压力管理计划对肥胖成年人体重减轻、心理健康和生活方式的影响：一项随机对照试验。
Impact of a stress management program on weight loss, mental health and lifestyle in adults with obesity: a randomized controlled trial.
作者信息
Xenaki Niovi, Bacopoulou Flora, Kokkinos Alexandras, Nicolaides Nicolas C, Chrousos George P, Darviri Christina
机构信息
Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece.
Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, Athens 11527, Greece.
出版信息
J Mol Biochem. 2018;7(2):78-84. Epub 2018 Oct 3.
AIM
To evaluate the impact of a stress management program on weight loss, depression, anxiety and stress as well as on the adoption of healthy lifestyle in adults with obesity.
METHODS
Adults with obesity who sought help for weight loss at a medical obesity clinic were consecutively enrolled in the study and were randomly assigned to the intervention or control group. All participants received standard instructions for a healthy lifestyle. The intervention group attended an 8-week stress management program that comprised diaphragmatic breathing, progressive muscle relaxation, guided visualization and instructions about healthy nutrition/dietary habits. Anthropometric parameters were assessed and several questionnaires were completed by all participants, at the beginning and at the end of the study.
RESULTS
A total of 45 adults (mean age±SD 45.7±10.55 years) with obesity were enrolled in the study; 22 in the intervention group and 23 in the control group. Participants in the two groups were matched for age and BMI. Participants in the intervention group achieved a significantly larger reduction in BMI compared to the control group (ΔBMI -3.1 vs. -1.74 kg/m respectively, <0.001). In addition, they displayed ameliorated depression and anxiety scores and a reduction in the health locus of control based on chance.
目的
评估压力管理项目对肥胖成年人体重减轻、抑郁、焦虑和压力以及健康生活方式养成的影响。
方法
在一家医学肥胖诊所寻求减肥帮助的肥胖成年人连续纳入本研究，并随机分配至干预组或对照组。所有参与者均接受健康生活方式的标准指导。干预组参加了一个为期8周的压力管理项目，该项目包括膈式呼吸、渐进性肌肉松弛、引导式想象以及关于健康营养/饮食习惯的指导。在研究开始和结束时，对所有参与者进行人体测量参数评估并完成几份问卷。
结果
共有45名肥胖成年人（平均年龄±标准差45.7±10.55岁）纳入本研究；干预组22人，对照组23人。两组参与者在年龄和体重指数方面相匹配。与对照组相比，干预组参与者的体重指数降低幅度显著更大（分别为ΔBMI -3.1与-1.74 kg/m²，P<0.001）。此外，他们的抑郁和焦虑评分有所改善，基于机遇的健康控制点降低。
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