An evaluation of a multi-component adult weight management on referral intervention in a community setting.
An evaluation of a multi-component adult weight management on referral intervention in a community setting.
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DOI：
10.1186/s13104-016-1901-1
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发表时间：
2016-02-17
影响因子：
1.8
通讯作者：
Craig J
中科院分区：
文献类型：
--
作者：
Birnie K;Thomas L;Fleming C;Phillips S;Sterne JA;Donovan JL;Craig J
国家健康与护理卓越研究所（NICE）关于成人体重管理的指导建议干预措施是多组分的。我们的目的是评估在社区环境中，将初级保健转介到成人多组分体重管理干预的实施情况和健康益处。2008年10月至2010年11月，通过与法定、社区和商业提供者合作，在英国南格洛斯特郡国家卫生服务局（NHS）的初级保健提供干预。该计划为肥胖成年人提供了12周基于社区的饮食（体重观察者，WW），身体活动（处方运动，EOP）和行为改变（动机访谈）组成部分的同时支持。为600个名额提供了资金。559名参与者参与了干预，平均年龄48岁，88%为女性。所有受试者的平均体重减轻为3.7 kg（95%置信区间为3.4，4.1）。完成干预的参与者实现了最大的体重减轻（平均减轻5.9 kg; 5.3，6.6）。完成者（58%; 50，65）体重减轻5%的比例高于未完成者（19%; 12，26）和仅参与一项商业干预的患者（WW或EOP; 19%; 13，24）。多组分体重管理计划可能有利于减肥，但需要随机对照试验来确定有效性并评估成本。
National Institute for Health and Care Excellence (NICE) guidance on adult weight management recommends interventions are multi-component. We aimed to assess the implementation and health benefits of a primary care referral to an adult multi-component weight management intervention in a community setting. The intervention was offered through Primary care in National Health Service (NHS) South Gloucestershire, UK, from Oct 2008 to Nov 2010, in partnership with statutory, community and commercial providers. The scheme offered 12 weeks’ community based concurrent support of dietary (Weight Watchers, WW), physical activity (Exercise on Prescription, EOP) and behavioural change (motivational interviewing) components to obese adults. Funding was available for 600 places. Five hundred and fifty nine participants engaged with the intervention, mean age 48 years, 88 % female. Mean weight loss for all engagers was 3.7 kg (95 % confidence interval 3.4, 4.1). Participants completing the intervention achieved the largest weight reduction (mean loss 5.9 kg; 5.3, 6.6). Achievement of 5 % weight loss was higher in completers (58 %; 50, 65) compared to non-completers (19 %; 12, 26) and people who only participated in one commercial component of the intervention (either WW or EOP; 19 %; 13, 24). A multi-component weight management programme may be beneficial for weight loss, but a randomized controlled trial is needed to establish effectiveness and to evaluate cost.