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女性运动员身体(FAB)研究:原理、设计及基线特征

The Female Athlete Body (FAB) study: Rationale, design, and baseline characteristics.

作者信息

Stewart Tiffany M, Pollard Tarryn, Hildebrandt Tom, Beyl Robbie, Wesley Nicole, Kilpela Lisa Smith, Becker Carolyn Black

机构信息

Pennington Biomedical Research Center, Baton Rouge, LA, United States.

Pennington Biomedical Research Center, Baton Rouge, LA, United States.

出版信息

Contemp Clin Trials. 2017 Sep;60:63-71. doi: 10.1016/j.cct.2017.06.005. Epub 2017 Jun 10.

DOI:10.1016/j.cct.2017.06.005
PMID:28611008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5546607/
Abstract

BACKGROUND

Eating Disorders (EDs) are serious psychiatric illnesses marked by psychiatric comorbidity, medical complications, and functional impairment. Research indicates that female athletes are often at greater risk for developing ED pathology versus non-athlete females. The Female Athlete Body (FAB) study is a three-site, randomized controlled trial (RCT) designed to assess the efficacy of a behavioral ED prevention program for female collegiate athletes when implemented by community providers. This paper describes the design, intervention, and participant baseline characteristics. Future papers will discuss outcomes.

METHODS

Female collegiate athletes (N=481) aged 17-21 were randomized by site, team, and sport type to either FAB or a waitlist control group. FAB consisted of three sessions (1.3h each) of a behavioral ED prevention program. Assessments were conducted at baseline (pre-intervention), post-intervention (3weeks), and six-, 12-, and 18-month follow-ups.

RESULTS

This study achieved 96% (N=481) of target recruitment (N=500). Few group differences emerged at baseline. Total sample analyses revealed moderately low baseline instances of ED symptoms and clinical cases.

CONCLUSIONS

Health risks associated with EDs necessitate interventions for female athletes. The FAB study is the largest existing RCT for female athletes aimed at both reduction of ED risk factors and ED prevention. The methods presented and population recruited for this study represent an ideal intervention for assessing the effects of FAB on both the aforementioned outcomes. We anticipate that findings of this study (reported in future papers) will make a significant contribution to the ED risk factor reduction and prevention literature.

摘要

背景

饮食失调(EDs)是严重的精神疾病,其特征为精神共病、医学并发症和功能损害。研究表明,与非运动员女性相比,女运动员患饮食失调病理的风险通常更高。女运动员身体(FAB)研究是一项三中心随机对照试验(RCT),旨在评估社区提供者实施的针对女大学生运动员的饮食失调行为预防计划的效果。本文描述了该研究的设计、干预措施和参与者的基线特征。后续论文将讨论研究结果。

方法

17至21岁的女大学生运动员(N = 481)按地点、团队和运动类型随机分为FAB组或等待名单对照组。FAB组包括三个疗程(每个疗程1.3小时)的饮食失调行为预防计划。在基线(干预前)、干预后(3周)以及6个月、12个月和18个月的随访时进行评估。

结果

本研究实现了96%(N = 481)的目标招募人数(N = 500)。基线时几乎没有出现组间差异。总体样本分析显示饮食失调症状和临床病例的基线发生率中等偏低。

结论

与饮食失调相关的健康风险需要对女运动员进行干预。FAB研究是针对女运动员的现有最大规模随机对照试验,旨在降低饮食失调风险因素并预防饮食失调。本研究提出的方法和招募的人群是评估FAB对上述两种结果影响的理想干预措施。我们预计本研究的结果(将在后续论文中报告)将对饮食失调风险因素降低和预防的文献做出重大贡献。

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