Balle J, Almdal T P
Hvidovre Hospital, endokrinologisk afdeling.
Ugeskr Laeger. 1996 Aug 5;158(32):4509-12.
The purpose of this study was to assess the results of group treatment in obesity. Patients referred to a department of endocrinology were on referral given individual diet counselling, and the patients were then seen every second week for control weighing and supplemental counselling either in groups of 10-12, or individually. One hundred and twenty-three (97 female and 26 male) patients who during a two year period, 1991-1993, were referred to the outpatient clinic of the Department of Endocrinology were identified. Ninety-five percent of the patients were markedly obese, body mass index > 30 m2/kg. Seventy percent of the patients continued the treatment and were either followed in the groups or individually. The patients followed in the groups (n = 66) lost 5.2 kg during 127 days (median), and this is not significantly different from those followed individually (n = 22) who lost 4.9 kg during 98 days. In conclusion, only a small weight reduction is seen in obese patients treated either in groups or individually. These results are comparable with previously reported results from a Danish study only using individual counselling.
本研究的目的是评估肥胖症群体治疗的效果。转诊至内分泌科的患者在转诊时接受了个性化饮食咨询,之后患者每隔一周接受一次体重监测和补充咨询,咨询方式分为10至12人的小组咨询或个人咨询。研究确定了1991年至1993年两年期间转诊至内分泌科门诊的123名患者(97名女性和26名男性)。95%的患者明显肥胖,体重指数>30 m²/kg。70%的患者继续接受治疗,分别接受小组或个人随访。接受小组随访的患者(n = 66)在127天(中位数)内体重减轻了5.2千克,这与接受个人随访的患者(n = 22)在98天内体重减轻4.9千克相比,差异无统计学意义。总之,无论是接受小组治疗还是个人治疗的肥胖患者,体重减轻幅度都很小。这些结果与丹麦一项仅使用个人咨询的研究先前报告的结果相当。