Reducing postpartum weight retention through a correspondence intervention
Reducing postpartum weight retention through a correspondence intervention
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DOI：
10.1038/sj.ijo.0800734
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发表时间：
1998-11-01
影响因子：
4.9
通讯作者：
Wing, RR
中科院分区：
文献类型：
--
作者：
Leermakers, EA;Anglin, K;Wing, RR
目的：由于怀孕后体重滞留可能会导致肥胖的发生，我们试图确定行为减肥干预是否能有效地将女性恢复到怀孕前的体重。方法：90 名在过去 3-12 个月内分娩且体重超过孕前体重至少 6.8 公斤的女性被随机分配到：a）通过函授进行为期 6 个月的行为减肥干预，或 b）不治疗对照组。在治疗前和六个月（治疗后）进行体重、体力活动和饮食模式的评估。 结果：在六个月的治疗期间，对应条件下的受试者的体重持续显着高于对照组（7.8 kg vs 4.9 kg，P = 0.03），并且产后体重减轻的比例更大（79％ vs 44％，P = 0.01）。此外，与对照组相比，函授受试者恢复到孕前体重的比例显着更高（33% vs 11.5%，P < 0.05）。函授组的体重减轻与自我监测记录的完成程度相关（r=0.50，P < 0.005）。结论：通过函授进行的行为减肥干预似乎可以有效减少女性产后体重滞留。未来的研究应该考察相应产后减肥干预措施的可接受性和长期影响。
OBJECTIVE: Since post-pregnancy weight retention may contribute to the development of obesity, we sought to determine whether a behavioral weight loss intervention was effective in returning women to their pre-pregnancy weight.METHOD: Ninety women who had given birth in the past 3-12 months and whose weight exceeded their prepregnancy weight by at least 6.8kg were randomly assigned to either: a) a six-month behavioral weight loss intervention, delivered via correspondence or b) a no-treatment control group. Assessments of body weight, physical activity and eating patterns were conducted at pre-treatment and six months (post-treatment).RESULTS: During the six month treatment, subjects in the correspondence condition last significantly more weight than control subjects (7.8 kg vs 4.9 kg, P=0.03) and lost a greater percentage of their excess postpartum weight (79% vs 44%, P = 0.01). Furthermore, a significantly greater percentage of correspondence subjects than controls returned to their pre-pregnancy weight (33% vs 11.5%, P < 0.05). Weight loss in the correspondence group was correlated with completion of self-monitoring records (r=0.50, P < 0.005).CONCLUSIONS: A behavioral weight loss intervention, delivered via correspondence, appears to be effective in reducing women's postpartum weight retention. Future studies should examine the acceptability and the long-term impact of a correspondence postpartum weight loss intervention.