1 Virginia Commonwealth University, USA.
2 The University of North Carolina at Chapel Hill, USA.
J Health Psychol. 2019 Jun;24(7):870-887. doi: 10.1177/1359105316688951. Epub 2017 Jan 29.
Emerging adults are at high risk of obesity but behavioral weight loss programs do not meet their needs. Emerging adults ( N = 52, age = 22.3 ± 2 years, body mass index = 34.2 ± 5.5 kg/m, 46.2% non-Hispanic White) were randomly assigned to one of three behavioral weight loss programs adapted based on formative work: face-to-face behavioral weight loss, web-based behavioral weight loss, or web plus optional community sessions (Hybrid). Assessments occurred at 0 and 3 months. Engagement and self-monitoring were highest in Hybrid. Intent-to-treat weight losses were -2.8 ± 2.9 percent in face-to-face behavioral weight loss, -2.2 ± 4.5 percent in web-based behavioral weight loss, and 4.8 ± 4.9 percent in Hybrid. Percent achieving ⩾5 percent weight loss was highest in Hybrid (63%). Findings suggest potential for adapted behavioral weight loss to promote engagement and weight loss in emerging adults.
新兴成年人肥胖风险高，但行为减肥计划无法满足他们的需求。新兴成年人（N=52，年龄=22.3±2 岁，体重指数=34.2±5.5kg/m，46.2%为非西班牙裔白人）被随机分配到三种基于形成性工作改编的行为减肥计划中：面对面行为减肥、基于网络的行为减肥或基于网络的行为减肥加可选社区课程（混合）。评估在 0 和 3 个月时进行。混合组的参与度和自我监测最高。意向性治疗体重减轻在面对面行为减肥中为-2.8±2.9%，在基于网络的行为减肥中为-2.2±4.5%，在混合组中为 4.8±4.9%。混合组中 ⩾5%体重减轻的比例最高（63%）。研究结果表明，改编后的行为减肥方法有可能促进新兴成年人的参与和减肥。
