Addison O, Yang R, Serra M C
1 Geriatric Research Education and Clinical Center, Baltimore VA Medical Center, Baltimore, Maryland, USA.
2 Department of Physical Therapy and Rehabilitation Sciences, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Nutr Health. 2019 Mar;25(1):47-52. doi: 10.1177/0260106018817190. Epub 2018 Dec 23.
: Obesity contributes to negative outcomes in peripheral arterial disease (PAD). Little is known about the body-weight goals and trends among patients with PAD.
: The aim of this study was to explore self-reported body-weight trends and methods used to achieve weight loss in patients with PAD.
: Data from the 1999-2004 National Health and Nutrition Examination Survey (NHANES) was utilized to compare individuals with PAD who were overweight and obese ( n = 240), to matched individuals without PAD ( n = 480). Self-reported body weight at age 25 years, 10 years prior and 1 year prior to the current assessment, and age and weight of heaviest body weight were compared. Self-reported weight-loss techniques during the past year were compared between groups.
: Individuals with PAD and controls reported similar weights 10 years prior (79.2 kg vs 78.5 kg; p = 0.60) and weight gain over the last 10 years of 5.7 kg. There was no significant difference in reported body weight at age 25 years, 10 years prior, 1 year prior, or heaviest weight. Compared with the control group, fewer participants with PAD reported attempted weight loss in the last year (27.50% vs 36.04%; p = 0.02) and were half as likely to report utilizing exercise as a weight-loss method (12.5% vs 21.7%; p = 0.003).
: These data indicate that those with PAD are less inclined to attempt weight loss, especially through means of increased physical activity. Future research is needed regarding the effectiveness of intentional weight-loss programs in this population.
肥胖会导致外周动脉疾病(PAD)出现不良后果。关于PAD患者的体重目标和趋势,人们知之甚少。
本研究的目的是探讨PAD患者自我报告的体重趋势以及用于实现体重减轻的方法。
利用1999 - 2004年国家健康和营养检查调查(NHANES)的数据,将超重和肥胖的PAD患者(n = 240)与匹配的无PAD个体(n = 480)进行比较。比较了当前评估前25岁、10年前和1年前的自我报告体重,以及最重体重时的年龄和体重。比较了两组在过去一年中自我报告的减肥技巧。
PAD患者和对照组在10年前报告的体重相似(79.2千克对78.5千克;p = 0.60),且在过去10年中体重增加了5.7千克。在25岁、10年前、1年前报告的体重或最重体重方面,两组之间没有显著差异。与对照组相比,去年报告尝试减肥的PAD患者较少(27.50%对36.04%;p = 0.02),且报告将运动作为减肥方法的可能性只有对照组的一半(12.5%对21.7%;p = 0.003)。
这些数据表明,PAD患者不太倾向于尝试减肥,尤其是通过增加体育活动的方式。需要对该人群中有意减肥计划的有效性进行进一步研究。