超重绝经后女性可持续减肥干预概念-一项随机饮食干预研究的二次分析。

Concept of an Intervention for Sustainable Weight Loss in Postmenopausal Women with Overweight-Secondary Analysis of a Randomized Dietary Intervention Study.

机构信息

Department of Nutritional, Food and Consumer Sciences, University of Applied Sciences, 36037 Fulda, Germany.

Department of Nutrition and Food Science, Nutritional Physiology, University of Bonn, 53113 Bonn, Germany.

出版信息

Nutrients. 2023 Jul 22;15(14):3250. doi: 10.3390/nu15143250.

INTRODUCTION

The approach of an individual diet has great potential for sustainable weight reduction. Social support, participation and empowerment are also key factors for high motivation and compliance. So, the impact of an individual diet in combination with group sessions on weight loss in postmenopausal women with overweight was investigated.

METHODS

In this reanalysis of a controlled intervention study, postmenopausal women ( = 54; BMI 30.9 ± 3.4 kg/m; 59 ± 7 years) were recruited receiving an energy restricted diet for 12 weeks, followed by a six-month follow-up phase. The women received 51 individual meal plans based on their habits and were trained in four group sessions.

RESULTS

Forty-six women completed the intervention phase, and 29 completed the follow-up. Average weight loss was -5.8 ± 3.0 kg ( < 0.001) after 12 weeks and was still significant at follow-up (-4.9 ± 5.4 kg, < 0.001). Also, decreases in fat-free mass (-1.1 ± 1.2 kg, < 0.001) and resting energy expenditure (-1096 ± 439 kJ/24 h, < 0.001) were observed.

CONCLUSIONS

The individual nutrition approach with a focus on nutritype in combination with group sessions was effective for long-lasting weight loss in postmenopausal women. An important factor is close individual and group support.

简介

个体化饮食方法对于可持续减肥具有很大潜力。社会支持、参与和赋权也是提高动机和依从性的关键因素。因此，研究了个体饮食与小组课程相结合对超重绝经后妇女体重减轻的影响。

方法

在这项对照干预研究的重新分析中，招募了绝经后妇女（=54；BMI 30.9±3.4 kg/m；59±7 岁），接受为期 12 周的能量限制饮食，随后进行为期 6 个月的随访阶段。根据个人习惯，为每位女性提供 51 份个性化的饮食计划，并在 4 次小组课程中进行培训。

结果

46 名女性完成了干预阶段，29 名女性完成了随访。12 周后平均体重减轻了-5.8±3.0 kg（<0.001），随访时仍有显著效果（-4.9±5.4 kg，<0.001）。此外，还观察到去脂体重（-1.1±1.2 kg，<0.001）和静息能量消耗（-1096±439 kJ/24 h，<0.001）的下降。