Garvin Jane T
College of Nursing, Georgia Regents University, Augusta, Georgia.
Public Health Nurs. 2015 May-Jun;32(3):232-6. doi: 10.1111/phn.12194. Epub 2015 Mar 24.
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.
Using longitudinal clinical data from electronic health records of 216 MOVE!(®) program participants, weight reduction was examined in this secondary data analysis.
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.
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).
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.
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。
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。
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。
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）。
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。
