A web-based intervention is feasible for supporting weight loss and increased activity in rural women with arthritis.
A web-based intervention is feasible for supporting weight loss and increased activity in rural women with arthritis.
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DOI：
10.4081/jphr.2021.2164
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发表时间：
2021-09-24
影响因子：
2.3
通讯作者：
Johnson Beller R
中科院分区：
文献类型：
--
作者：
Hageman PA;Eisenhauer C;Mroz JE;Johnson Beller R
农村妇女的健康差距有据可查，肥胖和慢性疾病（包括关节炎）的发病率更高。在完成了一项为期30个月的基于网络的临床试验后，研究人员对82名经医生诊断为关节炎的女性中的63名进行了体重变化和活动记录数据的检查。重复测量分析显示，妇女从基线到6个月体重下降，在18和30个月缓慢恢复，结束时体重低于基线F(1,62)=40.89, p<0.001, η2p =0.40。在53名资料完整的妇女中，6个月时活动量增加，18个月时减少，30个月时增加F(1,52)=4.14, p= 0.04, η2p=0.07。在6个月、18个月和30个月时，女性的体重和活动量都比基线有所改善。这项研究进一步支持了基于网络的项目可以促进难以接触到的、服务不足的中年和老年农村关节炎妇女的减肥和活动。解决农村关节炎妇女中日益普遍的肥胖和久坐不动的生活方式是一个公共卫生问题。本研究证明了使用基于网络的干预措施来接触和促进农村妇女持续参与以实现减肥和增加活动的可行性。基于网络的减肥干预措施有可能通过改善预防性公共卫生干预措施的可及性和可接受性来缩小农村健康差距，从而实现持续、有效的方案参与。
Rural women have well documented health disparities, with higher prevalence of obesity and chronic conditions, including arthritis. Change in weight and actigraph-recorded data were examined in a subset of 63 of 82 women with physician-diagnosed arthritis who completed a 30-month web-based clinical trial. Repeated measures analyses showed women lost weight from baseline to six months, slowly regained at 18 and 30 months, ending with a lower weight than baseline F(1,62)=40.89, p<0.001, η2p =0.40. Of 53 women with complete data, activity increased at six months, decreased at 18 months, and increased at 30 months F(1,52)=4.14, p =0.04, η2p=0.07. Women showed improved change in weight and activity from baseline at six, 18 and 30 months. This study adds support that web-based programs may promote weight loss and activity in a hard-to-reach, underserved population of midlife and older rural women with arthritis. Addressing increasing prevalence of obesity and sedentary lifestyle among rural women with arthritis is a public health issue. This study demonstrates the feasibility of using web-based interventions to reach and promote sustained engagement in rural women to achieve weight loss and increase activity. Web-based weight loss interventions may have potential to reduce rural health disparities by improving access to and acceptability of preventive public health interventions to achieve sustained, effective program engagement.
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DOI：
10.1097/00005768-199805000-00021
发表时间：
1998-05-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Freedson, PS;Melanson, E;Sirard, J
通讯作者：
Sirard, J
DOI：
10.1002/art.39692
发表时间：
2016-07
期刊：
Arthritis & rheumatology (Hoboken, N.J.)
影响因子：
--
作者：
Hootman JM;Helmick CG;Barbour KE;Theis KA;Boring MA
通讯作者：
Boring MA
影响因子：
7.4
作者：
Sorgente A;Pietrabissa G;Manzoni GM;Re F;Simpson S;Perona S;Rossi A;Cattivelli R;Innamorati M;Jackson JB;Castelnuovo G
通讯作者：
Castelnuovo G
影响因子：
3.3
作者：
Hageman PA;Pullen CH;Hertzog M;Pozehl B;Eisenhauer C;Boeckner LS
通讯作者：
Boeckner LS
影响因子：
24
作者：
Jensen, Michael D.;Ryan, Donna H.;Yanovski, Susan Z.
通讯作者：
Yanovski, Susan Z.