Lessons from obesity management programmes: greater initial weight loss improves long-term maintenance.
Lessons from obesity management programmes: greater initial weight loss improves long-term maintenance.
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DOI：
10.1046/j.1467-789x.2000.00004.x
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发表时间：
2000-05-01
期刊：
影响因子：
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通讯作者：
Rossner, S
中科院分区：
文献类型：
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作者：
Astrup, A;Rossner, S
人们普遍认为，与快速减重相比，缓慢减重效果更佳。然而，文献表明，初始体重减轻与长期体重维持呈正相关，而不是负相关。随机干预试验的证据表明，在不改变生活方式（例如液体配方饮食或厌食药物）的情况下，初始体重减轻幅度更大，可以改善长期体重维持，前提是随后进行 1-2 年的综合体重维持计划，其中包括生活方式干预，包括饮食改变、营养教育、行为治疗和增加体力活动。总之，我们发现的证据表明，作为体重管理计划的第一步，较大的初始体重减轻可能会改善持续的体重维持。
It is a common belief that weight loss achieved at a slow rate is better preserved than if the weight is lost more rapidly. However, the literature shows that initial weight loss is positively, not negatively, related to long-term weight maintenance. There is evidence from randomised intervention trials to support that a greater initial weight loss induced without changes in lifestyle (e.g. liquid formula diets or anorectic drugs) improves long-term weight maintenance, providing it is followed by a 1-2 years integrated weight maintenance programme consisting of lifestyle interventions involving dietary change, nutritional education, behaviour therapy and increased physical activity. In conclusion, we find evidence to suggest that a greater initial weight loss as the first step of a weight management programme may result in improved sustained weight maintenance.