Kim Bo Hyung, Kang Minji, Kim Do-Yeon, Son Kumhee, Lim Hyunjung
Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin, Korea.
Research Institute of Medical Nutrition, Kyung Hee University, Seoul, Korea.
J Obes Metab Syndr. 2024 Jun 30;33(2):155-165. doi: 10.7570/jomes23018. Epub 2024 May 2.
Low compliance (LC) with lifestyle modification is a very common obstacle in obesity management. The purpose of the current study was to investigate the effectiveness of obesity management according to compliance with a lifestyle-modification program.
The "Change 10 Habits" program was administered four times over 12 weeks. Eighty-seven participants were divided into LC and high compliance (HC) groups for analysis after intervention. Then, to assess the program's effectiveness based on compliance, we conducted t-tests and linear regression modeling.
In week 12, the scores of two dietary habits-specifically, "eat three meals regularly, adequate amount" and "do not eat after 9:00 PM"-were significantly higher in the HC group than in the LC group. Changes in leg and total body fat percentages were significantly improved in the HC group (-0.2%±0.3% vs. 0.9%±0.3%, <0.05; -0.1%±0.3% vs. 1.1%±0.5%, <0.05, respectively). The body mass index was also significantly lower in the HC group than in the LC group (26.7±1.8 kg/m vs. 27.7±2.1 kg/m, <0.05) at final follow-up. Finally, the systolic blood pressure, triglyceride, and very-low-density lipoprotein cholesterol values of the HC group also decreased significantly (from 117.9±12.2 to 114.3±15.0 mmHg, <0.05; from 121.7±74.9 to 105.7±60.9 mg/dL, <0.05; and from 24.3±15.0 to 21.1±12.2 mg/dL, <0.05, respectively).
HC with the study program effectively improved the dietary habits, body fat composition, blood pressure, and lipid profile of adults with mild obesity.
生活方式改变的依从性低是肥胖管理中非常常见的障碍。本研究的目的是根据对生活方式改变计划的依从性来调查肥胖管理的有效性。
“改变10个习惯”计划在12周内进行了4次。87名参与者在干预后被分为低依从性（LC）组和高依从性（HC）组进行分析。然后，为了根据依从性评估该计划的有效性，我们进行了t检验和线性回归建模。
在第12周时，高依从性组在两种饮食习惯方面的得分——具体而言，“规律三餐，食量适中”和“晚上9点后不吃东西”——显著高于低依从性组。高依从性组的腿部和全身脂肪百分比变化得到显著改善（分别为-0.2%±0.3% 对 0.9%±0.3%，<0.05；-0.1%±0.3% 对 1.1%±0.5%，<0.05）。在最终随访时，高依从性组的体重指数也显著低于低依从性组（26.7±1.8 kg/m 对 27.7±2.1 kg/m，<0.05）。最后，高依从性组的收缩压、甘油三酯和极低密度脂蛋白胆固醇值也显著降低（分别从117.9±12.2降至114.3±15.0 mmHg，<0.05；从121.7±74.9降至105.7±60.9 mg/dL，<0.05；从24.3±15.0降至21.1±12.2 mg/dL，<0.05）。
对研究计划的高依从性有效地改善了轻度肥胖成年人的饮食习惯、身体脂肪组成、血压和血脂状况。
