Faculty of Nursing, Midwifery and Health, The University of Technology, Sydney, PO Box 123, Broadway, NSW 2007, Australia.
Ann Behav Med. 2012 Aug;44(1):119-28. doi: 10.1007/s12160-012-9369-2.
Weight reduction limits disease progression in obese people with coronary heart disease (CHD) and/or type 2 diabetes mellitus (T2DM).
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.
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).
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.
The HEELP resulted in weight loss and improved exercise behaviour in obese people with CHD and T2DM.
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。
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。
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。
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。
HEELP 可减轻肥胖人群 CHD 和 T2DM 的体重，并改善其运动行为。
