Weight loss strategies associated with BMI in overweight adults with type 2 diabetes at entry into the Look AHEAD (Action for Health in Diabetes) trial.

Weight loss strategies associated with BMI in overweight adults with type 2 diabetes at entry into the Look AHEAD (Action for Health in Diabetes) trial.
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与BMI相关的体重减轻策略在超重成年人中,患有2型糖尿病的人进入外观(糖尿病的健康动作)试验。

DOI:
10.2337/dc07-2295
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发表时间:
2008-07
期刊:
影响因子:
16.2
通讯作者:
Delahanty, Linda M.
Delahanty, Linda M.
中科院分区:
医学1区
文献类型:
--
作者:
Raynor, Hollie A.;Jeffery, Robert W.;Ruggiero, Andrea M.;Clark, Jeanne M.;Delahanty, Linda M.

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目的:2型糖尿病患者推荐有意减肥,但患者尝试的策略及其体重管理的有效性尚不清楚。在这项调查中,我们描述了在前瞻性(糖尿病健康行动)临床试验登记的2型糖尿病超重参与者的不同样本中使用的有意减肥策略和与BMI相关的策略。研究设计和方法:这是一项关于基线减肥策略的横断面研究,包括自我称重频率、饮食模式和体重控制实践,报告了3063名女性和2082名男性,年龄45-74岁,BMI≥25 kg/m2。结果:不到一半(41.4%)的参与者自重≥1/周。受试者每周吃早餐6.0±1.8天,每天吃正餐/零食5.0±3.1次,每周吃快餐1.9±2.7次。在过去的一年中,约60%的参与者报告了三种最常见的体重控制方法(增加水果和蔬菜,减少甜食和少吃高碳水化合物食物)≥20周。调整后的模型显示,每周自测体重少于一次(B = 0.83)、每周吃快餐次数较多(B = 0.14)和每周吃早餐次数较少(B = - 0.19)与较高的BMI相关(P < 0.05) (R2 = 0.24)。结论:在Look AHEAD研究人群中,定期自我称重和吃早餐以及不经常吃快餐与较低的BMI有关。
OBJECTIVE—Intentional weight loss is recommended for those with type 2 diabetes, but the strategies patients attempt and their effectiveness for weight management are unknown. In this investigation we describe intentional weight loss strategies used and those related to BMI in a diverse sample of overweight participants with type 2 diabetes at enrollment in the Look AHEAD (Action for Health in Diabetes) clinical trial. RESEARCH DESIGN AND METHODS—This was a cross-sectional study of baseline weight loss strategies, including self-weighing frequency, eating patterns, and weight control practices, reported in 3,063 women and 2,082 men aged 45–74 years with BMI ≥25 kg/m2. RESULTS—Less than half (41.4%) of participants self-weighed ≥1/week. Participants ate breakfast 6.0 ± 1.8 days/week, ate 5.0 ± 3.1 meals/snacks per day, and ate 1.9 ± 2.7 fast food meals/week. The three most common weight control practices (increasing fruits and vegetables, cutting out sweets, and eating less high-carbohydrate foods) were reported by ∼60% of participants for ≥20 weeks over the previous year. Adjusted models showed that self-weighing less than once per week (B = 0.83), more fast food meals consumed per week (B = 0.14), and fewer breakfast meals consumed per week (B = −0.19) were associated (P < 0.05) with a higher BMI (R2 = 0.24). CONCLUSIONS—Regular self-weighing and breakfast consumption, along with infrequent consumption of fast food, were related to lower BMI in the Look AHEAD study population.
DOI: 10.1111/j.1742-1241.2007.01588.x
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