The Internet for weight control in an obese sample: results of a randomised controlled trial.
The Internet for weight control in an obese sample: results of a randomised controlled trial.
复制标题
肥胖样本中的体重控制的互联网：随机对照试验的结果。
DOI：
10.1186/1472-6963-7-206
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发表时间：
2007-12-19
影响因子：
2.8
通讯作者：
Bojke, Laura
中科院分区：
文献类型：
--
作者：
McConnon, Aine;Kirk, Sara F. L.;Cockroft, Jennie E.;Harvey, Emma L.;Greenwood, Darren C.;Thomas, James D.;Ransley, Joan K.;Bojke, Laura
肥胖水平的上升，加上目前可用的体重控制方法成效有限，突显了研究肥胖治疗新方法的必要性。这项研究旨在确定基于互联网的肥胖管理资源的有效性和成本效益。这是一项在社区环境中进行的随机对照试验，其中肥胖志愿者(n=221)被随机分配到互联网组(n=111)或常规护理组(n=110)。获得了体重和身高的客观测量。调查问卷用于收集饮食、生活方式、体力活动和生活质量数据。在基线、6个月和12个月时收集数据。在12个月时，收集了互联网组54名参与者(49%)和普通护理组77名参与者(70%)的数据。基于对所有可用数据的分析，互联网组在12个月时体重减轻了1.3公斤，而常规护理组的体重减轻了1.9公斤，没有显著差异(差异=0.6公斤；95%可信区间：-1.4至2.5，p=0.56)。两组在6个月或12个月时的次要结果指标的变化没有显著差异。互联网组每人每年的总成本高于普通护理组(GB 992.40比GB 276.12)，这主要是由于与建立网站相关的固定成本，两组的QALY相似(0.78和0.77)。这项试验没有显示出与通常的护理相比，该网站在减肥或次要结果衡量方面有任何额外的好处。高流失率和低顺应性限制了这项研究的结果。结果表明，在所研究的肥胖样本中，基于互联网的体重控制资源并不是一个具有成本效益的减肥工具。ISRCTN 58621669
Rising levels of obesity coupled with the limited success of currently available weight control methods highlight the need for investigation of novel approaches to obesity treatment. This study aims to determine the effectiveness and cost-effectiveness of an Internet-based resource for obesity management. A randomised controlled trial conducted in a community setting, where obese volunteers (n = 221) were randomly assigned to Internet group (n = 111) or usual care group (n = 110). Objective measures of weight and height were obtained. Questionnaires were used to collect dietary, lifestyle, physical activity and quality of life data. Data were collected at baseline, six months and 12 months. Data were collected on 54 (49%) participants in the Internet group and 77 (70%) participants in the usual care group at 12 months. Based on analysis conducted on all available data, the Internet group lost 1.3 kg, compared with 1.9 kg weight loss in the usual care group at 12 months, a non-significant difference (difference = 0.6 kg; 95% CI: -1.4 to 2.5, p = 0.56). No significant differences in change in secondary outcome measures between the two groups at six or 12 months were revealed. Total costs per person per year were higher in the Internet group than the usual care group (£992.40 compared to £276.12), primarily due to the fixed costs associated with setting up the website, and QALYs were similar (0.78 and 0.77) for both groups. This trial failed to show any additional benefit of this website in terms of weight loss or secondary outcome measures compared with usual care. High attrition and low compliance limits the results of this research. The results suggest that the Internet-based weight control resource was not a cost-effective tool for weight loss in the obese sample studied. ISRCTN 58621669
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影响因子：
3.5
作者：
JOHANNESSON, M;JOHANSSON, PO;GERDTHAM, UG
通讯作者：
GERDTHAM, UG
影响因子：
158.5
作者：
Wing, Rena R.;Tate, Deborah F.;Fava, Joseph L.
通讯作者：
Fava, Joseph L.
影响因子：
16.2
作者：
Wing, RR;Venditti, E;Lang, W
通讯作者：
Lang, W
影响因子：
2.1
作者：
VANHOUT, BA;AL, MJ;RUTEN, FFH
通讯作者：
RUTEN, FFH
影响因子：
2.8
作者：
Kirk SF;Harvey EL;McConnon A;Pollard JE;Greenwood DC;Thomas JD;Ransley JK
通讯作者：
Ransley JK