University of Tennessee.
Behav Ther. 2013 Dec;44(4):674-85. doi: 10.1016/j.beth.2013.04.012. Epub 2013 May 6.
The more time adults spend being sedentary, the greater the risk of obesity. The effect of reducing television (TV) watching, a prominent sedentary behavior, on weight loss has not been tested in an adult standard behavioral obesity intervention, and the mechanisms by which reducing TV watching influences energy balance behaviors are not well understood. Two, 8-week, pilot, randomized controlled trials were conducted examining the effect of a reduced TV watching prescription on energy balance behaviors and weight loss within an adult standard behavioral obesity intervention. In the first study, participants (n=24) were randomized into one of two conditions: (a) reduce energy intake and increase moderate to vigorous physical activity (MVPA) (INCREASE PA); or (b) reduce energy intake and decrease TV watching (DECREASE TV). As findings from the first pilot study did not show an increase in MVPA in the DECREASE TV group, the second study was designed to examine the effect of adding a reduced TV prescription to a standard intervention to optimize outcomes. In Pilot Study 2, participants (n=28) were randomized to INCREASE PA or to INCREASE PA+DECREASE TV. Outcomes included objectively measured TV watching and MVPA, self-reported light physical activity (LPA-Pilot Study 2 only), self-reported dietary intake while watching TV, and weight. Conditions with TV watching prescriptions significantly reduced TV watching. Both studies showed medium to large effect sizes for conditions with TV watching prescriptions to show greater reductions in dietary intake while watching TV. Pilot Study 1 found a trend for an increase in MVPA in INCREASE PA and Pilot Study 2 found significant increases in MVPA in both conditions. Pilot Study 2 found a significant increase in LPA in the INCREASE PA+DECREASE TV. Results indicate adding a TV watching prescription to a standard obesity intervention did not enhance increases in MVPA, but may assist with reducing dietary intake while TV watching and increasing LPA. Future research should examine the effect of reducing TV watching during obesity treatment over a longer time frame in a larger sample.
成年人久坐不动的时间越长,肥胖的风险就越大。减少电视(TV)观看这一突出的久坐行为对减肥的影响尚未在成人标准行为肥胖干预中得到检验,而且减少看电视对能量平衡行为的影响机制也尚未得到很好的理解。两项为期 8 周的试点随机对照试验研究了在成人标准行为肥胖干预中减少看电视处方对能量平衡行为和体重减轻的影响。在第一项研究中,参与者(n=24)随机分为两种情况之一:(a)减少能量摄入并增加中等至剧烈体力活动(MVPA)(增加 PA);或(b)减少能量摄入并减少看电视(减少 TV)。由于第一项试点研究中减少 TV 组的 MVPA 没有增加,因此第二项研究旨在研究在标准干预中增加减少 TV 处方对优化结果的影响。在第二项试点研究中,参与者(n=28)被随机分配到增加 PA 或增加 PA+减少 TV。结果包括客观测量的电视观看和 MVPA、自我报告的轻度体力活动(仅在第二项试点研究中报告)、看电视时自我报告的饮食摄入和体重。有电视观看处方的条件显著减少了电视观看。这两项研究都显示出有电视观看处方的条件对减少看电视时的饮食摄入有中等至较大的影响。第一项试点研究发现增加 PA 组的 MVPA 有增加趋势,第二项试点研究发现两种条件下的 MVPA 都有显著增加。第二项试点研究发现增加 PA+减少 TV 组的 LPA 有显著增加。结果表明,在标准肥胖干预中增加电视观看处方并没有增强 MVPA 的增加,但可能有助于减少看电视时的饮食摄入和增加 LPA。未来的研究应该在更大的样本中更长的时间内检查减少肥胖治疗期间看电视对减肥的影响。