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通过高强度“行动起来!”(®)治疗实现减重目标。

Weight Reduction Goal Achievement with High-Intensity MOVE!(®) Treatment.

作者信息

Garvin Jane T

机构信息

College of Nursing, Georgia Regents University, Augusta, Georgia.

出版信息

Public Health Nurs. 2015 May-Jun;32(3):232-6. doi: 10.1111/phn.12194. Epub 2015 Mar 24.

Abstract

OBJECTIVE

The purpose of this study was to examine the effect of high-intensity treatment with the behavioral weight reduction program, MOVE!(®), available at Veterans Administration Medical Centers, on achieving at least a 5% weight reduction 6 months after enrolling in the program. MOVE!(®) is free to veterans but little is known about the recommended number of sessions.

DESIGN AND SAMPLE

Using longitudinal clinical data from electronic health records of 216 MOVE!(®) program participants, weight reduction was examined in this secondary data analysis.

MEASURES

Based on the 2013 guidelines for overweight and obesity management, weights were evaluated at baseline and 6 months following enrollment in the program, and high-intensity MOVE!(®) was determined by attending 14 or more sessions within the first 6 months following enrollment.

RESULTS

High-intensity MOVE!(®) participants were five times as likely to achieve at least the 5% weight reduction goal at 6 months compared to those participants with low intensity, while controlling for age, gender, and race (OR = 4.74; CI: 1.3, 17.2; p < .02).

CONCLUSION

This research supports the 2013 recommendations for high-intensity lifestyle intervention as participants who completed 14 or more sessions were almost five times more likely to achieve a 5% weight reduction.

摘要

目的

本研究旨在探讨退伍军人管理局医疗中心提供的行为减重计划“行动!(MOVE!(®))”的高强度治疗,对该计划注册6个月后体重至少减轻5%的效果。“行动!(MOVE!(®))”对退伍军人免费,但关于推荐的课程节数知之甚少。

设计与样本

利用216名“行动!(MOVE!(®))”计划参与者电子健康记录中的纵向临床数据,在本次二次数据分析中对体重减轻情况进行了研究。

测量

根据2013年超重和肥胖管理指南,在项目注册时和注册6个月后对体重进行评估,高强度“行动!(MOVE!(®))”的定义为在注册后的前6个月内参加14节或更多课程。

结果

在控制年龄、性别和种族后,高强度“行动!(MOVE!(®))”参与者在6个月时实现至少5%体重减轻目标的可能性是低强度参与者的五倍(OR = 4.74;CI:1.3,17.2;p <.02)。

结论

本研究支持2013年关于高强度生活方式干预的建议,因为完成14节或更多课程的参与者实现体重减轻5%的可能性几乎高出四倍。

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