Kovač Blaž Milena, Švab Igor
Health Centre Ljubljana Šiška, Derčeva 5, 1000 Ljubljana, Slovenia.
University of Ljubljana, Faculty of Medicine, Department of Family Medicine, Poljanski nasip 58, 1000 Ljubljana, Slovenia.
Zdr Varst. 2015 Sep 25;54(4):252-8. doi: 10.1515/sjph-2015-0033. eCollection 2015 Dec.
The aim of the study is to assess the weight loss programme with regards to the long-term effectiveness of weight reduction and weight maintenance, using completion rate and BMI, blood sugar, cholesterol and blood pressure levels as outcomes. The aim of the study also includes identifying the factors associated with adherence to the programme.
The programme was developed by a multidisciplinary team. It included 6 months of introduction and another 18 months of maintenance. The data for 397 participants was collected after 24 months.
346 participants have completed the introduction and 123 have completed the programme. In the introduction, the average weight loss was 12% of the initial weight. The participants, who completed the full programme, lost 9.4% of their initial weight. The participants also significantly (p<0.05) reduced their blood sugar and cholesterol levels, as well as their blood pressure. The factors associated with adherence to the programme are: age over 50, lower educational levels, lower initial weight and higher weight loss in the introduction.
The multi-disciplinary approach to obesity treatment was effective for a selected group of people. The proportion of dropouts was relatively high, but still low compared to similar programmes. Group treatment and mutual support are of a great importance in bringing about and maintaining the changes.
本研究旨在通过将完成率以及体重指数、血糖、胆固醇和血压水平作为结果指标，评估减肥计划在减轻体重和维持体重方面的长期效果。本研究的目的还包括确定与坚持该计划相关的因素。
该计划由一个多学科团队制定。它包括6个月的引入期和另外18个月的维持期。在24个月后收集了397名参与者的数据。
346名参与者完成了引入期，123名参与者完成了该计划。在引入期，平均体重减轻了初始体重的12%。完成整个计划的参与者体重减轻了初始体重的9.4%。参与者的血糖、胆固醇水平以及血压也显著降低（p<0.05）。与坚持该计划相关的因素有：年龄超过50岁、教育水平较低、初始体重较低以及在引入期体重减轻较多。
多学科的肥胖治疗方法对特定人群有效。辍学率相对较高，但与类似计划相比仍然较低。集体治疗和相互支持对于实现和维持这些变化非常重要。
