Fardan L D, Tyson Y
J Natl Med Assoc. 1985 Sep;77(9):737-41.
Obesity affects about 30 percent of adult Americans, causing significant morbidity. Contributing problems of poor self-concept and oral gratification may require intense therapy. This study was designed to see whether a multidisciplinary approach combining diet, exercise, and behavioral therapy, and run by a clinic staff would be effective.Patients were Afro-American women at least 20 percent above ideal body weight. Attrition reduced sample size, making statistical analysis difficult; however, some general trends were observed. One half of those who completed the program lost one pound per week and maintained the loss during a two-month follow-up. Those who succeeded showed a higher level of dissatisfaction and greater ability to respond to external motivation in psychological tests. Weight loss was comparable to that achieved in behavioral groups described in the literature.
肥胖影响了约30%的成年美国人,导致了严重的发病率。自我概念差和口腔满足等相关问题可能需要强化治疗。本研究旨在探讨由诊所工作人员实施的结合饮食、运动和行为疗法的多学科方法是否有效。患者为体重至少比理想体重高20%的非裔美国女性。样本流失减少了样本量,使得统计分析变得困难;然而,仍观察到了一些总体趋势。完成该项目的人中有一半每周减重一磅,并在为期两个月的随访中保持了体重减轻。成功的人在心理测试中表现出更高水平的不满和更强的对外界动机做出反应的能力。体重减轻与文献中描述的行为治疗组所取得的效果相当。