1 University of North Carolina at Chapel Hill, NC, USA.
2 University of Minnesota-Twin Cities, Minneapolis, MN, USA.
Health Educ Behav. 2018 Jun;45(3):401-409. doi: 10.1177/1090198117733025. Epub 2017 Sep 28.
Men are underrepresented in weight loss programs and little is currently known about the weight loss strategies men prefer. This study describes the weight loss strategies used by men during a men-only weight loss program. At baseline, 3 months, and 6 months, participants reported how frequently they used 45 weight loss strategies including strategies frequently recommended by the program (i.e., mentioned during every intervention contact; e.g., daily self-weighing), strategies occasionally recommended by the program (i.e., mentioned at least once during the program; e.g., reduce calories from beverages), and strategies not included in the program (e.g., increase daily steps). At baseline participants ( N = 107, 44.2 years, body mass index = 31.4 kg/m, 76.6% White) reported regularly using 7.3 ± 6.6 ( M ± SD) strategies. The intervention group increased the number of strategies used to 19.1 ± 8.3 at 3 months and 17.1 ± 8.4 at 6 months with no changes in the waitlist group. The intervention group reported increased use of most of the strategies frequently recommended by the program (4 of 5), nearly half of the strategies occasionally recommended by the program (10 of 24), and one strategy not included in the program (of 16) at 6 months. The intervention effect at 6 months was significantly mediated by the number of strategies used at 3 months. This study adds to what is known about men's use of weight loss strategies prior to and during a formal weight loss program and will help future program developers create programs that are tailored to men.
男性在减肥计划中代表性不足，目前对于男性更喜欢的减肥策略知之甚少。本研究描述了男性在仅限男性的减肥计划中使用的减肥策略。在基线、3 个月和 6 个月时，参与者报告了他们使用 45 种减肥策略的频率，包括该计划经常推荐的策略（即在每次干预接触时提及；例如，每日自我称重）、计划偶尔推荐的策略（即至少在计划中提及一次；例如，减少饮料中的卡路里）和计划中未包含的策略（例如，增加每日步数）。在基线时，参与者（N=107，44.2 岁，体重指数=31.4kg/m2，76.6%为白人）报告定期使用 7.3±6.6（M±SD）种策略。干预组在 3 个月时将使用的策略数量增加到 19.1±8.3，在 6 个月时增加到 17.1±8.4，而等待名单组没有变化。干预组报告说，他们在 6 个月时更频繁地使用了该计划经常推荐的大部分策略（5 种中的 4 种）、近一半的计划偶尔推荐的策略（24 种中的 10 种）和一种计划中未包含的策略（16 种中的 1 种）。6 个月时的干预效果主要通过 3 个月时使用的策略数量来介导。本研究增加了我们对男性在正式减肥计划之前和期间使用减肥策略的了解，这将有助于未来的项目开发者为男性量身定制项目。
