Hochstrasser B, Abelin T, Dietschi S, Hoffmann C, Müller H P
Soz Praventivmed. 1981 Oct;26(5):354-6. doi: 10.1007/BF02078361.
A behaviour therapeutic program for weight reduction was worked out by a team of psychologists, dieticians and doctors. A 10 week's course for weight reduction was given by 8 dieticians to a group of 5-7 female overweights (N=50). All dieticians based their work on a written handout. 4 of them had an additional training in behaviour and group therapy prior to the course. During the course all participants showed a significant weight loss and a change in their eating behaviour, the patients counselled by an additionally trained dietician (group E1) showing a significantly greater weight loss than the others (group E2). A follow-up after 3 1/2 months revealed similar differences but subsequent controls after 6 and 20 months showed a gradual decrease of the difference between the two groups. However three different patterns of the patient's weight curve could be distinguished. Pattern a): 26.3% of the participants showed a sinking tendency over all 20 months. Pattern b): 21.4% of the participants showed a significant weight loss over the 20 months with a slight upward tendency after the second follow-up (6 months). Pattern c): 52.3% of the participants lost weight only during the course which was regained in the following 3 months period. In pattern a) and c) group E1 and E2 are evenly represented. Pattern b) was only seen with participants of group E1. The results suggest that there are different characteristics of obese persons which influence the success of weight reduction programs. Further studies will have to describe these characteristics and define their therapeutical implications.
一个由心理学家、营养师和医生组成的团队制定了一项减肥行为治疗方案。8名营养师为一组5至7名超重女性（N = 50）开设了为期10周的减肥课程。所有营养师的工作都基于一份书面资料。其中4人在课程开始前接受了行为和团体治疗方面的额外培训。在课程期间，所有参与者体重均显著下降，饮食行为也发生了变化，接受额外培训的营养师辅导的患者（E1组）体重下降幅度明显大于其他患者（E2组）。3个半月后的随访显示出类似差异，但6个月和20个月后的后续对照显示两组之间的差异逐渐减小。然而，可以区分出患者体重曲线的三种不同模式。模式a）：26.3%的参与者在全部20个月内呈下降趋势。模式b）：21.4%的参与者在20个月内体重显著下降，在第二次随访（6个月）后略有上升趋势。模式c）：52.3%的参与者仅在课程期间体重下降，在随后的3个月内又恢复到原来水平。在模式a）和c）中，E1组和E2组的参与者人数均衡。模式b）仅在E1组的参与者中出现。结果表明，肥胖者具有不同特征，这些特征会影响减肥计划的成效。进一步的研究将不得不描述这些特征并明确其治疗意义。
