Hoerster Katherine D, Lai Zongshan, Goodrich David E, Damschroder Laura J, Littman Alyson J, Klingaman Elizabeth A, Nelson Karin M, Kilbourne Amy M
Dr. Hoerster, Dr. Littman, and Dr. Nelson are with the Seattle Division, U.S. Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, Washington, where Dr. Hoerster is with the Mental Health Service, Dr. Littman is with the Epidemiologic Research and Information Center, and Dr. Nelson is with the Health Services Research & Development program (e-mail:
Psychiatr Serv. 2014 Nov 1;65(11):1385-8. doi: 10.1176/appi.ps.201300404. Epub 2014 Oct 31.
This evaluation compared the effectiveness of MOVE!, a U.S. Veterans Health Administration (VHA) weight management program, among veterans with posttraumatic stress disorder (PTSD), other mental conditions, or no mental health diagnoses.
VHA administrative data from 2008 to 2012 were used to estimate adjusted six- and 12-month weight change and ≥5% weight loss among 20,819 veterans with "intense and sustained" MOVE! participation (14% of 148,963 MOVE! participants, regardless of mental health status).
Compared with veterans with no mental health diagnoses, veterans with PTSD lost significantly less weight at six and 12 months (p<.05) and were less likely to lose ≥5% body weight at six months (OR=.89, p<.05). At six months, those with other mental conditions lost significantly less weight than those with no mental health diagnoses (p<.05).
MOVE! may need adaptation to increase overall engagement and enhance weight loss for veterans with mental conditions, especially PTSD.
本评估比较了美国退伍军人健康管理局（VHA）的体重管理项目“行动起来！”在患有创伤后应激障碍（PTSD）、其他精神疾病或无心理健康诊断的退伍军人中的效果。
利用2008年至2012年的VHA管理数据，估计了20819名“积极持续”参与“行动起来！”项目的退伍军人（占148963名“行动起来！”参与者的14%，无论其心理健康状况如何）在调整后的6个月和12个月体重变化以及体重减轻≥5%的情况。
与无心理健康诊断的退伍军人相比，患有PTSD的退伍军人在6个月和12个月时体重减轻明显较少（p<0.05），且在6个月时体重减轻≥5%的可能性较小（OR = 0.89，p<0.05）。在6个月时，患有其他精神疾病的退伍军人比无心理健康诊断的退伍军人体重减轻明显较少（p<0.05）。
“行动起来！”项目可能需要进行调整，以提高整体参与度，并增强患有精神疾病尤其是PTSD的退伍军人的体重减轻效果。
