1 Division of Endocrinology, Metabolism, and Nutrition, Department of Medicine, Duke University Medical Center , Durham, North Carolina.
2 Center for Health Services Research in Primary Care, Durham VA Medical Center , Durham, North Carolina.
J Womens Health (Larchmt). 2018 Jan;27(1):32-39. doi: 10.1089/jwh.2016.6212. Epub 2017 Jul 21.
Few evaluations of the Veterans Health Administration Motivating Overweight/Obese Veterans Everywhere (MOVE!) weight management program have assessed 6-month weight change or factors associated with weight change by gender.
Analysis of administrative data from a national sample of veterans in the VA MOVE!
A total of 62,882 participants were included, 14.6% were women. Compared with men, women were younger (49.6 years [standard deviation, SD, 10.8] vs. 59.3 years [SD, 9.8], p < 0.0001), less likely to be married (34.1% vs. 56.0%, p < 0.0001), and had higher rates of post-traumatic stress disorder (26.0% vs. 22.4%, p < 0.0001) and depression (49.3% vs. 32.9%, p < 0.001). The mean number of MOVE! visits attended by women was lower than men (5.6 [SD, 5.3] vs. 6.0 [SD, 5.9], p < 0.0001). Women, compared with men, reported lower rates of being able to rely on family or friends (35.7% vs. 40.8%, p < 0.0001). Observed mean percent change in weight for women was -1.5% (SD, 5.2) and for men was -1.9% (SD, 4.8, p < 0.0001). The odds of ≥5% weight loss were no different for women (body-mass index [BMI] >25 kg/m) compared with men (BMI >25 kg/m; odds ratio, 1.05 [95% confidence interval, 0.99-1.11; p = 0.13]).
Women veterans lost less weight overall compared with men. There was no difference in the odds of achieving clinically significant weight loss by gender. The majority of women and men enrolled lost <5% weight despite being enrolled in a lifestyle intervention. Future studies should focus on identifying program- and participant-level barriers to weight loss.
很少有评估退伍军人健康管理局激励超重/肥胖退伍军人无处不在（MOVE！）体重管理计划的评估，评估 6 个月的体重变化或按性别与体重变化相关的因素。
对退伍军人管理局 MOVE！全国样本中的行政数据进行分析。
共有 62882 名参与者，其中 14.6%为女性。与男性相比，女性更年轻（49.6 岁[标准差（SD），10.8] vs. 59.3 岁[SD，9.8]，p<0.0001），已婚的可能性较低（34.1% vs. 56.0%，p<0.0001），创伤后应激障碍（26.0% vs. 22.4%，p<0.0001）和抑郁（49.3% vs. 32.9%，p<0.001）的发生率较高。女性参加 MOVE！的平均次数低于男性（5.6[SD，5.3] vs. 6.0[SD，5.9]，p<0.0001）。与男性相比，女性报告能够依赖家人或朋友的比例较低（35.7% vs. 40.8%，p<0.0001）。女性体重的平均百分比变化为-1.5%（SD，5.2），男性为-1.9%（SD，4.8，p<0.0001）。女性（BMI>25kg/m）与男性（BMI>25kg/m）相比，体重减轻≥5%的几率没有差异（优势比，1.05[95%置信区间，0.99-1.11;p=0.13]）。
与男性相比，女性退伍军人的总体体重减轻较少。性别对实现临床显著体重减轻的几率没有影响。尽管参加了生活方式干预，但大多数女性和男性参与者的体重减轻量<5%。未来的研究应侧重于确定体重减轻的计划和参与者层面的障碍。
