Promoting long-term weight control: does dieting consistency matter?

Promoting long-term weight control: does dieting consistency matter?
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DOI:
10.1038/sj.ijo.0802550
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发表时间:
2004-02-01
影响因子:
4.9
通讯作者:
Hill, JO
Hill, JO
中科院分区:
医学2区
文献类型:
--
作者:
Gorin, AA;Phelan, S;Hill, JO

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目的:本研究探讨了长期减肥的维持是否通过在一周和一年中保持相同的饮食方案或在工作日和非假期期间比其他时间更严格地节食来增强。方法:国家体重控制登记处参与者(N = 1429)用8分制表示他们在周末是否比工作日更严格地节食,在一周内是否坚持相同的饮食方案,或者在工作日更严格地节食。参与者回答了一个关于假期和假期饮食的类似问题。然后,参与者进行前瞻性随访,以确定这些问题的分数是否与随后12个月内自我报告的体重恢复有关。结果:节食一致性问题的分数与1年期间的体重变化之间存在线性关系(P < 0.01),报告一致性的人体重增加较小。在接下来的一年里,报告在一周内坚持饮食的参与者将体重保持在5磅以内的可能性是那些在工作日严格节食的参与者的1.5倍(OR = 1.58,95% CI:1.2-2.2)。一个类似的关系出现在节食一致性在一年中,随后的体重reagen.CONCLUSION:节食一致性似乎是一种行为策略,预测随后的长期减肥维护。
OBJECTIVE: The present study examined whether long-term weight loss maintenance is enhanced by maintaining the same diet regimen across the week and year or by dieting more strictly on weekdays and nonholiday periods than at other times.METHOD: National Weight Control Registry participants (N = 1429) indicated on an eight-point scale whether they dieted more strictly on weekends than weekdays, adhered to the same diet regimen throughout the week, or dieted more strictly on weekdays. Participants responded to a similar question about holiday and vacation eating. Participants were then followed prospectively to determine whether scores on these questions were related to self-reported weight regain over the subsequent 12 months.RESULTS: There was a linear relationship between scores on the dieting consistency questions and weight change over the 1-y period (P's < 0.01), with smaller weight gains in those who reported more consistency. Participants who reported a consistent diet across the week were 1.5 times more likely to maintain their weight within 5 pounds over the subsequent year (OR = 1.58, 95% CI: 1.2-2.2) than participants who dieted more strictly on weekdays. A similar relationship emerged between dieting consistency across the year and subsequent weight regain.CONCLUSION: Dieting consistency appears to be a behavioral strategy that predicts subsequent long-term weight loss maintenance.