Østbye Truls, Stroo Marissa, Eisenstein Eric L, Dement John M
Department of Community and Family Medicine (Dr Østbye, Ms Stroo, Dr Eisenstein, Dr Dement), Duke University Medical Center, Durham, NC; Duke-NUS Graduate Medical School (Dr Østbye), Singapore, Duke Global Health Institute, Duke University (Dr Østbye), Durham, NC; Duke Clinical Research Institute (Dr Eisenstein), Durham, NC.
J Occup Environ Med. 2016 Feb;58(2):162-9. doi: 10.1097/JOM.0000000000000586.
The aim of this study was to compare the impact of two worksite weight management (WM [education] and WM+ [education plus counseling]) programs, on health care utilization and costs. Secondarily, compare the intervention groups to an observational control group of obese workers. Finally, evaluate the impact of actual weight loss on these outcomes.
Estimate the change in the WM and WM+ intervention groups. Using propensity score adjustment compare the two intervention groups with the observational control group; and compare those who lost weight with those who did not.
No significant differences between the two intervention groups, or between these intervention groups and the observational control group. Those who lost weight reduced their overall health care costs.
To achieve weight loss and associated morbidity reductions, more extensive and intensive interventions, with more attention to motivation and compliance, are required.
本研究旨在比较两种工作场所体重管理(WM[教育]和WM+[教育加咨询])计划对医疗保健利用和成本的影响。其次,将干预组与肥胖工人的观察对照组进行比较。最后,评估实际体重减轻对这些结果的影响。
估计WM和WM+干预组的变化。使用倾向得分调整将两个干预组与观察对照组进行比较;并比较体重减轻者和未减轻者。
两个干预组之间,或这些干预组与观察对照组之间没有显著差异。体重减轻者降低了总体医疗保健成本。
为了实现体重减轻和相关发病率的降低,需要更广泛、更密集的干预措施,同时更关注动机和依从性。