Preliminary examination of metabolic syndrome response to motivational interviewing for weight loss as compared to an attentional control and usual care in primary care for individuals with and without binge-eating disorder.
Preliminary examination of metabolic syndrome response to motivational interviewing for weight loss as compared to an attentional control and usual care in primary care for individuals with and without binge-eating disorder.
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DOI：
10.1016/j.eatbeh.2017.02.007
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发表时间：
2017-08
期刊：
影响因子：
2.8
通讯作者：
Barber JA
中科院分区：
文献类型：
--
作者：
Barnes RD;Barber JA
在初级保健中，正在研究动机访谈(MI)治疗减肥。这些干预措施对代谢综合征或暴饮暴食障碍(Bed；DSM-5标准)的影响尚未得到检验，两者都与超重高度相关。这项研究从随机对照试验中进行了二次分析，以测试初级保健中MI对体重减轻对代谢综合征的影响。74名通过初级保健招募的超重/肥胖成年参与者被随机分为12周的MI组、注意力控制组或常规护理组。参与者在治疗前和治疗后完成了代谢综合征的测量。治疗前X2(2)=0.16p=0.921，或治疗后X2(2)=0.852，p=0.653，代谢综合征发生率差异无统计学意义。然而，代谢综合征的发生率在MI(10%)和注意力控制组(13.8%)的参与者中降低，但不是在常规护理下。在基线上，有床和不床的参与者之间的代谢综合征发生率在不同的治疗中没有显著差异。在治疗后，有床的参与者比没有床的参与者更有可能满足代谢综合征的标准，X2(1)=5.145，p=0.023，Phi=.273。在所有治疗中，几乎四分之一没有卧床的参与者(23.1%)的代谢综合征得到缓解，但有卧床的参与者中没有出现代谢综合征。这些初步结果是基于一个小样本，应该谨慎解读，但它们是第一次表明，初级保健中相对低强度的MI减肥干预可能会降低代谢综合征的发生率，但对卧床的个人来说不是。
Motivational interviewing (MI) treatment for weight loss is being studied in primary care. The effect of such interventions on metabolic syndrome or binge eating disorder (BED; DSM-5 criteria), both highly related to excess weight, has not been examined. This study conducted secondary analyses from a randomized controlled trial to test the impact of MI for weight loss in primary care on metabolic syndrome. 74 adult participants with overweight/obesity recruited through primary care were randomized to 12 weeks of either MI, an attentional control, or usual care. Participants completed measurements for metabolic syndrome at pre- and post-treatment. There were no statistically significant differences in metabolic syndrome rates at pre-, X2(2)=0.16, p = 0.921, or post-, X2(2)=0.852, p = 0.653 treatment. The rates in metabolic syndrome, however, decreased for MI (10%) and attentional control (13.8%) participants, but not for usual care. At baseline, metabolic syndrome rates did not differ significantly between participants with BED or without BED across treatments. At post-treatment, participants with BED were significantly more likely to meet criteria for metabolic syndrome than participants without BED, X2(1)=5.145, p = 0.023, phi =.273. Across treatments, metabolic syndrome remitted for almost a quarter of participants without BED (23.1%) but for 0% of those with BED. These preliminary results are based on a small sample and should be interpreted with caution, but they are the first to suggest that relatively low intensity MI weight loss interventions in primary care may decrease metabolic syndrome rates but not for individuals with BED.
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影响因子：
3.5
作者：
Bleich, Sara N.;Pickett-Blakely, Octavia;Cooper, Lisa A.
通讯作者：
Cooper, Lisa A.
影响因子：
3.9
作者：
Davis, Nichola J.;Emerenini, Ada;Wylie-Rosett, Judith
通讯作者：
Wylie-Rosett, Judith
影响因子：
120.7
作者：
Galuska, DA;Will, JC;Ford, ES
通讯作者：
Ford, ES
DOI：
10.1111/obr.12264
发表时间：
2015-04
期刊：
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子：
--
作者：
Barnes RD;Ivezaj V
通讯作者：
Ivezaj V
影响因子：
37.8
作者：
Grundy, SM;Becker, D;Jehle, AJ
通讯作者：
Jehle, AJ