Behavior change, weight loss, and physiological improvements in type II diabetic patients.
Behavior change, weight loss, and physiological improvements in type II diabetic patients.
复制标题
II 型糖尿病患者的行为改变、体重减轻和生理改善。
DOI：
10.1037//0022-006x.53.1.111
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发表时间：
1985
影响因子：
5.9
通讯作者：
Hagg,S
中科院分区：
文献类型：
--
作者：
Wing,RR;Epstein,LH;Nowalk,MP;Koeske,R;Hagg,S
53 名 30-70 岁的肥胖 2 型糖尿病患者仅接受饮食或口服药物治疗，他们被分配到行为矫正、营养教育或标准护理治疗条件下，以调查行为矫正是否会改善 Ss 体重控制计划的短期和长期结果。行为矫正组和营养教育组每周举行一次会议，持续 16 周，并获得有关营养、运动和糖尿病的相同信息；然而，在行为矫正条件下使用了改变饮食行为的策略。标准护理条件与营养教育条件相同，只是 Ss 在 16 周的治疗期间仅见面 4 次。结果表明，在 16 周的治疗期间，行为矫正的 Ss 比营养教育或标准护理的 Ss 减轻了更多的体重。然而，在 16 个月的随访中，不同治疗条件下体重减轻的差异并不显着。生理参数和情绪随着最初的体重减轻而改善，但这些变化并没有维持。生理变化似乎与体重减轻比与治疗条件更直接相关。体重变化与饮食和运动习惯的改善有关，4.6-23.6 公斤的适度体重减轻可显着改善血糖控制。（46 参考文献）（PsycINFO 数据库记录 (c) 2016 APA，保留所有权利）
53 obese 30–70 yr olds with Type 2 diabetes treated by diet only or oral medication were assigned to a behavior-modification, nutrition-education, or standard-care treatment condition to investigate whether behavior modification would improve short-and long-term results of weight control programs for Ss. The behavior-modification and nutrition-education groups met weekly for 16 wks and were given the same information on nutrition, exercise, and diabetes; however, strategies to change eating behavior were used in the behavior-modification condition. The standard-care condition was identical to the nutrition-education condition except that Ss met only 4 times over the 16-wk treatment period. Results indicate that behavior-modification Ss lost more weight than either the nutrition-education or standard-care Ss during the 16-wk treatment period. However, at 16-mo follow-up, differences in weight loss across treatment conditions were not significant. Physiological parameters and mood improved with initial weight loss, but these changes were not maintained. Physiological changes appeared more directly related to weight loss than to treatment condition. Changes in weight were related to improved eating and exercise habits, and modest weight losses of 4.6–23.6 kg produced significant improvements in blood-sugar control.(46 ref)(PsycINFO Database Record (c) 2016 APA, all rights reserved)