A statewide intervention reduces BMI in adults: Shape Up Rhode Island results.

A statewide intervention reduces BMI in adults: Shape Up Rhode Island results.
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DOI:
10.1038/oby.2008.655
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发表时间:
2009-05
期刊:
影响因子:
6.9
通讯作者:
Gorin, Amy A.
Gorin, Amy A.
中科院分区:
医学2区
文献类型:
--
作者:
Wing, Rena R.;Pinto, Angela M.;Crane, Melissa M.;Kumar, Rajiv;Weinberg, Brad M.;Gorin, Amy A.

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鉴于肥胖的流行,需要在社区、州或国家层面上应用的减肥方法。我们报告的结果,从塑造了罗得岛2007年(SURI),全州范围内的互联网为基础的计划,涉及团队为基础的竞争,以增加体力活动,实现减肥。共有4,717名成人(84%为女性;平均BMI = 29.6 kg/m2)参加了SURI的16周减肥比赛,3311人完成了至少12周的减肥比赛。完成者报告体重减轻了3.2 ± 3.4 kg,30%的患者体重减轻了5%或以上,具有临床意义。尽管体重减轻幅度不大,但这些体重减轻使BMI分布从平均BMI 29.4 kg/m2变为28.2 kg/m2,肥胖人口从39%降至31%。更保守的意向治疗分析和对132名客观体重参与者的分析仍然显示BMI显著降低-0.8个单位。这些发现表明,全州范围内的减肥运动可以在大量参与者中产生适度的体重减轻。这些数据提供了一个基准,可用于与其他全州范围的运动进行比较。需要研究如何改进这类运动。
Given the epidemic of obesity, approaches to weight loss that can be applied on a community, state, or national level are needed. We report results from Shape Up Rhode Island 2007 (SURI), a state-wide Internet based program involving team-based competition to increase physical activity and achieve weight loss. A total of 4,717 adults (84% female; mean BMI = 29.6 kg/m2) enrolled in the 16 week weight loss competition of SURI and 3311 completed at least 12 weeks. Completers reported losing 3.2 ± 3.4 kg, and 30% achieved a clinically significant weight loss of 5% or more. Although modest, these weight losses shifted the BMI distribution from a mean BMI of 29.4 to 28.2 kg/m2 and reduced the population that was obese from 39% to 31%. More conservative intent-to-treat analyses and analysis of 132 participants with objective weights still showed a significant reduction in BMI of −0.8 units. These findings suggest that state-wide weight loss campaigns can produce modest weight losses in large numbers of participants. These data provide a bench-mark that can be used for comparisons with other state-wide campaigns. Research on ways to improve such campaigns is needed.
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