Müller B, Abelin T
Endokrinologische Abteilung, Inselspital Bern.
Schweiz Med Wochenschr. 1994 May 7;124(18):749-58.
The aim of this study was to obtain an overview of the weight control programmes advertised in the Swiss press and to explore them in terms of their scientific basis and success rates. 875 advertisements and questionnaires from 507 patients and 52 advertisers were analyzed. Scientifically questionable methods usually remained ineffective. In contrast, methods based on a reasonably balanced long term diet proved more successful. With the latter, an average weight loss of 15 kg was achieved in 32 weeks at a cost of Sfr. 456.-. In doing so, 56.1% of the patients reported they had reached their target weight and it was entirely or partly maintained for a prolonged period by 39.6%. In terms of cost/benefit ratios, scientifically based programmes which follow the principles of physiology and behavioural psychology are the most favourable, and physicians should know and recommend them. Unfortunately, in Switzerland health insurance still pays for programmes which were shown to be unsuccessful in the long term, such as appetite lowering medication, or costly, such as short-term courses of treatment in hotels.
本研究旨在概述瑞士媒体上宣传的体重控制计划，并从其科学依据和成功率方面进行探讨。分析了来自507名患者和52名广告商的875则广告及问卷。科学上存疑的方法通常效果不佳。相比之下，基于合理均衡的长期饮食的方法被证明更为成功。采用后者，在32周内平均减重15千克，费用为456瑞士法郎。在此过程中，56.1%的患者报告称达到了目标体重，39.6%的患者能完全或部分长期维持该体重。就成本效益比而言，遵循生理学和行为心理学原理的科学计划最为有利，医生应该了解并推荐这些计划。不幸的是，在瑞士，健康保险仍为长期来看不成功的计划付费，如食欲抑制剂，或费用高昂的计划，如在酒店进行的短期治疗课程。
