Socio-demographic, anthropometric, and psychosocial predictors of attrition across behavioral weight-loss trials
Socio-demographic, anthropometric, and psychosocial predictors of attrition across behavioral weight-loss trials
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DOI：
10.1016/j.eatbeh.2015.11.009
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发表时间：
2016-01-01
期刊：
影响因子：
2.8
通讯作者：
Burke, Lora E.
中科院分区：
文献类型：
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作者：
Goode, Rachel W.;Ye, Lei;Burke, Lora E.
防止磨损是行为减肥干预研究的主要关注点。这项分析的目的是确定基线和6个月的预测因素，这些预测因素与三项独立的行为减肥干预临床试验（PREFER、SELF和SMART）中的参与者流失相关，这些临床试验进行了10年以上。基线测量包括体重指数、健康饮食障碍、贝克抑郁量表-II（BDI）、饥饿饱足量表（HSS）、暴食量表（BES）、医学结局研究简表（MOS SF-36 v2）和体重疗效生活方式问卷（WEL）。我们还检查了前6个月的早期体重减轻和参加小组会议的情况。在试验结束时记录了平均寿命。参与者包括504名寻求减肥治疗的超重和肥胖成年人。样本为84.92%女性和73.61%白色，平均（+/- SD）年龄为47.35 ± 9.75岁。在控制特定试验后，BMI每增加一个单位，磨损的几率增加11%。教育水平每提高一年，自然减员的几率就降低10%。磨损的其他预测因素包括先前尝试减掉50-79磅、年龄、没有健康保险以及BES、BDI和HSS评分。在6个月时，随着小组会议出席率的降低，自然减员的几率增加了10%。体重变化百分比和试验之间也存在相互作用（p <0.001）。三项试验的多变量分析显示，教育程度、年龄、BMI和BES评分与损耗独立相关（p（s））。
Preventing attrition is a major concern in behavioralweight loss intervention studies. The purpose of this analysis was to identify baseline and six-month predictors associated with participant attrition across three independent clinical trials of behavioral weight loss interventions (PREFER, SELF, and SMART) that were conducted over 10 years. Baseline measures included body mass index, Barriers to Healthy Eating, Beck Depression Inventory-II (BDI), Hunger Satiety Scale (HSS), Binge Eating Scale (BES), Medical Outcome Study Short Form (MOS SF-36 v2) and Weight Efficacy Lifestyle Questionnaire (WEL). We also examined early weight loss and attendance at group sessions during the first 6 months. Attrition was recorded at the end of the trials. Participants included 504 overweight and obese adults seeking weight loss treatment. The sample was 84.92% female and 73.61% white, with amean (+/- SD) age of 47.35 +/- 9.75 years. After controlling for the specific trial, for every one unit increase in BMI, the odds of attrition increased by 11%. For every year increase in education, the odds of attrition decreased by 10%. Additional predictors of attrition included previous attempts to lose 50-79 lbs, age, not possessing health insurance, and BES, BDI, and HSS scores. At 6 months, the odds of attrition increased by 10% with reduced group session attendance. There was also an interaction between percent weight change and trial (p < .001). Multivariate analysis of the three trials showed education, age, BMI, and BES scoreswere independently associated with attrition (p(s)