One-year behavioral treatment of obesity: comparison of moderate and severe caloric restriction and the effects of weight maintenance therapy.
One-year behavioral treatment of obesity: comparison of moderate and severe caloric restriction and the effects of weight maintenance therapy.
复制标题
肥胖症的一年行为治疗：中度和重度热量限制以及体重维持治疗效果的比较。
DOI：
10.1037//0022-006x.62.1.165
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发表时间：
1994
影响因子：
5.9
通讯作者：
Letizia,KA
中科院分区：
文献类型：
--
作者：
Wadden,TA;Foster,GD;Letizia,KA
这项研究比较了49名肥胖妇女的体重减轻情况，她们被随机分配到一个52周的行为计划中，并结合中度或重度热量限制。在整个治疗过程中，平衡缺陷饮食（BDD）条件下的受试者被规定每天1,200千卡的饮食，极低热量饮食（VLCD）条件下的受试者被规定每天420千卡的流质饮食16周，此后每天1,200千卡的饮食。在直至第26周的所有阶段，VLCD受试者的体重减轻量均显著大于BDD受试者，此时的平均体重减轻量分别为21.45和11.86 kg。然而，VLCD受试者在接下来的26周每周一次的治疗和26周的体重维持计划（每两周一次的会议）中体重恢复。维持计划结束时的平均体重减轻分别为10.94和12.18 kg。两组的暴饮暴食报告都有所下降，暴饮暴食与体重减轻或损耗之间没有关系。
This study compared the weight losses of 49 obese women randomly assigned to a 52-week behavioral program combined with either moderate or severe caloric restriction. Subjects in the balanced deficit diet (BDD) condition were prescribed a 1,200-kcal/day diet throughout treatment, and those in the very-low-calorie diet (VLCD) condition were given a 420-kcal/day liquid diet for 16 weeks and a 1,200-kcal/day diet thereafter. The VLCD subjects lost significantly more weight than the BDD subjects at all periods through Week 26, at which time mean losses were 21.45 and 11.86 kg, respectively. VLCD subjects, however, regained weight during the next 26 weeks of weekly therapy and during a 26-week weight maintenance program that provided biweekly meetings. Mean weight losses at the end of the maintenance program were 10.94 and 12.18 kg, respectively. Reports of binge eating declined in both groups, and no relationship was observed between binge eating and weight loss or attrition.