SHED-IT 社区试验：一项针对超重和肥胖男性的基于互联网和纸质的体重管理计划的随机对照试验。
The SHED-IT community trial: a randomized controlled trial of internet- and paper-based weight loss programs tailored for overweight and obese men.
机构信息
School of Education, Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, 2308, Australia.
出版信息
Ann Behav Med. 2013 Apr;45(2):139-52. doi: 10.1007/s12160-012-9424-z.
BACKGROUND
There is limited evidence for effective obesity treatment programs that engage men.
PURPOSE
This study evaluated the efficacy of two gender-tailored weight loss interventions for men, which required no face-to-face contact.
METHODS
This was a three-arm, randomized controlled trial: (1) Resources (n = 54), gender-tailored weight loss materials (DVD, handbooks, pedometer, tape measure); (2) Online (n = 53), Resources materials plus study website and e-feedback; and (3) Wait-list control (n = 52). The interventions lasted 3 months and were grounded in Social Cognitive Theory.
RESULTS
At 6 months, significantly greater weight loss was observed for the Online (-4.7 kg; 95 % CI -6.1, -3.2) and Resources (-3.7 kg; 95 % CI -4.9, -2.5) groups compared to the control (-0.5 kg; 95 % CI -1.4, 0.4). Additionally, both intervention groups significantly improved body mass index, percent body fat, waist circumference, blood pressure, physical activity, quality of life, alcohol risk, and portion size, compared to controls.
CONCLUSIONS
Men achieved significant weight loss after receiving novel, minimal-contact, gender-tailored programs, which were designed for widespread dissemination.
背景
目前针对男性的有效肥胖治疗项目的证据有限。
目的
本研究评估了两种针对男性的性别化减肥干预措施的效果，这些干预措施不需要面对面接触。
方法
这是一项三臂随机对照试验：（1）资源组（n = 54），性别化减肥材料（DVD、手册、计步器、卷尺）；（2）在线组（n = 53），资源材料加研究网站和电子反馈；（3）等待名单对照组（n = 52）。干预持续 3 个月，基于社会认知理论。
结果
6 个月时，在线组（-4.7 公斤；95%置信区间-6.1，-3.2）和资源组（-3.7 公斤；95%置信区间-4.9，-2.5）的体重减轻明显大于对照组（-0.5 公斤；95%置信区间-1.4，0.4）。此外，与对照组相比，两组干预组的体重指数、体脂肪百分比、腰围、血压、身体活动、生活质量、酒精风险和份量都有显著改善。
结论
男性在接受新颖的、低接触的、针对男性的减肥项目后，体重显著减轻，这些项目旨在广泛传播。
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