Silveira Stephanie L, LaVoy Emily C, Johnston Craig A
Department of Health and Human Performance, University of Houston, Houston, Texas.
Am J Lifestyle Med. 2016 May 3;10(3):178-180. doi: 10.1177/1559827616629913. eCollection 2016 May-Jun.
The beginning of a lifestyle intervention is a sensitive time, as doing "too much too quickly" may stress the immune system, resulting in an increase in upper respiratory symptoms and, consequently, attrition. However, "too little too slowly" may not align with patients' motivation to change and may also result in attrition. There is also evidence that early weight loss is predictive of long-term maintenance of goal weight. Health care providers are frequently presented with contradictory information on the best model to promote enduring lifestyle change. Best practice dictates that health care provider acknowledge their patients' motivation to change and incorporate each individual's goals in designing the lifestyle change intervention. Additional support and advice may be warranted at the beginning of an intervention to promote the patient's health and avoid attrition.
生活方式干预的开始阶段是一个敏感时期，因为“做得太多太快”可能会给免疫系统带来压力，导致上呼吸道症状增加，进而造成退出干预。然而，“做得太少太慢”可能不符合患者改变的动机，也可能导致退出干预。还有证据表明，早期体重减轻可预测目标体重的长期维持。医疗保健提供者经常会收到关于促进持久生活方式改变的最佳模式的相互矛盾的信息。最佳实践要求医疗保健提供者认可患者改变的动机，并在设计生活方式改变干预措施时纳入每个人的目标。在干预开始时可能需要额外的支持和建议，以促进患者的健康并避免退出干预。
