The effect of a weight gain prevention intervention on moderate-vigorous physical activity among black women: the Shape Program.
The effect of a weight gain prevention intervention on moderate-vigorous physical activity among black women: the Shape Program.
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DOI：
10.1186/s12966-017-0596-6
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发表时间：
2017-10-16
期刊：
影响因子：
--
通讯作者：
Bennett GG
中科院分区：
文献类型：
--
作者：
Greaney ML;Askew S;Wallington SF;Foley PB;Quintiliani LM;Bennett GG
生活在美国超重或肥胖的黑人妇女，特别是生活在南方农村的黑人妇女，缺乏身体活动的比例很高。这项研究旨在确定有效的体重增加预防干预是否增加了中等强度的体力活动（MVPA）。体形方案是一项在北卡罗来纳州农村社区卫生中心实施的体重增加预防干预措施，旨在帮助社会经济上处于不利地位的超重或肥胖黑人妇女。使用加速度计测量MVPA，并总结为1分钟和10分钟的发作。我们采用协方差分析（ANCOVA）来评估12个月内MVPA变化（计算为变化评分）与干预分配（干预与常规护理）之间的关系。完成基线和12个月加速计评估的参与者（n = 121）的平均年龄为36.1（SD = 5.43）岁，平均体重指数为30.24 kg/m2（SD = 2.60）。在基线时，使用10分钟回合评估时，38%符合体力活动建议（每周150分钟MVPA），使用1分钟回合评估时，76%符合建议。从基线到12个月使用1分钟回合的干预，随机分配到干预组的参与者中MVPA参与的变化无显著差异（调整后的干预平均值[95% CI]：20.50 [-109.09至150.10] vs.调整后的常规护理平均值[95% CI]：-80.04 [-209.21至49.13]，P = 0.29）或10分钟发作（调整后的干预平均值[95% CI]：7.39 [-83.57至98.35] vs.调整后的常规护理平均值[95% CI]：-17.26 [-107.93至73.40]，P = 0.70）。虽然先前的研究确定了形状干预促进了体重增加的预防，但MVPA在干预参与者中从基线到12个月并没有显著增加。发作的分类有一个显着的影响，对患病率估计那些会议的体力活动的建议。需要更多的研究来了解如何在体重增加预防干预措施中促进MVPA的增加。本研究在www.clinicaltrials.gov数据库中注册（编号NCT 00938535）。2009年10月7日注册）。
Rates of physical inactivity are high among Black women living in the United States with overweight or obesity, especially those living in the rural South. This study was conducted to determine if an efficacious weight gain prevention intervention increased moderate-vigorous physical activity (MVPA). The Shape Program, a weight gain prevention intervention implemented in community health centers in rural North Carolina, was designed for socioeconomically disadvantaged Black women with overweight or obesity. MVPA was measured using accelerometers, and summarized into 1- and 10-min bouts. We employed analyses of covariance (ANCOVA) to assess the relationship between changes in MVPA over 12 months, calculated as a change score, and intervention assignment (intervention versus usual care). Participants completing both baseline and 12-month accelerometer assessments (n = 121) had a mean age of 36.1 (SD = 5.43) years and a mean body mass index of 30.24 kg/m2 (SD = 2.60). At baseline, 38% met the physical activity recommendation (150 min of MVPA/week) when assessed using 10-min bouts, and 76% met the recommendation when assessed using 1-min bouts. There were no significant differences in change in MVPA participation among participants randomized to the intervention from baseline to 12-months using 1-min bouts (adjusted intervention mean [95% CI]: 20.50 [−109.09 to 150.10] vs. adjusted usual care mean [95% CI]: -80.04 [−209.21 to 49.13], P = .29), or 10-min bouts (adjusted intervention mean [95% CI]: 7.39 [−83.57 to 98.35] vs. adjusted usual care mean [95% CI]: -17.26 [−107.93 to 73.40], P = .70). Although prior research determined that the Shape intervention promoted weight gain prevention, MVPA did not increase significantly among intervention participants from baseline to 12 months. The classification of bouts had a marked effect on the prevalence estimates of those meeting physical activity recommendations. More research is needed to understand how to promote increased MVPA in weight gain prevention interventions. This study is registered at www.clinicaltrials.gov database (No. NCT00938535. Retrospectively Registered 7/10/2009).
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DOI：
10.1111/j.1748-0361.2012.00411.x
发表时间：
2012
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Befort CA;Nazir N;Perri MG
通讯作者：
Perri MG
DOI：
10.1249/mss.0b013e3182399dcc
发表时间：
2012-01-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Heil, Daniel P.;Brage, Soren;Rothney, Megan P.
通讯作者：
Rothney, Megan P.
影响因子：
7.1
作者：
Matthews, Charles E.;George, Stephanie M.;Schatzkin, Arthur
通讯作者：
Schatzkin, Arthur
DOI：
10.1056/nejmoa1014296
发表时间：
2011-06-23
期刊：
The New England journal of medicine
影响因子：
--
作者：
Mozaffarian D;Hao T;Rimm EB;Willett WC;Hu FB
通讯作者：
Hu FB
影响因子：
5.1
作者：
Laska, Melissa N.;Lytle, Leslie A.;Nanney, Marilyn S.;Moe, Stacey G.;Linde, Jennifer A.;Hannan, Peter J.
通讯作者：
Hannan, Peter J.