The University of Vermont, Burlington, VT, USA.
Rush University, Chicago, IL, USA.
Am J Mens Health. 2020 Jan-Feb;14(1):1557988319895147. doi: 10.1177/1557988319895147.
Overweight and obese men were recruited to a 6-month, randomized controlled weight loss trial, which compared the Gutbusters weight loss program alone to the Gutbusters program with incentives for successful weight loss. The intervention was delivered primarily online, with weekly in-person weight collections. Gutbusters was designed using a template from the REFIT intervention and encouraged participants ( = 102, 47.0 ± 12.3 years, 32.5 kg/m) to make six 100-calorie changes to their typical daily diet for a total of 42 changes per week. Weight loss was significantly greater in the Gutbusters+Incentive group compared to the Gutbusters alone group at both 12 and 24 weeks ('s = < .01). The Gutbusters+Incentive group's a mean weight loss was 9.9 pounds at 12 weeks (95% CI: 6.9, 12.9) and 8.4 pounds at 24 weeks (95% CI: 3.9, 13.0). The Gutbusters alone group mean weight loss was 3.7 pounds at 12 weeks (95% CI: -.06, 7.5) and 3.4 pounds at 24 weeks (95% CI: -2.2, 9.0). This study adds to the literature of behavioral weight programs that are designed for men. Unlike the majority of previous male weight loss interventions, which were designed with an intervention comparison to a no treatment or waitlist control, Gutbusters was implemented as a comparative effectiveness trial, which will help bolster the evidence base for real-world application.
超重和肥胖男性被招募参加一项为期 6 个月的随机对照减肥试验，该试验比较了 Gutbusters 减肥计划单独使用与 Gutbusters 减肥计划加成功减肥奖励的效果。干预主要通过在线进行，每周进行一次面对面体重采集。Gutbusters 是根据 REFIT 干预的模板设计的，鼓励参与者（= 102，47.0 ± 12.3 岁，32.5 kg/m）对他们的典型日常饮食进行六次 100 卡路里的改变，每周总共进行 42 次改变。在 12 周和 24 周时，Gutbusters+Incentive 组的体重减轻明显大于 Gutbusters 单独组（s = <.01）。Gutbusters+Incentive 组在 12 周时的平均体重减轻为 9.9 磅（95%CI：6.9，12.9），在 24 周时为 8.4 磅（95%CI：3.9，13.0）。Gutbusters 单独组在 12 周时的平均体重减轻为 3.7 磅（95%CI：-.06，7.5），在 24 周时为 3.4 磅（95%CI：-2.2，9.0）。这项研究增加了针对男性设计的行为体重计划的文献。与大多数以前的男性减肥干预措施不同，这些干预措施是与无治疗或候补对照进行比较设计的，Gutbusters 是作为一项比较有效性试验实施的，这将有助于为实际应用提供更有力的证据基础。
