Trent L K, Stevens L T
Health Sciences and Epidemiology Department, Naval Health Research Center, San Diego, CA 92186-5122, USA.
Mil Med. 1995 Jul;160(7):326-30.
This study evaluated the overall effectiveness of the Navy's three-tiered obesity treatment program and compared effectiveness across the three treatment levels. Height, weight, and body circumference measurements were obtained from 369 program participants at baseline and follow-up (6 weeks, 6 months, 12 months). Results demonstrated a significant and sustained reduction in percent body fat in all three program tiers, but the absolute losses at the end of 12 months were small: -3.7% fat for men, -4.5% fat for women. The level III tier, which employs a multidimensional approach to treatment, was the most effective program, even after differences in enrollees' initial percent body fat were taken into account. Changes in the approach to treatment and development of a supportive, long-term, behaviorally based aftercare program are recommended.
本研究评估了海军三级肥胖治疗计划的整体效果，并比较了三个治疗水平的效果。在基线和随访（6周、6个月、12个月）时，从369名项目参与者处获取了身高、体重和身体周长测量数据。结果表明，所有三个项目层级的体脂百分比均显著且持续下降，但12个月末的绝对降幅较小：男性为-3.7%，女性为-4.5%。采用多维度治疗方法的三级项目是最有效的项目，即使在考虑了参与者初始体脂百分比的差异之后也是如此。建议改变治疗方法，并制定一个支持性的、基于行为的长期后续护理计划。
