Chao Ariana M, Wadden Thomas A, Walsh Olivia A, Gruber Kathryn A, Alamuddin Naji, Berkowitz Robert I, Tronieri Jena S
Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.
Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Clin Obes. 2019 Dec;9(6):e12340. doi: 10.1111/cob.12340. Epub 2019 Nov 5.
This study examined the effects of intensive behavioural therapy (IBT) for obesity (IBT-alone), IBT plus liraglutide 3.0 mg/day (IBT-liraglutide), and IBT-liraglutide combined with 12 weeks of a portion-controlled diet (Multicomponent) on changes in general health-related (HR) quality of life (QoL) and weight-related QoL. Adults with obesity (79.3% female; 54.0% white; 44.7% black; mean age = 47.6 ± 11.8 years and body mass index = 38.4 ± 4.9 kg/m ) were randomized to IBT-alone (n = 50), IBT-liraglutide (n = 50) or Multicomponent (n = 50). General HRQoL was measured with the Short Form-36 (SF-36), and weight-related QoL was assessed with the Impact of Weight on Quality of Life-Lite scale. At week 52, participants in the three groups lost 6.1 ± 1.3%, 11.5 ± 1.3% and 11.8 ± 1.3% of initial body weight, respectively. Both liraglutide-treated groups were significantly more likely than IBT-alone to achieve clinically meaningful improvements in total weight-related QoL. They also both achieved greater improvements than IBT-alone in weight-related public distress and in general mental health, as measured by the SF-36 mental component summary score. Independent of treatment group, greater categorical weight loss was associated with greater improvements in several domains of both general and weight-related QoL. The addition of liraglutide to IBT appeared to improve aspects of both general HRQoL and weight-related QoL.
本研究考察了强化行为疗法(单独使用强化行为疗法[IBT])、IBT联合3.0毫克/天的利拉鲁肽(IBT-利拉鲁肽)以及IBT-利拉鲁肽联合12周的定量饮食(多成分干预)对一般健康相关(HR)生活质量(QoL)和体重相关QoL变化的影响。肥胖成人(79.3%为女性;54.0%为白人;44.7%为黑人;平均年龄 = 47.6 ± 11.8岁,体重指数 = 38.4 ± 4.9千克/平方米)被随机分为单独使用IBT组(n = 50)、IBT-利拉鲁肽组(n = 50)或多成分干预组(n = 50)。使用简短健康调查量表(SF-36)测量一般HRQoL,使用生活质量量表-简易版评估体重相关QoL。在第52周时,三组参与者分别减轻了初始体重的6.1 ± 1.3%、11.5 ± 1.3%和11.8 ± 1.3%。与单独使用IBT组相比,两个使用利拉鲁肽治疗的组在体重相关QoL总分上实现临床意义改善的可能性显著更高。根据SF-36心理成分汇总评分,这两组在体重相关的公众困扰和一般心理健康方面也比单独使用IBT组有更大改善。与治疗组无关,更大程度的分类体重减轻与一般QoL和体重相关QoL的多个领域的更大改善相关。在IBT中添加利拉鲁肽似乎改善了一般HRQoL和体重相关QoL的多个方面。