A randomized controlled trial to increase physical activity and reduce obesity in a predominantly African American group of women with mobility disabilities and severe obesity.
A randomized controlled trial to increase physical activity and reduce obesity in a predominantly African American group of women with mobility disabilities and severe obesity.
复制标题
一项随机对照试验，旨在增加身体活动并减少肥胖，主要对象是患有行动障碍和严重肥胖的非裔美国女性。
DOI：
10.1016/j.ypmed.2009.02.008
复制
发表时间：
2009
影响因子：
5.1
通讯作者：
Gerber,BenS
中科院分区：
文献类型：
--
作者：
Rimmer,JamesH;Rauworth,Amy;Wang,Edward;Heckerling,PaulS;Gerber,BenS
OBJECTIVEThis randomized controlled trial tested a tailored, telephone-based physical activity coaching intervention for a predominantly African American group of women with severe obesity and mobility disability.METHODSWe recruited 92 clinic patients from the University of Illinois at Chicago Medical Center referred by their physicians during 2004–2007 and randomized participants to one of three groups – awareness (informational brochure, no coaching), lower support (phone coaching only) and higher support (phone coaching plus monthly exercise support group) – to determine the efficacy of a tailored coaching intervention on key health outcomes, which included body weight and body mass index, blood pressure, cholesterol, physical activity (barriers and self-reported activity), movement and mobility, general health, and social support.RESULTSThe higher support group had the greatest reduction in Body Mass Index (BMI) (7.4%) compared with a 0.2% and 1.6% increase in BMI for the lower support and awareness groups, respectively (p<.01). Both the higher and lower support groups had a greater increase in physical activity scores (39% and 30%, respectively) compared with a decline of 13% in the awareness group (p<.05).CONCLUSIONProviding phone-based coaching and monthly in-person exercise support group sessions appear to be an effective approach for reducing body weight and increasing physical activity among severely obese, disabled adults residing in difficult social environments.
