Use of personal trainers and financial incentives to increase exercise in a behavioral weight-loss program
Use of personal trainers and financial incentives to increase exercise in a behavioral weight-loss program
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DOI：
10.1037/0022-006x.66.5.777
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发表时间：
1998-10-01
影响因子：
5.9
通讯作者：
Burton, LR
中科院分区：
文献类型：
--
作者：
Jeffery, RW;Wing, RR;Burton, LR
运动是长期减肥的最佳预测指标。这项研究评估了两种提高肥胖门诊患者运动依从性和长期减肥的策略。肥胖男性和女性(N=193)被随机分为5个治疗组中的一个，为期18个月：标准行为治疗(SBT)；每周3次有监督的步行(SW)；SET+SW和私人教练(PT)一起散步，他们与参与者一起散步，进行电话提醒，并进行化妆SW；SET+SW(I)完成SWS；以及SET+SW+PT+I。PT和I都提高了SWS的出勤率，这两种组合产生了最好的坚持。然而，更多的步行并没有导致更高的总体能量消耗，长期减肥也没有改善。事后分析表明，成功的长期减肥所需的运动水平远远高于行为治疗计划中通常推荐的水平。
Exercise is the best predictor of long-term weight loss. This study evaluated two strategies for improving exercise adherence and long-term weight loss in obese outpatients. Obese men and women (N = 193) were randomized to 1 of 5 treatment groups for 18 months: standard behavior therapy (SBT); SET with supervised walks (SW) 3 times per week; SET + SW with personal trainers (PT), who walked with participants, made phone reminders, and did make-up SW; SET + SW with monetary incentives (I) for completing SW; and SET + SW + PT + I. Both PT and I enhanced attendance at SWs, the combination producing the best adherence. Increased walk attendance did not result in higher overall energy expenditure, however, and long-term weight loss was also not improved. Post hoc analyses suggest that the level of exercise needed for successful long-term weight loss is much higher than that usually recommended in behavioral treatment programs.