A small-change approach delivered via telephone promotes weight loss in veterans: Results from the ASPIRE-VA pilot study
A small-change approach delivered via telephone promotes weight loss in veterans: Results from the ASPIRE-VA pilot study
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DOI：
10.1016/j.pec.2009.09.025
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发表时间：
2010-05-01
影响因子：
3.5
通讯作者：
Lowery, Julie C.
中科院分区：
文献类型：
--
作者：
Damschroder, Laura J.;Lutes, Lesley D.;Lowery, Julie C.
目的：美国退伍军人超重和肥胖的高比例（70%）构成了肥胖相关慢性疾病和残疾的重大威胁。这项试点研究的目的是证明可行性和影响的电话为基础的小变化减肥干预（ASPIRE-VA）与veterines.Methods：参与者收到了计步器，食物日志，治疗手册概述了小的变化程序。然后，参与者每周与生活方式教练进行电话交谈，在此期间，他们回顾了前一周的目标，并为下周制定了新的目标。结果：14名久坐不动（每天4471 +/- 2315步）、肥胖（37.0 +/- 4.2 BMI）、中年（53.8 +/- 12.5）男性（64%）和女性（36%）参与者入选。在12周时，参与者表现出显着的体重减轻（-3.8 +/- 3.6 kg; p = .002）和水果和蔬菜摄入量增加（每天+2.2 +/- 3.1份; p = .03）;尽管步行没有变化（+786 +/- 2288每日步数; p = .24）.结论：结果表明，基于电话的小变化计划是可行的，有利于促进超重/肥胖退伍军人减肥。实践意义：这项基于电话的计划有可能降低退伍军人的超重和肥胖率，从而预防和改善相关慢性病的预后。出版社：Elsevier爱尔兰Ltd.
Objective: High rates of overweight and obesity (70%) among US veterans pose a significant threat of obesity-related chronic disease and disability. The purpose of this pilot study was to demonstrate feasibility and impact of a phone-based small-change weight loss intervention (ASPIRE-VA) with veterans.Methods: Participants received a pedometer, food log book, and treatment manual outlining the small change program. Participants then scheduled weekly phone calls with a lifestyle coach, during which they reviewed the prior week's goals and developed new goals for the following week. Primary outcome was weight loss measured at 12 weeks, compared to baseline.Results: Fourteen sedentary (4471 +/- 2315 steps per day), obese (37.0 +/- 4.2 BMI), middle aged (53.8 +/- 12.5) male (64%) and female (36%) participants were enrolled. At 12 weeks participants exhibited significant weight loss (-3.8 +/- 3.6 kg; p = .002) and increased intake of fruits and vegetables (+2.2 +/- 3.1 daily servings; p = .03); though no change in walking (+786 +/- 2288 daily steps; p = .24).Conclusion: Results suggest that a phone-based small change program is feasible and beneficial for promoting weight loss in overweight/obese veterans.Practice implications: This telephone-based program has the potential to reduce rates of overweight and obesity among veterans and thus prevent and improve prognosis of associated chronic conditions. Published by Elsevier Ireland Ltd.