Achieving weight and activity goals among diabetes prevention program lifestyle participants.
Achieving weight and activity goals among diabetes prevention program lifestyle participants.
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DOI：
10.1038/oby.2004.179
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发表时间：
2004-09
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影响因子：
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通讯作者：
R. Wing;R. Hamman;G. Bray;L. Delahanty;S. Edelstein;James O Hill;E. Horton;M. Hoskin;A. Kriska;J. Lachin;E. Mayer‐Davis;X. Pi-Sunyer;J. Regensteiner;Beth Venditti;J. Wylie-Rosett
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文献类型：
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作者：
R. Wing;R. Hamman;G. Bray;L. Delahanty;S. Edelstein;James O Hill;E. Horton;M. Hoskin;A. Kriska;J. Lachin;E. Mayer‐Davis;X. Pi-Sunyer;J. Regensteiner;Beth Venditti;J. Wylie-Rosett
目的：糖尿病预防计划（DPP）表明，强化生活方式干预可将糖尿病风险降低58%。本文探讨了人口统计学，心理和行为因素相关的实现减肥和体育活动的目标，在DPP lifestyle participants.Research Methods and Procedures：生活方式的参与者（n= 1079;平均年龄= 50.6，BMI = 33.9，68%的女性，46%的少数民族群体）有7%的体重减轻和150分钟/周的体育活动的目标。在16节核心课程结束时（约24周）和最终干预访视（平均= 3.2年）时，根据人口统计学，心理社会学和行为变量评估目标实现情况。结果：49%的人达到了减肥目标，74%的人达到了最初的活动目标，而37%和67%的人分别达到了这些目标。男性和那些初始BMI较低的人更有可能达到活动目标，但不是减肥目标。西班牙裔，亚洲人和美洲原住民更有可能达到长期活动目标，白人更有可能达到最初的减肥目标。在多变量分析中，满足长期减肥目标和两个活动目标随着年龄的增长而增加，而心理社会和抑郁指标与目标实现无关。饮食自我监测与达到减肥和活动目标呈正相关，达到活动目标与达到减肥目标呈正相关。达到初始目标的参与者长期达到这些目标的可能性高出1.5至3.0倍。讨论：随着年龄的增长，达到减肥和活动目标的成功率也在增加。初期成功预示着长期成功。自我监控和满足活动目标与实现和维持体重减轻有关。
Objective: The Diabetes Prevention Program (DPP) showed that intensive lifestyle intervention reduced the risk of diabetes by 58%. This paper examines demographic, psychosocial, and behavioral factors related to achieving weight loss and physical activity goals in the DPP lifestyle participants.Research Methods and Procedures: Lifestyle participants (n= 1079; mean age = 50.6, BMI = 33.9, 68% female, and 46% from minority groups) had goals of 7% weight loss and 150 min/wk of physical activity. Goal achievement was assessed at the end of the 16‐session core curriculum (approximately week 24) and the final intervention visit (mean = 3.2 years) as a function of demographic, psychosocial, and behavioral variables.Results: Forty‐nine percent met the weight loss goal and 74% met the activity goal initially, while 37% and 67%, respectively, met these goals long‐term. Men and those with lower initial BMI were more likely to meet activity but not weight loss goals. Hispanic, Asian, and Native Americans were more likely to meet the long‐term activity goals, and whites were more likely to meet the initial weight loss goal. In multivariate analyses, meeting the long‐term weight loss goal and both activity goals increased with age, while psychosocial and depression measures were unrelated to goal achievement. Dietary self‐monitoring was positively related to meeting both weight loss and activity goals, and meeting the activity goal was positively related to meeting the weight loss goal. Participants who met initial goals were 1.5 to 3.0 times more likely to meet these goals long‐term.Discussion: Success at meeting the weight loss and activity goals increased with age. Initial success predicted long‐term success. Self‐monitoring and meeting activity goals were related to achieving and sustaining weight loss.