A primary care weight management intervention for low-income African-American women
A primary care weight management intervention for low-income African-American women
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DOI：
10.1038/oby.2006.160
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发表时间：
2006-08-01
期刊：
影响因子：
6.9
通讯作者：
Brantley, Phillip J.
中科院分区：
文献类型：
--
作者：
Martin, Pamela Davis;Rhode, Paula C.;Brantley, Phillip J.
目的：为了确定是否有针对性的体重管理计划，解决肥胖，低收入的非洲裔美国妇女的需求，将产生更大的减肥比标准medical care.Research方法和程序：一个随机对照试验进行了1999年和2003年之间的144超重或肥胖的妇女（主要是非洲裔美国人）在两个初级保健诊所登记。每个诊所的四名医生被随机分配提供量身定制的体重管理干预或标准护理。定制的条件包括六个月的门诊访问，每次持续15分钟，其中包括个性化的材料和信息。结果：干预组比标准治疗组减轻了更多的体重（p = 0.03）。到第6个月，定制组的平均体重（标准差）减轻了2.0（3.2）kg。标准治疗组体重增加0.2（2.9）kg。更多的参与者在定制组减肥（79%比47%; p = 0.04）讨论：肥胖，低收入，非洲裔美国妇女提供了90分钟的医生交付，定制的体重管理指令超过6个月实现更大的减肥比那些接受标准的医疗护理。初级保健医生可以有效地提供减肥干预措施，初级保健诊所可能是实施体重管理干预措施的有用场所。
Objective: To determine whether a tailored weight management program, addressing the needs of obese, low-income African-American women, would produce greater weight loss than standard medical care.Research Methods and Procedures: A randomized, controlled trial was conducted between 1999 and 2003 with 144 overweight or obese women (predominantly African-American) enrolled at two primary care clinics. Four physicians at each clinic were randomly assigned to provide either tailored weight management interventions or standard care. The tailored condition consisted of six monthly outpatient visits lasting similar to 15 minutes each, which included personalized materials and messages. The main outcome was body weight change.Results: The intervention group lost more weight than the standard care group (p = 0.03). The tailored group lost a mean (standard deviation) of 2.0 (3.2) kg by Month 6. The standard care group gained 0.2 (2.9) kg. More participants in the tailored group lost weight (79% vs. 47%; p = 0.04).Discussion: Obese, low-income, African-American women provided with 90 minutes of physician-delivered, tailored weight management instruction over 6 months achieved greater weight loss than those receiving standard medical care. The primary care physician can be effective in delivering weight loss interventions, and the primary care clinic may be a useful setting to implement weight management interventions.