A case-control study of successful maintenance of a substantial weight loss: individuals who lost weight through surgery versus those who lost weight through non-surgical means
A case-control study of successful maintenance of a substantial weight loss: individuals who lost weight through surgery versus those who lost weight through non-surgical means
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DOI：
10.1038/sj.ijo.0801199
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发表时间：
2000-05-01
影响因子：
4.9
通讯作者：
Hill, JO
中科院分区：
文献类型：
--
作者：
Klem, ML;Wing, RR;Hill, JO
目的：为了确定减肥方法（手术;非手术）与目前的社会心理功能水平或目前的体重维持行为的个人谁失去了大量的weight.Design：主题是67例和67个控制从国家体重控制登记处，一个纵向研究的个人成功地在长期维持减肥。病例最初通过减肥手术减轻体重，而对照组通过非手术方式减轻体重。对病例组和对照组的心理社会功能和体重维持行为进行评估和比较。结果：病例组和对照组在性别、当前体重和总体重减轻方面匹配。手术病例报告脂肪摄入量明显较高，体力活动水平较低。有没有差异的情况下，和控制的报告，减肥对他们的生活的其他领域的影响，也没有差异的措施，抑郁症或暴饮暴食。结论：报告的改善心理社会功能并不取决于如何体重最初失去了，但情况和控制似乎是使用非常不同的行为，以保持他们的体重减轻。
OBJECTIVE: To determine if method of weight loss (surgery; non-surgery) is associated with current levels of psychosocial functioning or current weight maintenance behaviors in individuals who have lost large amounts of weight.DESIGN: Subjects were 67 cases and 67 controls selected from the National Weight Control Registry, a longitudinal study of individuals successful at long-term maintenance of weight loss. Cases had initially lost weight through bariatric surgery while controls had lost weight through non-surgical means. The current psychosocial functioning and weight maintenance behaviors of cases and controls were assessed and compared.RESULTS: Cases and controls were matched on gender, current weight and total weight loss. Surgical cases reported significantly higher fat intake and lower physical activity levels. There were no differences in cases' and controls' reports of the impact of weight loss on other areas of their lives, neither were there differences on measures of depression or binge-eating.CONCLUSIONS: Reported improvement in psychosocial functioning did not depend upon how weight was initially lost, but cases and controls appear to be using very different behaviors to maintain their weight losses.