Yazdanparast Amir, Wharton Sean, Tamim Hala, Macpherson Alison K, Kuk Jennifer L
School of Kinesiology and Health Science, York University, Toronto, Canada.
Weight & Diabetes Management, The Wharton Medical Clinic, Hamilton, Canada.
Clin Obes. 2025 Aug;15(4):e70014. doi: 10.1111/cob.70014. Epub 2025 Apr 8.
The objective of the study is to explore differences in weight loss (WL) and treatment time with having health, mobility, and/or aesthetics motivations for attempting WL. Data from 7540 adults with overweight or obesity who participated in a publicly funded weight management programme at the Wharton Medical Clinic were analysed. Patients' WL motivations were categorised into six groups: Health only; Health and Aesthetics; Health and Mobility; Health, Mobility and Aesthetics; No Health; and None. Women with Health, Mobility and Aesthetics or No Health motivations had marginally higher WL goals compared to other groups, with no differences in men. Men with Health and Aesthetics or Health and Mobility motivations showed marginally higher 6-month attendance rates. Men who discontinued after one visit were 40% less likely to have a Health and Aesthetics motivation as opposed to Health only, compared to those who continued. No differences were observed in WL between motivation groups in either sex. No correlation was found between WL goals and WL attained. Only weak correlations between treatment time and WL were observed across most motivation groups. Despite small differences in treatment time and WL goals, motivations for attempting WL were not significantly associated with differences in the WL achieved.
本研究的目的是探讨因健康、行动能力和/或审美动机尝试减肥的人群在体重减轻（WL）和治疗时间上的差异。对在沃顿医疗诊所参加公共资助体重管理项目的7540名超重或肥胖成年人的数据进行了分析。患者的减肥动机分为六组：仅为健康；健康与审美；健康与行动能力；健康、行动能力与审美；无健康动机；无动机。有健康、行动能力与审美动机或无健康动机的女性与其他组相比，减肥目标略高，男性则无差异。有健康与审美动机或健康与行动能力动机的男性6个月的出勤率略高。与继续参加的人相比，就诊一次后就停止的男性有健康与审美动机而非仅为健康动机的可能性低40%。在任何性别中，各动机组之间的体重减轻情况均未观察到差异。未发现减肥目标与实际减轻体重之间存在相关性。在大多数动机组中，仅观察到治疗时间与体重减轻之间存在微弱的相关性。尽管治疗时间和减肥目标存在微小差异，但尝试减肥的动机与实际实现的体重减轻差异并无显著关联。
