Department of Eating and Weight Disorder, Villa Garda Hospital, Garda (VR), Italy.
Eat Weight Disord. 2012 Dec;17(4):e314-9. doi: 10.1007/BF03325141.
To compare clinical characteristics, attrition, weight loss, and psychological changes of obese young adults and obese adults seeking treatment.
1530 individuals seeking treatment in 18 Italian medical centers were evaluated. 382 cases (25%) were classified as young adults (age≤35 years), 1148 (75%) as adults (>35 years). Psychological distress, binge eating, body uneasiness, and attitude towards eating were evaluated, at baseline and after a 12-month weight-loss program, together with BMI changes. Weight-loss expectations and primary motivation for seeking treatment were also recorded.
At baseline, young adults reported significantly higher BMI at age 20, weight loss expectations and body uneasiness scores than adults. A significantly higher percentage of young adults also reported improving appearance as primary reason for seeking treatment. The attrition rate was significantly larger in young adults. Among completers, the mean percent weight loss at 12 months and improvement of psychosocial variables were significantly higher in young adults than in adults. By intention to treat, BMI changes were no longer significant between groups.
Obese young adults lose more weight and considerably improve psychological distress, but show a higher attrition rate after 12 months of continuous care in a real world medical setting.
比较寻求治疗的肥胖青年人和成年人的临床特征、脱落率、体重减轻和心理变化。
评估了 18 家意大利医疗中心的 1530 名寻求治疗的个体。382 例（25%）被归类为青年（≤35 岁），1148 例（75%）为成年人（>35 岁）。在基线和 12 个月的减肥计划后，评估了心理困扰、暴食、身体不适和对饮食的态度，同时评估 BMI 变化。还记录了减肥期望和寻求治疗的主要动机。
基线时，青年在 20 岁时报告的 BMI 明显更高，减肥期望和身体不适评分也高于成年人。青年报告改善外貌作为寻求治疗的主要原因的比例也明显更高。青年的脱落率明显更高。在完成者中，与成年人相比，青年在 12 个月时的平均体重减轻百分比和心理社会变量的改善更为显著。按意向治疗，两组间 BMI 变化不再显著。
在现实医疗环境中，肥胖的青年人在持续护理 12 个月后，体重减轻更多，心理困扰明显改善，但脱落率更高。
