Maintenance-tailored therapy vs standard behavior therapy for 30-month maintenance of weight loss
Maintenance-tailored therapy vs standard behavior therapy for 30-month maintenance of weight loss
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DOI：
10.1016/j.ypmed.2010.09.010
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发表时间：
2010-12-01
影响因子：
5.1
通讯作者：
Yatsuya, Hiroshi
中科院分区：
文献类型：
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作者：
Levy, Rona L.;Jeffery, Robert W.;Yatsuya, Hiroshi
目的比较标准行为疗法（SBT）和个体化肥胖维持疗法（MTT）治疗肥胖18个月后1年体重恢复的差异。方法213名肥胖成年志愿者分别接受SBT和MTT治疗18个月。向上分析的重点是在一年没有接触后的体重维持。Mal在2005年至2009年期间在明尼苏达大学进行。结果SBT组参与者18至30个月的平均（SD）体重变化为+41 kg（4 4）。与MIT组的+28 kg（4 5）相比，MTT组的体重恢复相对于SBT组减少了31（p = 0 078）与SBT相比，MIT中维持更好的趋势主要是由于MIT参与者在18个月时总体重减轻的最高三分位数中的上级差异维持，即该三分位数中的MTT参与者比SBT参与者少恢复4 kg 18和30个月之间结论具有不同内容和时间的MIT方法比传统的SBT方法产生了更理想的减肥维持模式，特别是在已经实现更大初始体重减轻的个体中（C）2010 Elsevier Inc.版权所有
Objective To assess differences in weight regain one year after an 18-month obesity treatment with standard behavior therapy (SBT) or maintenance-tailored therapy for obesity (MTT)Method 213 obese adult volunteers were treated for 18 months using SBT with fixed behavioral prescriptions or MIT that employed varied behavioral prescriptions with treatment breaks Follow-up analysis focused on weight maintenance after a year of no contact The Mal was conducted at the University of Minnesota between 2005 and 2009Results Mean (SD) weight change between 18 and 30 months for participants in the SBT group was +41 kg (4 4) compared to +28 kg (4 5) in the MIT group This is a 31% reduction in weight regain in MTT relative to SBT (p = 0 078) This trend toward better maintenance in MIT versus SBT was due primarily to superior differential maintenance in MIT participants in the highest tertile of total weight loss at 18 months i e MTT participants in this tertile regained 4 kg less than SBT participants between 18 and 30 monthsConclusions The MIT approach with varied content and timing produced more desirable patterns of weight loss maintenance than the traditional SBT approach especially among individuals who had achieved greater initial weight loss (C) 2010 Elsevier Inc All rights reserved