The Primary Results of the Treating Adult Smokers at Risk for Weight Gain with Interactive Technology (TARGIT) Study.

The Primary Results of the Treating Adult Smokers at Risk for Weight Gain with Interactive Technology (TARGIT) Study.
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DOI:
10.1002/oby.21968
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发表时间:
2017-10
期刊:
Obesity (Silver Spring, Md.)
影响因子:
--
通讯作者:
Coday M
Coday M
中科院分区:
其他
文献类型:
--
作者:
Johnson KC;Thomas F;Richey P;Tran QT;Tylavsky F;Miro D;Coday M

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评估通过互动技术提供的行为体重管理计划与戒烟计划相结合是否可以防止戒烟后体重增加。 330 名 18 至 35 岁的年轻成年吸烟者被随机分配到单独的戒烟计划(比较组),其中包括行为咨询和尼古丁替代,或接受根据 Look AHEAD 试验改编的行为体重管理计划加上相同的戒烟计划(干预组)。 TARGIT 将 164 名受试者随机分配到比较组,将 166 名受试者随机分配到干预组。试验 24 个月后,参与者平均增重 +0.91 公斤(对照组 +1.45 公斤,干预组 +0.32,p = 0.157)。随着时间的推移,系统影响体重变化的唯一变量是戒烟,与继续吸烟的人相比,戒烟的人每月平均增加 0.14 公斤 (p < 0.001)。在探索性分析中,与禁欲的比较参与者相比,6 个月禁欲的干预参与者的体重增加在数值上较小,但这些差异并不具有统计学意义。通过互动技术提供强化体重增加预防计划与戒烟计划相结合,与更长期的体重增加预防无关。
To evaluate whether a behavioral weight management program combined with a smoking cessation program delivered via interactive technology could prevent post-cessation weight gain. 330 young adult smokers age 18 to 35 were randomized to a smoking cessation program alone (Comparison group) that included behavioral counseling and nicotine replacement or to a behavioral weight management program adapted from the Look AHEAD trial plus the same smoking cessation program (Intervention group). TARGIT randomized 164 to the Comparison and 166 to the Intervention group respectively. On average the participants gained +0.91 kg after 24 months in the trial (Comparison group +1.45 kg and Intervention group +0.32, p = 0.157). The only variable systematically affecting weight change over time was smoking abstinence, where those that were abstinent on average gained 0.14 kg more per month compared to those who continued to smoke (p < 0.001). In exploratory analyses, the Intervention participants who were abstinent at 6 months had numerically smaller weight gains compared to abstinent Comparison participants, but these differences were not statistically significant. Providing an intensive weight gain prevention program combined with a smoking cessation program via interactive technology was not associated with greater long-term weight gain prevention.
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