercise.

METHODS

Participants with CHD and/or T2DM and BMI between 27 to 39 kg/m(2) were randomised to HEELP (n=83) or usual care (n=65).

RESULTS

Participants were aged a mean 63.47 years (SD 8.9), male (58 %) and Caucasian (79 %). HEELP participants lost significantly more weight, BMI and waist circumference and exercised more days/week for a longer duration/week than usual care. Clinically significant weight loss (≥5 %) was more common in HEELP than usual care.

CONCLUSION

The HEELP resulted in weight loss and improved exercise behaviour in obese people with CHD and T2DM.

摘要

背景

减肥可以限制患有冠心病(CHD)和/或 2 型糖尿病(T2DM)的肥胖人群的疾病进展。

目的

测试一种 16 周的基于小组的减肥干预措施,结合运动、饮食和行为改变策略,旨在提高自我效能(健康饮食和运动生活方式计划-HEELP),以达到减肥、体重指数(BMI)、腰围和运动量的目的。

方法

将患有 CHD 和/或 T2DM 且 BMI 在 27 至 39 kg/m²之间的参与者随机分为 HEELP(n=83)或常规护理(n=65)组。

结果

参与者的平均年龄为 63.47 岁(标准差 8.9),男性(58%)和白种人(79%)。与常规护理相比,HEELP 组参与者体重、BMI 和腰围的减轻量更大,每周运动天数和运动时间更长。HEELP 组体重减轻≥5%的患者比例显著高于常规护理组。

结论

HEELP 可减轻肥胖人群 CHD 和 T2DM 的体重,并改善其运动行为。

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